A client with glaucoma is being treated with a pilocarpine ...

[burton19126]

A client with glaucoma is being treated with a pilocarpine (Isopto Carpine). To help reduce the risk associated with this medicine, the nurse suggests:
 
  1. assuring that hallways are well lit at night.
  2. using skin softeners to reduce the risk of dry skin.
  3. wearing sunglasses when doing yard work.
  4. using lubricant eyedrops to reduce its drying effects.

Question 2

A client has received pilocarpine (Isopto Carpine) drops in both eyes. When assessing this client, the nurse will anticipate which reaction?
 
  1. Unequal pupil shape
  2. Dilated pupils
  3. Constricted pupils
  4. Improved distance vision

[babybsemail]

Answer to Question 1

Correct Answer: 1
Rationale 1: Pilocarpine constricts the pupils and decreases vision in low light. To decrease the risk of falls, clients should increase lighting.
Rationale 2: Pilocarpine does not cause dry skin.
Rationale 3: Sunglasses are not needed because of the use of pilocarpine.
Rationale 4: Pilocarpine is not associated with increasing eye dryness. Lubricants are not necessary.
Global Rationale: Pilocarpine constricts the pupils and decreases vision in low light. To decrease the risk of falls, clients should increase lighting. Pilocarpine does not cause dry skin. Sunglasses are not needed because of the use of pilocarpine. Pilocarpine is not associated with increasing eye dryness. Lubricants are not necessary.

Answer to Question 2

Correct Answer: 3
Rationale 1: A small percentage of individuals have unequal pupils normally. Pilocarpine would not cause the pupils to vary in shape.
Rationale 2: Pilocarpine is a cholinergic agonist and does not dilate the pupils.
Rationale 3: Pilocarpine is a cholinergic agonist and constricts the pupils.
Rationale 4: Pilocarpine does not improve distance vision.
Global Rationale: Pilocarpine is a cholinergic agonist and constricts the pupils. A small percentage of individuals have unequal pupils normally. Pilocarpine would not cause the pupils to vary in shape. It does not improve distance vision.

[burton19126]

Excellent

[bassamabas]

Gracias!