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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Free Nursing Study Resources

Correct Answer is C

Explanation

Choice A reason: While monitoring for electrolyte imbalance is essential in many scenarios, it is not a primary action specific to administering sucralfate.

Choice B reason: Assessing for secondary Candida infection is not directly related to the administration of sucralfate. This medication is used for its protective effects on the stomach lining.

Choice C reason: Sucralfate should be given on an empty stomach for optimal effectiveness. It forms a protective barrier on the ulcer site and works best when it can directly adhere to the stomach lining without interference from food or other medications.

Choice D reason: Sucralfate is typically administered multiple times a day, not just once a day. Therefore, giving it once a day at bedtime does not follow the standard dosing regimen for this medication.

A. Administer a PRN dose of an anti-anxiety drug. B. Notify the healthcare provider. C. Collect a capillary glucose level. D. Obtain orthostatic blood pressure readings.

Correct Answer is B

Explanation

Choice A reason: Administering a PRN dose of an anti-anxiety drug is not appropriate in this situation. Tremors could be a side effect of pregabalin or indicate a more serious issue that needs evaluation.

Choice B reason: Notifying the healthcare provider is the correct action. Tremors can be a side effect of pregabalin, and the healthcare provider should assess the client's condition and determine if adjustments to the medication or further evaluation are needed.

Choice C reason: Collecting a capillary glucose level is unnecessary unless there are specific concerns about hypoglycemia. Tremors in this context are more likely related to the medication.

Choice D reason: Obtaining orthostatic blood pressure readings is not directly related to the reported symptom of tremors. The primary focus should be on addressing the potential side effects of the medication.

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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

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Correct Answer is B

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