Questions: Question 1 A patient has had dilation of the eyes with an anticholinergic agent. What will the nurse say when preparing this patient to go home after the examination? "You may need to wear dark glasses until this medication wears off:" Question 2 The nurse is reviewing personal knowledge of the medications used in the treatment of open-angle glaucoma. The nurse would be correct to identify which medications as treatment? (Select all that apply) Carbonic anhydrase inhibitors Prostaglandin analogs Alpha2 agonists

Question 1 A patient has had dilation of the eyes with an anticholinergic agent. What will the nurse say when preparing this patient to go home after the examination? "You may need to wear dark glasses until this medication wears off:" Question 2 The nurse is reviewing personal knowledge of the medications used in the treatment of open-angle glaucoma. The nurse would be correct to identify which medications as treatment? (Select all that apply) Carbonic anhydrase inhibitors Prostaglandin analogs Alpha2 agonists
Transcript text: Question 1 A patient has had dilation of the eyes with an anticholinergic agent. What will the nurse say when preparing this patient to go home after the examination? "You may need to wear dark glasses until this medication wears off:" Question 2 The nurse is reviewing personal knowledge of the medications used in the treatment of open-angle glaucoma. The nurse would be correct to identify which medications as treatment? (Select all that apply) Carbonic anhydrase inhibitors Prostaglandin analogs Alpha2 agonists
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Solution

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The answer to the first question is: "You may need to wear dark glasses until this medication wears off."

Explanation for each option:

  • "You will be able to read as soon as the exam is completed." This is incorrect because anticholinergic agents cause dilation of the pupils (mydriasis), which can blur vision and make reading difficult until the effects wear off.
  • "Systemic side effects will not occur with this agent." This is incorrect because systemic side effects, although rare, can occur with anticholinergic agents.
  • "You may need to wear dark glasses until this medication wears off." This is correct because dilation of the pupils increases sensitivity to light, and wearing dark glasses can help protect the eyes from bright light until the medication's effects subside.
  • "You may experience an increased heart rate, but this is a harmless side effect." This is incorrect because while anticholinergic agents can cause an increased heart rate, it is not considered a harmless side effect and should be monitored.

The answer to the second question is: Carbonic anhydrase inhibitors, Prostaglandin analogs, Beta blockers, Alpha agonists.

Explanation for each option:

  • Carbonic anhydrase inhibitors: Correct. These medications reduce the production of aqueous humor, thereby lowering intraocular pressure in open-angle glaucoma.
  • Anticholinergics: Incorrect. These are not typically used in the treatment of open-angle glaucoma and can actually worsen the condition by increasing intraocular pressure.
  • Prostaglandin analogs: Correct. These medications increase the outflow of aqueous humor, helping to lower intraocular pressure.
  • Beta blockers: Correct. These medications reduce the production of aqueous humor, thereby lowering intraocular pressure.
  • Alpha agonists: Correct. These medications can both decrease aqueous humor production and increase its outflow, helping to lower intraocular pressure.

Summary: For the first question, the correct response is to advise the patient to wear dark glasses until the medication wears off. For the second question, the correct medications for treating open-angle glaucoma include carbonic anhydrase inhibitors, prostaglandin analogs, beta blockers, and alpha agonists.

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