CRNE Exam Prep

Category - Changes in Health

A client complains of gradual loss of peripheral vision. Blurred vision, eye pain, and halos around white lights are also reported by the client. The client’s intraocular pressure is 30 mm Hg. The nurse caring for the client expects that the physician might prescribe any of the following medications EXCEPT:
  1. Carbachol
  2. Pilocarpine
  3. Scopalamine
  4. Demarcium
Explanation
Answer: C - The client is not prescribed with scopolamine, a mydriatic. The client has demonstrated signs of glaucoma, which is managed by miotics. Miotics, such as carbachol, demarcium, and demarcium, reduce the intraocular pressure by constricting the pupil and contracting the ciliary muscle. Mydriatrics dilates the pupil and are contraindicated in clients with glaucoma due to the risk of increasing the intraocular pressure.
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