HA: Eyes

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A client is diagnosed with a scotoma. What question is appropriate for the nurse to ask to obtain more data about this condition?

ANSWER: "Are the blind spots constant or intermittent?"

What are the glands that are located on the tarsal plates and open on the lid margins?

ANSWER: Meibomian glands

A nurse is assessing a client who is suspected to have optic atrophy. What assessment finding is more consistent with this diagnosis?

ANSWER: a white appearance of the optic disc

The nurse has tested the near visual acuity of a 45-year old client. The nurse explains to the client that the client has impaired near vision and discusses a possible reason for the condition. The nurse determines that the client has understood the instructions when the client says that presbyopia is usually due to...

ANSWER: decreased accommodation

A client wants to use beta-carotene supplements to reduce the risk of developing cataracts and age-related macular degeneration. For which reason should the nurse counsel the client to avoid using this supplement?

ANSWER: smokes cigarettes

A nurse examines a client's retina during the ophthalmic examination and notices light-colored spots on the retinal background. The nurse should ask the client about a history of what disease process?

ANSWER: diabetes

An older client asks why vision is not as sharp as it used to be when the eyes are focused forward. What should the nurse realize this client is describing?

ANSWER: macular degeneration

A nurse in the emergency department assesses a client's pupillary reaction and observes pinpoint pupils. The nurse interprets this finding as suggesting which of the following?

ANSWER: narcotic use

A client has an abnormal consensual pupillary reaction to light. A nurse understands that what reaction occurs in the client's eyes?

ANSWER: non-reaction of the opposite pupil to light

A nurse has completed the assessment of a client's direct pupillary response and is now assessing consensual response. This aspect of assessment should include which action?

ANSWER: observing the eye's reaction when a light is shone into the opposite eye

A nurse performs the Snellen test on a client and obtains these results: OD 20/40, OS 20/30. What conclusion can the nurse make in regards to the client's vision based on these results?

ANSWER: the larger the bottom number, the worse the visual acuity


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