Compilation MDSRG Chapter 59 Eye and Vision Disorders.docx

9. <TB>Which surgical implementation is most effective with retinal detachment? a. Removing the lens b. Macular bonding c. Lasik surgery d. Scleral buckling

D

17. <EV>The LVN/LPN is assisting with an admission and needs to have the patient sign forms. The patient requests their glasses and states they cannot see images that are close. Which condition does this patient have? a. Hyperopia b. Astigmatism c. Myopia d. Presbyopia

a

20. <EV>A patient comes into the clinic complaining of inflammation of the eyelids. The nurse suspects that the patient is experiencing which disorder? a. Chalazion b. Hordeolum c. Blepharitis d. Stye

a

23. <EV>An older adult patient with a cloudy lens is scheduled for keratoplasty. What preoperative medication should the nurse expect to be ordered by the health care provider? a. Mydriatic agent b. Topical corticosteroid c. Systemic antimicrobial agent d. Miotic agent

a

26. <EV>A patient is prescribed brinzolamide (Azopt) ophthalmic solution for the treatment of glaucoma. The nurse educates the patient about which side effect? a. Bitter taste b. Increased urinary output c. Tingling of fingers d. Sore throat

a

1. <TB>A 60-year-old patient who has had an enucleation asks when he can get his prosthesis fitted. In approximately how many weeks should this patient expect to be fitted? a. 2 b. 4 c. 8 d. 12

B

7. <TB>What is the cause of glaucoma? a. Cloudiness in the lens b. Increase in intraocular pressure c. Failed eye surgery d. Retinal tears

B

8. <TB>A patient in the emergency department complains of severe pain in his eye and is seeing halos around lights and feeling nauseous. Which diagnosis should the nurse suspect? a. Open-angle glaucoma b. Angle-closure glaucoma c. Cataracts d. Retinal detachment

B

11. <TXT>A patient is being discharged after cataract surgery. Discharge instructions should include which of the following statements? (Select all that apply.) a. "Always lie on the unaffected side." b. "Avoid pressure on the operative eye." c. "Moderate to severe pain is expected." d. "Resume usual activities immediately." e. "Expect a small amount of bleeding."

ab

14. <TXT>Drugs used to treat open-angle glaucoma act by which of the following mechanisms? (Select all that apply.) a. Increasing aqueous outflow b. Dilating the canal of Schlemm c. Relaxing the trabecular meshwork d. Decreasing aqueous formation e. Reducing systemic blood pressure

ad

12. <TXT>You are teaching a new nurse's aide how to assist a visually impaired resident to walk to the dining room. You should instruct her to: a. Stand side by side and hold the person's hand b. Let the person hold your upper arm c. Walk behind the patient and advise of obstacles d. Have the person walk behind you with hands on your shoulders

b

15. <TXT>A patient came to the clinic complaining of severe eye pain. The physician diagnosed acute angle-closure glaucoma. The nurse understands that the most serious complication of angle-closure glaucoma is: a. Rupture of the eyeball b. Permanent blindness c. Nausea and vomiting d. Increased intracranial pressure

b

19. <EV>An older adult patient with chronic asthma was recently diagnosed with open-angle glaucoma. What drug order received from the health care provider would the nurse question? a. Betaxolol (Betoptic) b. Timolol (Timoptic) c. Brimonidine (Alphagan) d. Levobetaxolol (Betaxon)

b

24. <EV>A patient who had keratoplasty of the left eye 1 week ago comes in for a follow-up appointment complaining of redness, swelling, increased light sensitivity, and pain. Which patient statement indicates the need for further education on postoperative care? a. "I must immediately notify the health care provider of these signs and symptoms." b. "These are normal signs and symptoms related to keratoplasty." c. "Corticosteroid drops usually help prevent the risk for rejection." d. "These are signs and symptoms of a rejection of the corneal graft."

b

13. <TXT>After keratoplasty, you observe that the patient's cornea is cloudy. What should you do? a. Reassure the patient that cloudiness is normal for several weeks after surgery. b. Elevate the patient's head and encourage increased fluid intake. c. Report signs of corneal rejection to the physician. d. Prepare the patient for emergency surgery.

c

18. <EV>What is the leading cause of blindness worldwide? a. Retinal detachment b. Macular degeneration c. Cataracts d. Glaucoma

c

21. <EV>The LVN/LPN is caring for a patient after cataract surgery. What is the most important nursing intervention in the care of the postoperative cataract patient? a. Maintain bed rest for 12 hours. b. Have the patient use caution when driving home. c. Prevent strain on the operative side. d. Have the patient reinsert contact lenses after 1 hour.

c

22. <EV>A patient comes into the emergency department with gray round, raised areas (follicles) seen on the conjunctiva. Redness and watery drainage are also noted. What medication does the nurse expect the health care provider to order? a. Prednisolone (Delta-Cortef) b. Sulfonamide (Bactrim DS) c. Idoxuridine d. Fluorometholone (Allergan/Flarex)

c

25. <EV>The nurse is caring for a patient who has sustained a traumatic facial injury. The patient begins to complain of sudden flashes of light accompanied by cloudy vision. What is the likely cause? a. Astigmatism b. Glaucoma c. Retinal detachment d. Macular degeneration

c

16. <TXT>Two patients had surgery for retinal detachments this morning. Postoperatively, one is positioned on the left side with the head of the bed flat. The other is in Fowler position. What factors determined the best postoperative position for these patients? (Select all that apply.) a. Patient preference b. Intraocular pressure c. Location of the repaired tear d. Use of air or saline to support the repair e. Whether or not a scleral buckle was applied

cd

10. <TB>A patient who has had surgery this morning for cataracts is now going home. What should the nurse include when providing discharge instructions? (Select all that apply.) a. Sleep on the affected side. b. Use stool softeners. c. Avoid bending over. d. Avoid lifting anything heavier than 5 lb. e. Do not wear an eye shield at night.

BCD

3. <TB>A 52-year-old patient reports that he must hold his paper farther and farther away from his face to read it. What is the nurse's most informative response? a. "You are describing myopia. Glasses will help you read." b. "You may have astigmatism, but your eyes will finally adjust." c. "You have presbyopia. Nonprescription reading glasses will help you." d. "An eye infection may be the problem. Check with your physician for medication."

C

2. <TB>A patient with glaucoma is taking a beta-adrenergic blocking agent, timolol (Timoptic). For which potential side effect should the nurse assess the patient? a. Wheezing b. Hypertension c. Sudden eye pain d. Blurred vision

A

4. <TB>A nurse explains that laser-assisted in situ keratomileusis (Lasik) and photorefractive keratectomy (PRK) are methods to correct refractive errors surgically. What do these procedures reshape? a. Cornea b. Lens c. Iris d. Pupil

A

5. <TB>A patient reports to a home health care nurse of having cloudy vision and seeing spots and halos around lights. What should the nurse suspect based on these patient symptoms? a. Cataracts b. Glaucoma c. Detached retina d. Macular degeneration

A

6. <TB>How does closed-angle glaucoma differ from open-angle glaucoma? a. The onset is acute. b. Trabeculectomy is the initial treatment. c. Treatment can be conservative. d. Intraocular pressure drops suddenly.

A