A patient with glaucoma is on timolol (Timoptic).The patient also takes metoprolol (Toprol)for hypertension.The patient reports to the clinic nurse that the eyedrops "Make me dizzy." What assessment by the nurse is most appropriate?
A)Assess the patient's eyedrop instillation technique.
B)Determine how long the patient has been on the drops.
C)Assess the patient's gait and balance while walking.
D)Ask the patient if breakfast is eaten prior to applying the eyedrops.

Question

Quizplus · Accepted Answer

The patient should be using punctal occlusion (closing the lacrimal duct)when instilling these eyedrops to avoid a cumulative,systemic effect from the combination of both beta-blockers.The nurse can assess the other factors as well,but this is the most likely cause of the dizziness.

A Patient with Glaucoma Is on Timolol (Timoptic)