A client is receiving pilocarpine hydrochloride ophthalmic drops for glaucoma. The client calls the clinic nurse and reports difficulty seeing at night. Which explanation should the nurse provide?

The drops increase the fluid in the eyes and cloud the visual field.

The eye drops slow pupil response to accommodate for darkness.

The medication can cause the lens to become more opaque.

The medication causes pupils to dilate, which reduces night vision.

Answer and Explanation

The Correct Answer is B

Choice A reason: While pilocarpine ophthalmic drops can cause increased fluid in the eyes to help manage glaucoma, they do not typically cloud the visual field. The main purpose of pilocarpine is to reduce intraocular pressure by increasing the outflow of aqueous humor.

Choice B reason: Pilocarpine is a cholinergic agent that stimulates the sphincter muscles of the iris, leading to miosis (constriction of the pupil). This reduces the pupil's ability to dilate in low-light conditions, making it more difficult for clients to see in the dark. This explanation accurately addresses the client's concern about night vision.

Choice C reason: Pilocarpine does not cause the lens to become more opaque. Opaque lenses are more commonly associated with cataracts, which are not related to the use of pilocarpine.

Choice D reason: Pilocarpine causes the pupils to constrict (miosis) rather than dilate. This constriction affects the pupil's ability to adapt to darkness but does not cause dilation that reduces night vision.

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Correct Answer is B

Explanation

Choice A reason: Obtaining another transdermal patch and positioning it on the client's left upper chest is unnecessary. The current patch is still effective and does not need to be replaced. The immediate goal is to manage the acute chest pain.

Choice B reason: Leaving the patch in place and administering a PRN dose of sublingual nitroglycerin is the correct action. Sublingual nitroglycerin works quickly to relieve acute chest pain by dilating the coronary arteries, providing immediate relief while the transdermal patch continues to offer sustained relief.

Choice C reason: Withholding further doses of nitroglycerin until contacting the healthcare provider is not appropriate when the client is experiencing acute chest pain. Immediate intervention with sublingual nitroglycerin is necessary to manage the pain and prevent further complications.

Choice D reason: Reassuring the client that the patch will begin to take effect within a few minutes is not sufficient. The transdermal patch provides slow-release medication, and sublingual nitroglycerin is needed for immediate relief of acute chest pain.

A. Eliminates urinary bacteria. B. Provides an analgesic effect for irritated bladder mucosa. C. Calms spasms in the urinary tract. D. Use the medication after voiding after sexual intercourse.

Correct Answer is B

Explanation

Choice A reason: Phenazopyridine does not eliminate urinary bacteria. It is an analgesic that relieves pain, burning, and discomfort caused by irritation of the urinary tract mucosa.

Choice B reason: Phenazopyridine provides an analgesic effect for irritated bladder mucosa, which helps alleviate symptoms like pain and burning during urination.

Choice C reason: Phenazopyridine does not have antispasmodic properties; it primarily works as a pain reliever for the urinary tract.

Choice D reason: Using the medication after voiding after sexual intercourse is not related to the therapeutic effect of phenazopyridine. The focus should be on its analgesic properties.

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A client is receiving pilocarpine hydrochloride ophthalmic drops for glaucoma. The client calls the clinic nurse and reports difficulty seeing at night. Which explanation should the nurse provide?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A client with a history of angina reports the onset of chest pain. The nurse determines that the heart rate is 104 beats/minute and the blood pressure is 138/86 mm Hg. A transdermal nitroglycerin patch was applied 30 minutes ago to the right upper chest. Which action should the nurse take?

Correct Answer is B

Explanation

A client with cystitis receives a prescription for phenazopyridine. Which information should the nurse explain to the client about its therapeutic effect?

Correct Answer is B

Explanation

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