Eye

A nurse practitioner examines the fundus of the eye using direct ophthalmoscopy and notes a yellow lipid in the retina. What is this indicative of?

Diabetes

A client is receiving phenylephrine eye drops in preparation for ophthalmoscopy. The client receives the final dose of drops at 10:30 a.m. The nurse informs the client that he will begin to notice the effects of the drug beginning to wear off around what time?

1:30 p.m.

A client has undergone enucleation. What complication of enucleationshould be addressed by the nurse?

Hemorrhage

A patient comes to the clinic with a suspected eye infection. The nurse recognizes that the patient most likely has conjunctivitis, as evidenced by what symptom?

A mucopurulent ocular discharge

A nurse is performing an eye examination. Which of the following questions would not be included in the examination?

"Are you able to raise both eyebrows?"

Following an ophthalmologic exam, an anxious client asks the nurse, "How serious is a refraction error?" Which of the following is the best response from the nurse?

"It means corrective lenses are required."

Which client statement would lead the nurse to suspect that the client is experiencing bacterial conjunctivitis?

"My eyelids were stuck together this morning."

Which type of glaucoma presents an ocular emergency

Acute angle-closure glaucoma

On ocular examination, the health care provider notes severely elevated IOP, corneal edema, and a pupil that is fixed in a semi-dilated position. The nurse knows that these clinical signs are diagnostic of the type of glaucoma known as

Acute angle-closure.

Leslie Waterman, a 57-year-old corrections officer, is being seen at the ophthalmic group where you practice nursing. Leslie is concerned about his vision changes because recently, he has started to see distance much more clearly than nearby sights. What is the term used to describe his visual condition?

Hyperopia

A patient is diagnosed with a corneal abrasion and the nurse has administered proparacaine hydrochloride (Ophthaine 0.5%) per orders to assess visual acuity. The patient requests a prescription for this medication because it completely took away the pain. What is the best response by the nurse?

"Prescriptions of this medication are generally not given because it can cause corneal problems."

A patient's vision is assessed at 20/200. The patient asks what that means. Which of the following is the most appropriate response by the nurse?

"You see an object from 20 feet away that a person with normal vision sees from 200 feet away."

When assessing the pressure of the anterior chamber of the eye, a nurse normally expects to find a pressure of:

10 to 20 mm Hg.

A major role for nursing in the management of glaucoma is health education. Which of the following is the most important teaching point that the nurse should advise the patient of?

Adhere to the medication regimen.

A client has been referred to an ophthalmologist for suspected macular degeneration. The nurse knows to prepare what test for the physician to give the client?

Amsler grid

The nurse is demonstrating how to perform punctal occlusion. Which of the following activities does the nurse perform?

Applies gentle pressure bilaterally on the bridge of the nose to the inner canthus of each eye

Following cataract removal, discharge instructions will be provided to the client. Which of the following instructions is most important?

Avoid any activity that can increase intraocular pressure.

A patient has had cataract extractions and the nurse is providing discharge instructions. What should the nurse encourage the patient to do at home?

Avoid bending the head below the waist.

An ophthalmologist diagnoses a patient with myopia. The nurse explains that this type of impaired vision is a refractive error characterized by:

Blurred distance vision.

The nurse is caring for a client with increased fluid accumulation in the eye. When assessing the client, which structure within the eye is noted to drain fluid from the anterior chamber?

Canal of Schlemm

What patient activity indicates to the nurse that a patient understands how to correctly instill ophthalmic medications?

Client pulls the tissue near the cheek downward to instill medication.

A nurse is assessing a pediatric client in a public health clinic. The parent states that the client has been sneezing and rubbing the eyes. The nurse looks at the client's eyes and documents objective symptoms of watery and red eyes. When reporting to the physician the assessment findings, which word is appropriate?

Conjunctivitis

What type of medication would the nurse use in combination with mydriatics to dilate the patient's pupil?

Cycloplegics

Which of the following is the role of the nurse toward a patient who is to undergo eye examinations and tests?

Ensuring that the patient receives eye care to preserve his or her eye function and prevent further visual loss

A patient has been prescribed eye drops for the treatment of glaucoma. At the yearly follow-up appointment, the patient tells the nurse that she has stopped using the medication because her vision did not improve. Which of the following is the appropriate action to be taken by the nurse?

Explain the therapeutic effect and expected outcome of the medication.

A 13-year-old client is visiting the ophthalmologist after severe eye injuries. The client suffered trauma to her sclera and is being treated for a subsequent infection. During your client education, you indicate where the sclera is attached. Which of the following structures would you NOT include?

Eyelids

A patient is brought into the emergency department with chemical burns to both eyes. What is the priority action of the nurse for this patient's care?

Flushing the lids, conjunctiva, and cornea with tap water or normal saline

Which type of benign tumor of the eyelids is characterized by superficial, vascular capillary lesions that are strawberry-red in color?

Hemangioma

A client with chronic open-angle glaucoma is now presenting with eye pain and intraocular pressure of 50 mm Hg. An immediate iridotomy is scheduled. Which of the following describes the desired effects of this procedure?

Improve outflow drainage

A patient presents to the ED complaining of a chemical burn to both eyes. Which of the following is the priority nursing intervention?

Irrigate both eyes.

A client comes to the eye clinic for a routine check-up. The client tells the nurse they think they are color blind. What screening test does the nurse know will be performed on this client to assess for color-blindness?

Ishihara

A nurse conducted a history and physical for a newly admitted patient who states, "My arms are too short. I have to hold my book at a distance to read." The nurse knows that the patient is most likely experiencing:

Loss of accommodative power in the lens.

The nurse is performing an assessment of the visual fields for a patient with glaucoma. When assessing the visual fields in acute glaucoma, what would the nurse expect to find?

Marked blurring of vision

During assessment of the eyes, the nurse noted __________, a diagnostic sign of a mild case of bacterial conjunctivitis.

Mucopurulent ocular discharge

Assessment of visual acuity reveals that the client has blurred vision when looking at distant objects but no difficulty seeing near objects. The nurse documents this as which of the following?

Myopia

To avoid the side effects of corticosteroids which medication classification is used as an alternative to treating inflammatory conditions of the eyes?

NSAIDS

=To avoid the side effects of corticosteroids, which medication classification is used as an alternative to treating inflammatory conditions of the eyes?

Nonsteroidal anti-inflammatory drugs (NSAIDs)

The nurse is assisting the eye surgeon in completing an examination of the eye. Which piece of equipment would the nurse provide to the physician to examine the fundus and interior of the eye?

Ophthalmoscope

A 63-year-old client has developed diabetic retinopathy and is seeing the physician regularly to prevent further loss of sight. From where do the nerve cells of the retina extend?

Optic nerve

Which is the term for swelling of the optic disc due to increased intraocular pressure (IOP)?

Papilledema

Which of the following is the term for swelling of the optic disc due to increased IOP?

Papilledema

Laurie Sharples, a 45-year-old teacher, is being seen at the ophthalmic group where you practice nursing due to a vision change. She's noticed an inability to read material as she had previously, needing to extend her arms to make the print readable. What is the term used to describe her visual condition?

Presbyopia

A nurse in a primary care office is getting a client ready for an examination with a health care provider. While talking to the client, she notices that her left upper eyelid is drooping. She records on the client's record that she observed which of the following?

Ptosis

The nurse is evaluating the client while taking the color vision test. Which response would the nurse anticipate when caring for a client with normal color vision?

The nurse would anticipate the client identifying numbers and shapes.

An older adult patient informs the nurse, "I don't see as well as I used to." What should the nurse explain to the patient about why vision becomes less efficient with age? (Select all the apply.)

There is a decrease in pupil size. There is slowing of accommodation. There is an increase in lens opaqueness.

Marshall Dunbar, a 7-year-old second grader, is being seen by the pediatric ophthalmologist due to a recent skateboarding accident that resulted in trauma to his right cornea and he is now at risk of developing an infection. Of the following nursing interventions, which one would be contraindicated for a client at risk for infection?

To ensure correct application of antibiotic ointment, gently drag tip of tube along lower lid while squeezing ointment on to lid.

The nurse is teaching the patient to instill eye drops. Which of the following statements is correct?

Wash your hands before and after instilling eye drops and do not touch the tip of the bottle.

The nurse practitioner conducts a vision test on a 78-year-old woman. Based on the findings, the nurse concludes that the patient has age-related macular degeneration (AMD). What are the signs/symptoms consistent with this diagnosis? Select all that apply.

When reading, words are missing letters. Straight lines on a paper appear wavy. Faded areas appear on the page

A client is color blind. The nurse understands that this client has a problem with:

cones.

A client has just been diagnosed with early glaucoma. During a teaching session, the nurse should

demonstrate eyedrop instillation.

A client with multiple sclerosis is being seen by a neuroophthalmologist for her routine eye exam. The nurse explains to the client that during the examination, she will be asked to fix her gaze on a stationary point while an object is moved from a point on the side, where it can't be seen, toward the center. The client will indicate when she can see the object. The nurse further explains that the test being performed is called a ________.

perimetry test