Author Question: After completing a physical assessment, the nurse is concerned that a client is at risk for ... (Read 78 times)

NguyenJ · **on:** Jul 23, 2018

After completing a physical assessment, the nurse is concerned that a client is at risk for developing glaucoma because of which findings?

Standard Text: Select all that apply.
1. High blood pressure
2. Migraine headaches
3. Type 2 diabetes mellitus
4. Heart failure
5. Gastroesophageal reflux disease

Question 2

A client with open-angle glaucoma is prescribed an alpha2-adrenergic agonist. What will the nurse instruct the client about this medication?

Standard Text: Select all that apply.
1. You may feel like there is something in your eye when using this medication.
2. You may have headaches and feel sleepy with this medication.
3. You may have blurred vision when using this medication.
4. You may feel nervous or anxious, but this is rare.
5. Acute eye pain is expected when taking this medication.

missalyssa26 · **Reply #1 on:** Jul 23, 2018

Answer to Question 1

Correct Answer: 1,2,3
Rationale 1: Hypertension is a risk factor for the development of glaucoma.
Rationale 2: A risk factor for the development of glaucoma is migraine headaches.
Rationale 3: Diabetes mellitus is a risk factor for the development of glaucoma.
Rationale 4: Heart failure is not a risk factor for the development of glaucoma.
Rationale 5: Gastroesophageal reflux disease is not a risk factor for the development of glaucoma.
Global Rationale: HTN, DM, and history of migraine headaches are all risk factor for the development of glaucoma. Having heart failure and GERD does not increase risk.

Answer to Question 2

Correct Answer: 1,2,3,4
Rationale 1: The most significant adverse effect with an alpha2-adrenergic agonist is the sensation of a foreign body in the eye.
Rationale 2: Adverse effects of alpha2-adrenergic agonists include headache and drowsiness.
Rationale 3: Blurred vision is an adverse effect of alpha2-adrenergic agonists.
Rationale 4: Rare systemic effects of alpha2-adrenergic agonists include nervousness and anxiety.
Rationale 5: Acute eye pain is not expected with this medication and should be reported to a health care provider immediately.
Global Rationale: The most significant adverse effect with an alpha2-adrenergic agonist is the sensation of a foreign body in the eye. Adverse effects include headache, drowsiness, and blurred vision. Rare systemic effects of alpha2-adrenergic agonists include nervousness and anxiety. Acute eye pain is not expected with this medication and should be reported to a health care provider immediately.