A nurse is caring for a client who has a new diagnosis of primary open-angle glaucoma and a prescription for timolol ophthalmic drops. For which of the following adverse effects should the nurse monitor the client?
Bradycardia
Hypertension
Anemia
Seizures
The Correct Answer is A
a) Bradycardia: Timolol, a beta-blocker, can cause bradycardia when absorbed systemically.
b) Hypertension: Timolol typically lowers blood pressure rather than increasing it.
c) Anemia: Timolol does not affect red blood cell production.
d) Seizures: Seizures are not associated with timolol use.
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Correct Answer is D
Explanation
a) Produces miosis of the operative eye: Miosis refers to pupil constriction, and cyclopentolate causes pupil dilation, not constriction.
b) Constricts the pupil of the operative eye: Cyclopentolate causes dilation of the pupil, not constriction.
c) Provides lubrication to the operative eye: Cyclopentolate does not provide lubrication. It is used to dilate the pupil and paralyze accommodation for the surgery.
d) Dilates the pupil of the operative eye: Cyclopentolate works as a mydriatic agent, which dilates the pupil to facilitate the surgery by allowing better visualization of the cataract and the lens.
Correct Answer is C
Explanation
a) Decrease fluid intake to control the intraocular pressure: Decreasing fluid intake is not a recommended treatment for glaucoma. The focus should be on controlling intraocular pressure through prescribed medications and other appropriate treatments.
b) Decrease the amount of salt in the diet: This is not a primary recommendation for managing glaucoma. However, reducing salt intake may be beneficial for overall cardiovascular health, but it doesn't directly impact intraocular pressure.
c) Eye medications will need to be administered for life. Glaucoma is a chronic condition, and lifelong use of eye medications is often necessary to control intraocular pressure and prevent damage to the optic nerve.
d) Avoid overuse of the eyes: While it is important to take regular breaks to reduce eye strain, this is not a primary focus for glaucoma management.
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