PrepU ML Quiz Ch 63
A nurse is performing an eye examination. Which question would not be included in the examination? A. "Are you able to raise both eyebrows?" B. "Do any family members have any eye conditions?" C. "Have you experienced blurred, double, or distorted vision?" D. "What medications are you taking?"
A
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? A. Diabetes B. Macular degeneration C. Intraretinal hemorrhage D. Hypertension
A
A 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? A. optic nerve B. trigeminal nerve C. oculomotor nerve D. trochlear nerve
A
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? A. Improve outflow drainage B. To relieve pain C. Restore vision D. Reverse optic nerve damage
A
A colleague has been splashed in the eye with cleaning solution. Which of the following would be the priority? A. Irrigating the eye immediately with tap water B. Instilling a local anesthetic into the eye C. Finding out what the substance was D. Covering the eye with a clean sterile dressing
A
A patient was recently diagnosed with a cortical cataract in his left eye. His wife asks the nurse for information about his diagnosis. The nurse explains that: A. The cataract should have little or no effect on his vision. B. He would experience nearsightedness, which will worsen as the cataract progresses. C. His near vision will be diminished, and his eye will be increasingly sensitive to glare from bright lights. D. The cataract's density will increase and eventually severely blur his vision.
A
The nurse asks a client to follow the movement of a pencil up, down, right, left, and both ways diagonally. The nurse is assessing which of the following? A. Extraocular muscle function B. Eyeball oscillation movements C. Eyelid drooping D. Pupillary reaction
A
The nurse is obtaining a visual history from a client who has noted an increase in glare and changes in color perception. Which assessment would the nurse anticipate to confirm a definitive diagnosis? A. Identification of opacities on the lens B. Identification of redness of the sclera C. Identification of white circle around the cornea D. Identification of yellowish aging spot on the retina
A
The upper eyelid normally covers the uppermost portion of the iris and is innervated by which cranial nerve? A. III B. IV C. II D. I
A
To avoid the side effects of corticosteroids, which medication classification is used as an alternative in treating inflammatory conditions of the eyes? A. Nonsteroidal anti-inflammatory drugs (NSAIDs) B. Miotics C. Mydriatics D. Cycloplegics
A
When the patient tells the nurse that his vision is 20/200, and asks what that means, the nurse informs the patient that a person with 20/200 vision: A. Sees an object from 20 feet away that a person with normal vision sees from 200 feet away. B. Sees an object from 20 feet away that a person with normal vision sees from 20 feet away. C. Sees an object from 200 feet away that a person with normal vision sees from 200 feet away. D. Sees an object from 200 feet away that a person with normal vision sees from 20 feet away.
A
Which group of medications causes pupillary constriction? A. Miotics B. Beta-blockers C. Mydriatics D. Adrenergic agonists
A
Which medication classification increases aqueous fluid outflow in the client with glaucoma? A. Cholinergics B. Beta-blockers C. Carbonic anhydrase inhibitors D. Alpha-adrenergic agonists
A
Which of the following is the main refracting surface of the eye? A. Cornea B. Iris C. Conjunctiva D. Pupil
A
A nurse is preparing a presentation for a local senior citizen's group about changes in the eye that accompany aging. Which of the following would the nurse most likely include? Select all that apply. A. Development of lens opacities B. Loss of eyelid skin elasticity C. Expansion of the vitreous body D. Loss of lens accommodative power E. Increased orbital fat
A, B, D
A client has just been diagnosed with early glaucoma. During a teaching session, the nurse should: A. provide instructions on eye patching. B. demonstrate eyedrop instillation. C. teach about intraocular lens cleaning. D. assess the client's visual acuity.
B
A client with an inflammatory ophthalmic disorder has been receiving repeated courses of a corticosteroid ointment, one-half inch in the lower conjunctival sac four times a day as directed. The client reports a headache and blurred vision. The nurse suspects that these symptoms represent: A. common adverse reactions to corticosteroid therapy. B. increased intraocular pressure (IOP). C. incorrect ointment application. D. expected drug effects that should diminish over time.
B
A diabetic patient is scheduled for surgery for repair of a detached retina that was caused by proliferative retinopathy. The nurse prepared the patient for surgery, aware that the type of detachment is most likely classified as which of the following? A. Exudative B. Rhegmatogenous C. Traction combined with rhegmatogenous D. Traction
B
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 nurses observes 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? A. Signs and symptoms of ptosis B. Signs and symptoms of conjunctivitis C. Signs and symptoms of proptosis D. Signs and symptoms of nystagmus
B
A nurse is teaching a client about medications for glaucoma. What is the main marker of glaucoma control with medication? A. Increasing the visual field B. Lowering intraocular pressure to target pressure C. Changing the opacity of the lens D. Reducing the appearance of optic nerve head
B
A patient visits a clinic for an eye examination. He describes his visual changes and mentions a specific diagnostic clinical sign of glaucoma. What is that clinical sign? A. Diminished acuity B. The presence of halos around lights C. A significant loss of central vision D. Pain associated with a purulent discharge
B
The nurse is assessing a client using an Amsler Grid. The nurse is assessing for which of the following? A. Intraocular pressure B. Macular problems C. Visual acuity D. Visual field
B
The nurse is assessing an older client's vision. The nurse integrates knowledge of which of the following during the assessment? A. Increased fat will be around the orbit. B. The power of the lens to accommodate will be decreased. C. The skin around the eyes will be more elastic. D. The depth of the eyeball will be increased, leading to myopia.
B
The nurse is providing care to a client who has been admitted to the hospital for treatment of an infection. The client is visually impaired. Which of the following would be most appropriate for the nurse to do when interacting with the client? A. Talk to the client in a loud tone of voice. B. Face the client when speaking directly to him. C. Touch the client before identifying himself or herself. D. Avoid using the terms "see" or "look."
B
The red reflex occurs when a normal orange glow is observed as light is applied to which of the following? A. Iris B. Pupil C. Optic disk D. Eye lid
B
When undergoing testing of visual acuity with a Snellen chart, the client can read the line labeled 20/50 but misses three letters on the line. The nurse documents this finding as which of the following? A. 20/20 + 30 B. 20/50-3 C. 20/50 D. 20/20/50
B
Which is the most common cause of visual loss in people older than 60 years of age? A. Glaucoma B. Macular degeneration C. Retinal detachment D. Cataracts
B
Which term refers to the absence of the natural lens? A. Scotoma B. Aphakia C. Hyphema D. Keratoconus
B
A client accidentally splashes chemicals into one eye. The nurse knows that eye irrigation with plain tap water should begin immediately and continue for 15 to 20 minutes. What is the primary purpose of this first aid treatment? A. To serve as a stopgap measure until help arrives B. To hasten formation of scar tissue C. To prevent vision loss D. To eliminate the need for medical care
C
A client comes to the eye clinic for a routine check-up. The client tells the nurse he thinks he is color blind. What screening test does the nurse know will be performed on this client to assess for color blindness? A. Snellen B. Rosenbaum C. Ishihara D. Jaeger
C
A client is diagnosed with a corneal abrasion and the nurse has administered proparacaine hydrochloride per orders to assess visual acuity. The client requests a prescription for this medication because it completely took away the pain. What is the best response by the nurse? A. "I will let the doctor know." B. "It is standard for the doctor to write a prescription for this medication." C. "Prescriptions of this medication are generally not given because it can cause corneal problems." D. "Usually we will send you home with this bottle and written instructions for administering the medication."
C
A client suffered trauma to the sclera and is being treated for a subsequent infection. During client education, the nurse indicates where the sclera is attached. Which structure would not be included? A. pupil B. iris C. eyelids D. cornea
C
After a fall at home, a client hits their head on the corner of a table. Shortly after the accident, the client arrives at the ED, unable to see out of their left eye. The client tells the nurse that symptoms began with seeing spots or moving particles in the field of vision but that there was no pain in the eye. The client is very upset that the vision will not return. What is the most likely cause of this client's symptoms? A. chalazion B. eye trauma C. retinal detachment D. angle-closure glaucoma
C
An ophthalmologist diagnoses a patient with myopia. The nurse explains that this type of impaired vision is a refractive error characterized by: A. Farsightedness. B. A shorter depth to the eyeball. C. Blurred distance vision. D. Eyes that are shallow.
C
Following cataract removal, discharge instructions will be provided to the client. Which of the following instructions is most important? A. Only sleep on back. B. Apply protective patch to both eyes at bedtime. C. Avoid any activity that can increase intraocular pressure. D. Avoid washing face and eyes for first 24 hours.
C
The nurse admits a client to the emergency department who has been referred by the eye clinic. Which condition is an emergency where the nurse should refer the client for medical treatment immediately? A. Blepharitis B. Hordeolum C. Acute angle-closure glaucoma D. Chalazion
C
Which type of benign tumor of the eyelids is characterized by superficial, vascular capillary lesions that are strawberry-red in color? A. Milia B. Xanthelasma C. Hemangioma D. Nevi
C
A nurse is caring for a client scheduled to have angiography of the right eye in 1 hour. What is the highest priority nursing intervention? A. Assess for dark yellow to orange urine. B. Educate the client about the feeling of warmth and metallic taste that may occur during the procedure. C. Instruct the client to hold their head still during the procedure. D. Assess blood urea nitrogen (BUN) and creatinine levels.
D
A patient is to have an angiography done using fluorescein as a contrast agent to determine if the patient has macular edema. What laboratory work should the nurse monitor prior to the angiography? A. Platelet count B. Hemoglobin and hematocrit C. AST and ALT D. BUN and creatinine
D
During a routine eye examination, a patient complains that she is unable to read road signs at a distance when driving her car. What should the patient be assessed for? A. Anisometropia B. Astigmatism C. Presbyopia D. Myopia
D
Prior to an eye exam for possible macular degeneration, the nurse completes a history of symptoms. The nurse is aware that a diagnostic sign of age-related dry macular degeneration is: A. Reporting that letters in words appear broken. B. Reporting that a straight line appears crooked. C. The abrupt onset of symptoms. D. The appearance of tiny, yellow spots in the field of vision.
D
The nurse is demonstrating how to perform punctal occlusion. Which activities does the nurse perform? A. Applies firm pressure to the upper and lower eyelids at the outer edges to keep eyelids in approximation B. Applies gentle pressure to the upper eyelid to keep the lid open while telling the client to gaze upward C. Holds down the lower lid of the eye by applying pressure on the eyeball and the cheekbone D. Applies gentle pressure bilaterally on the bridge of the nose to the inner canthus of each eye
D
The ophthalmologist tells a patient that he has increased intraocular pressure (IOP). The nurse understands that increased pressure resulting from optic nerve damage is indicated by a reading of: A. 0 to 5 mm Hg. B. 6 to 10 mm Hg. C. 11 to 20 mm Hg. D. >21 mm Hg.
D
There are four major types of ophthalmic procedures to complete a glaucoma examination. If the health care provider wants to inspect the optic nerve, the nurse would prepare the patient for: A. Gonioscopy. B. Perimetry. C. Tonometry. D. Ophthalmoscopy.
D
What should the nurse recommend to a client with blepharitis? A. incision and drainage B. sleeping with the face parallel to the floor C. warm soaks of the area D. frequent washing of the face and hair
D
Which of the following is the role of the nurse toward a patient who is to undergo eye examinations and tests? A. Advising the patient on the diet and exercise regimen to be followed B. Determining if further action is warranted C. Conducting various tests to determine the function and the structure of the eyes D. Ensuring that the patient receives eye care to preserve his or her eye function and prevent further visual loss
D
Which type of benign tumor of the eyelids is characterized by superficial, vascular capillary lesions that are strawberry-red in color? A. Milia B. Nevi C. Xanthelasma D. Hemangioma
D
Which type of glaucoma presents an ocular emergency? A. Ocular hypertension B. Chronic open-angle glaucoma C. Normal tension glaucoma D. Acute angle-closure glaucoma
D
