The nurse is developing a teaching plan for the client with glaucoma. Which of the following instructions would the nurse include in the plan of care?
A. Decrease fluid intake to control the intraocular pressure.
B. Avoid overuse of the eyes.
C. Decrease the amount of salt in the diet.
D. Eye medications will need to be administered lifelong.
Correct Answer: D. Eye medications will need to be administered lifelong.
The administration of eye drops is a critical component of the treatment plan for the client with glaucoma. The client needs to be instructed that medications will need to be taken for the rest of his or her life. Stress the importance of meticulous compliance with prescribed drug therapy to prevent an increase in IOP, resulting in disk changes and loss of vision.
Option A: Discuss dietary considerations (adequate fluid, bulk, or fiber intake). Measures to maintain consistency of stool to avoid constipation and straining during defecation. Stress the importance of routine checkups. It is important to monitor the progression and maintenance of disease to allow for early intervention and prevent further loss of vision.
Option B: Encourage the patient to make necessary changes in lifestyle. A tranquil lifestyle decreases the emotional response to stress, preventing ocular changes that push the iris forward, which may precipitate an acute attack.
Option C: Review the importance of maintaining a drug schedule like eye drops. Discuss medications that should be avoided such as mydriatic drops (atropine, propantheline bromide), overuse of topical steroids, and additive effects of [beta]-blocking when systemic [beta]-blocking agents are used.
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