A nurse is collecting data from a client who self-administers pilocarpine ophthalmic drops. Which of the following findings by the nurse indicates a systemic adverse effect of this medication?

Urinary retention

Hypertension

Diarrhea

Decreased salivation

Answer and Explanation

The Correct Answer is C

a) Urinary retention: Pilocarpine, a cholinergic agent, promotes bladder contraction rather than causing retention.
b) Hypertension: Pilocarpine is more likely to cause hypotension.
c) Diarrhea: A parasympathetic effect of pilocarpine is increased gastrointestinal motility, leading to diarrhea.
d) Decreased salivation: Pilocarpine increases salivation.

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Correct Answer is C

Explanation

a) Ability to contract and relax the dilator muscle: This refers to the iris muscles, but it does not relate directly to the measurement of intraocular pressure (IOP).
b) Resistance from the ciliary bodies: The ciliary body produces aqueous humor, but IOP measures the pressure exerted by the amount of aqueous humor, not resistance from the ciliary bodies.
c) Amount of aqueous humor: IOP is determined by the balance between the production and drainage of aqueous humor within the eye.
d) Tear duct capacity: Tear duct capacity relates to tear drainage, not intraocular pressure.

A. A red, dull, thick, and immobile tympanic membrane B. A transparent and dear tympanic membrane C. A pink-colored tympanic membrane D. A pearly colored tympanic membrane

Correct Answer is A

Explanation

a) A red, dull, thick, and immobile tympanic membrane: In acute otitis media, the tympanic membrane typically appears red, dull, thickened, and may be immobile due to fluid and infection in the middle ear.
b) A transparent and clear tympanic membrane: This would suggest a healthy, non-infected ear, which is not expected in acute otitis media.
c) A pink-colored tympanic membrane: This is not a typical finding in acute otitis media; a pink membrane is more characteristic of a healthy ear.
d) A pearly colored tympanic membrane: A pearly color is normal for the tympanic membrane, indicating a healthy ear with no infection.

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A nurse is collecting data from a client who self-administers pilocarpine ophthalmic drops. Which of the following findings by the nurse indicates a systemic adverse effect of this medication?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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