Author Question: The client complains of blurry vision after using pilocarpine (IsoptoCarpine). Which explanation ... (Read 32 times)

silviawilliams41 · **on:** Jul 23, 2018

The client complains of blurry vision after using pilocarpine (IsoptoCarpine). Which explanation about the blurry vision is most appropriate by the nurse?

1. This is a common reaction, but should be temporary.
2. Use only half the dose, and monitor the results.
3. I will have the physician prescribe something different for you.
4. You have an allergy, and should stop using the drops.

Question 2

A client has been prescribed timolol (Timoptic). When does the maximum therapeutic effect occur for the medication?

1. It takes 68 weeks.
2. It begins immediately.
3. It takes 24 weeks.
4. It takes 12 weeks.

Hikerman221 · **Reply #1 on:** Jul 23, 2018

Answer to Question 1

1

Rationale 1:Miotic agents such as pilocarpine(IsoptoCarpine) produce various responses in the eye, including dilation of the trabecular meshwork so that the canal of Schlemm can absorb more aqueous humor, thus decreasing intraocular pressure. Side effects are temporary, and include cycloplegia.
Rationale 2:Use only half the dose, and monitor the results is incorrect. Side effects are temporary, and include cycloplegia.
Rationale 3:I will have the physician prescribe something different for you is incorrect. Side effects are temporary, and include cycloplegia.
Rationale 4:You have an allergy, and should stop using the drops is incorrect. Side effects are temporary, and include cycloplegia.

Global Rationale: Miotic agents such as piocarpine(IsoptoCarpine) produce various responses in the eye, including dilation of the trabecular meshwork so that the canal of Schlemm can absorb more aqueous humor, thus decreasing intraocular pressure. Side effects are temporary, and include cycloplegia.

Answer to Question 2

3

Rationale 1: The maximum therapeutic effect takes 24 weeks.
Rationale 2: The maximum therapeutic effect takes 24 weeks.
Rationale 3: Treatment can require 24 weeks for maximum therapeutic effect.
Rationale 4: The maximum therapeutic effect takes 24 weeks.

Global Rationale: Timolol (Timoptic) is a beta-adrenergic blocker.Treatment can require 24 weeks for maximum therapeutic effect. The other answer options are incorrect.