Question 1

Which instructions would be appropriate for the nurse to give a patient with acute viral conjunctivitis?. Select all that apply.

Accepted Answer

A)   "You should wash your hands before cleansing the eye and using eyedrops."
B)   "You can soak your lids with warm saline to soften crusts and exudates."
C)   "You should not share towels or makeup with anyone else."
D)   "Do not return to work for at least 2 weeks."
E)   "You can use warm compresses to relieve eye discomfort."F) A) and E)
G) A) and D)

Question 2

An elderly patient is being discharged after having a cataract removed during same-day surgery. The nurse's priority is to assess the patient for which ability?

Accepted Answer

A)   Ability to administer eyedrops postprocedure
B)   Ability to read discharge instructions
C)   Ability to drive
D)   Ability to ambulate safelyE) A) and B)
F) B) and C)

Question 3

A patient who has a history of dry eye syndrome says, "My eyes don't bother me as long as I put artificial tears in about every 4 hours while I am awake." How should the nurse respond?

Accepted Answer

A)   "You should not use artificial tears that often."
B)   "Try to lengthen the time to at least 6 hours between instillations."
C)   "If this schedule is giving you relief, try to follow it consistently every day."
D)   "Try using the drops every 2 hours and see if your eyes feel better."E) B) and C)
F) A) and B)

Question 4

Which patient statement would the nurse evaluate as indicating that further instruction is needed regarding precautions following photodynamic therapy?

Accepted Answer

A)   "I may need to use my special halogen lamp to do hand sewing."
B)   "I plan to go to the movies with my family this weekend."
C)   "My spouse and I are going to watch the football play-offs on television this weekend."
D)   "I will not go outside until after sundown."E) A) and B)
F) B) and C)

Question 5

The nurse is conducting assessment of a patient's eye. Which instrument would the nurse obtain to measure intraocular pressure?

Accepted Answer

A)   Snellen chart
B)   Ophthalmoscope
C)   Tonometer
D)   PenlightE) A) and C)
F) All of the above

Question 6

A patient is prescribed ranibuizumag (Lucentisz)  as treatment for age-related macular degeneration. The nurse would assess this patient for which expected adverse reaction?

Accepted Answer

A)   Sudden increase in urine output
B)   Petechiae across the patient's chest
C)   Thickened bronchial secretions
D)   PhotophobiaE) C) and D)
F) None of the above

Question 7

The nurse providing community education would discuss which techniques to reduce the risk of cataract development?. Select all that apply.

Accepted Answer

A)   Smoking cessation
B)   Wearing sunglasses
C)   Well-balanced diet
D)   Maintaining a healthy weight
E)   Avoidance of alcoholF) A) and B)
G) A) and D)

Question 8

Glaucoma is the second leading cause of blindness in the United States. The nurse providing health promotion materials should focus information on which issues contributing to that statistic?. Select all that apply.

Accepted Answer

A)   Delayed recognition of glaucoma
B)   Noncompliance in using eyedrops once diagnosed
C)   Lack of understanding of the seriousness of the disorder
D)   Difficulty achieving normal pressure readings once glaucoma is established
E)   Reluctance to seek treatment due to social stigma of the diseaseF) B) and D)
G) B) and C)

Question 9

The nurse is reviewing discharge orders in preparation for teaching patients diagnosed with open-angle glaucoma. Which order would the nurse question?

Accepted Answer

A)   Timolol (Timoptic) , a beta-adrenergic blocker, for a 60-year-old with congestive heart failure (CHF) 
B)   Dorzolamide (Trusopt) , a carbonic anhydrase inhibitor, for a patient with asthma and chronic obstructive pulmonary disease (COP
D)  
C)   Brinzolamide (Azopt)  for a 20-year-old male
D)   Brimonidine (Alphagan) , an adrenergic agonist, for a healthy 40-year-old on no other drugsE) All of the above
F) A) and D)

Question 10

A patient with an ectropion continues to experience eye dryness and corneal abrasions. The nurse would reinforce teaching about which treatment option?

Accepted Answer

A)   Corrective surgery
B)   Corrective lenses
C)   UV protective sunglasses
D)   Corneal transplantE) All of the above
F) A) and B)

Question 11

A patient is scheduled for photodynamic therapy to treat wet age-related macular degeneration. Which instruction should the nurse provide?

Accepted Answer

A)   Wear comfortable shoes for this procedure.
B)   Wear a shirt with short sleeves for easy IV placement access.
C)   Bring gloves to wear home.
D)   Plan to wear regular glasses home after the procedure.E) A) and B)
F) B) and D)

Question 12

The nurse is caring for a patient newly diagnosed with glaucoma. The patient is asymptomatic except for increased intraocular pressure detected during a routine eye examination. When developing a plan of care, which intervention should have the highest priority?

Accepted Answer

A)   Assess for fall injuries.
B)   Discuss risk factors for developing glaucoma.
C)   Consider home maintenance issues.
D)   Stress the importance of compliance with the glaucoma eyedrop regimen.E) B) and C)
F) All of the above

Question 13

A patient's laser photocoagulation procedure was delayed 2 weeks until the patient's blood glucose was consistently below 300 mg/dL. The surgery was performed today, and the nurse is providing discharge instructions. Which instruction should be provided regarding new glasses?

Accepted Answer

A)   "We made an appointment for you to be fitted with new glasses tomorrow."
B)   "As soon as your eye has healed, you should call for an appointment to be fitted for new glasses."
C)   "Once your blood glucose is below 200 mg/dL, you should get new glasses."
D)   "Wait until your blood glucose is at your optimal level for at least 6 to 9 weeks before you get new glasses."E) None of the above
F) C) and D) D

Question 14

A patient complains that sometimes there appears to be gnats in the field of vision. The nurse would interpret this statement to mean that the patient has which visual change?

Accepted Answer

A)   Conjunctivitis
B)   Floaters
C)   Strabismus
D)   NystagmusE) All of the above
F) A) and D) B

Question 15

A patient has been diagnosed with primary glaucoma. What information would the nurse provide about this condition?

Accepted Answer

A)   It was probably caused by a congenital anomaly in the structure of the eye.
B)   Primary glaucoma is not as serious as other forms of glaucoma.
C)   The disorder has no relation to other ocular conditions.
D)   This condition is the result of conjunctival infections in childhood.E) All of the above
F) A) and B)

Question 16

The nurse is assessing a patient who had cataract surgery several weeks ago. Which patient statement would alert the nurse that the most common complication of cataract surgery is occurring in this patient?

Accepted Answer

A)   "My eye itches at night."
B)   "My vision has not been as clear as I thought it would be."
C)   "I think my cataract is growing back."
D)   "I have pus in the corner of my eye."E) All of the above
F) A) and B)

Question 17

Which patient statement would the nurse evaluate as indicating problems with accommodation?

Accepted Answer

A)   "I feel blinded by sunlight."
B)   "I can't tell the difference between colors as well as I once did."
C)   "I have trouble seeing at night."
D)   "I am having trouble reading the newspaper."E) All of the above
F) A) and D)

Question 18

The nurse is teaching a patient about dietary considerations associated with the diagnosis of glaucoma. Which foods should the nurse teach the patient to avoid?. Select all that apply.

Accepted Answer

A)   Citrus fruits
B)   Cheese
C)   White dinner rolls
D)   Gas-producing foods such as beans and broccoli
E)   BeefF) A) and C)
G) C) and D) B,C,E

Question 19

A 63-year-old African woman is seen in the clinic for an eye examination. The woman has diabetes, smokes a pack of cigarettes a day, and drinks "a pot" of coffee each day. The nurse identifies which findings from this history as increasing the patient's risk of glaucoma?. Select all that apply.

Accepted Answer

A)   Ethnic origin
B)   Age
C)   Caffeine intake
D)   Comorbidity
E)   SmokingF) A) and E)
G) C) and D)

Question 20

A patient is being discharged after cataract surgery. The nurse evaluates that the patient understands discharge instructions when the patient says, "I should not pick up anything that weighs more than _______ pounds."

Accepted Answer

The answer of A patient is being discharged after cataract...

Exam 64: Caring for the Patient With Visual Disorders

Which instructions would be appropriate for the nurse to give a patient with acute viral conjunctivitis?. Select all that apply.

Correct AnswerverifiedShow Answer

An elderly patient is being discharged after having a cataract removed during same-day surgery. The nurse's priority is to assess the patient for which ability?

Correct AnswerverifiedShow Answer

A patient who has a history of dry eye syndrome says, "My eyes don't bother me as long as I put artificial tears in about every 4 hours while I am awake." How should the nurse respond?

Correct AnswerverifiedShow Answer

Which patient statement would the nurse evaluate as indicating that further instruction is needed regarding precautions following photodynamic therapy?

Correct AnswerverifiedShow Answer

The nurse is conducting assessment of a patient's eye. Which instrument would the nurse obtain to measure intraocular pressure?

Correct AnswerverifiedShow Answer

A patient is prescribed ranibuizumag (Lucentisz) as treatment for age-related macular degeneration. The nurse would assess this patient for which expected adverse reaction?

Correct AnswerverifiedShow Answer

The nurse providing community education would discuss which techniques to reduce the risk of cataract development?. Select all that apply.

Correct AnswerverifiedShow Answer

Glaucoma is the second leading cause of blindness in the United States. The nurse providing health promotion materials should focus information on which issues contributing to that statistic?. Select all that apply.

Correct AnswerverifiedShow Answer

The nurse is reviewing discharge orders in preparation for teaching patients diagnosed with open-angle glaucoma. Which order would the nurse question?

Correct AnswerverifiedShow Answer

A patient with an ectropion continues to experience eye dryness and corneal abrasions. The nurse would reinforce teaching about which treatment option?

Correct AnswerverifiedShow Answer

A patient is scheduled for photodynamic therapy to treat wet age-related macular degeneration. Which instruction should the nurse provide?

Correct AnswerverifiedShow Answer

The nurse is caring for a patient newly diagnosed with glaucoma. The patient is asymptomatic except for increased intraocular pressure detected during a routine eye examination. When developing a plan of care, which intervention should have the highest priority?

Correct AnswerverifiedShow Answer

A patient's laser photocoagulation procedure was delayed 2 weeks until the patient's blood glucose was consistently below 300 mg/dL. The surgery was performed today, and the nurse is providing discharge instructions. Which instruction should be provided regarding new glasses?

Correct AnswerverifiedD

A patient complains that sometimes there appears to be gnats in the field of vision. The nurse would interpret this statement to mean that the patient has which visual change?

Correct AnswerverifiedB

A patient has been diagnosed with primary glaucoma. What information would the nurse provide about this condition?

Correct AnswerverifiedShow Answer

The nurse is assessing a patient who had cataract surgery several weeks ago. Which patient statement would alert the nurse that the most common complication of cataract surgery is occurring in this patient?

Correct AnswerverifiedShow Answer

Which patient statement would the nurse evaluate as indicating problems with accommodation?

Correct AnswerverifiedShow Answer

The nurse is teaching a patient about dietary considerations associated with the diagnosis of glaucoma. Which foods should the nurse teach the patient to avoid?. Select all that apply.

Correct AnswerverifiedB,C,E

A 63-year-old African woman is seen in the clinic for an eye examination. The woman has diabetes, smokes a pack of cigarettes a day, and drinks "a pot" of coffee each day. The nurse identifies which findings from this history as increasing the patient's risk of glaucoma?. Select all that apply.

Correct AnswerverifiedShow Answer

A patient is being discharged after cataract surgery. The nurse evaluates that the patient understands discharge instructions when the patient says, "I should not pick up anything that weighs more than _______ pounds."

Correct AnswerverifiedShow Answer

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D

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B

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B,C,E

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