Sensory Perception: Vision

The nurse participates in a community health fair to address measures that can be taken to reduce visual disturbances. Which statements by participants require further instruction? Select all that apply.​ "Bright overhead lights should be put on over the computer to reduce eye strain." "I can use artificial tear eye drops as often as needed as long as they don't contain preservatives." "I can enlarge the type and font size on my phone to make it easier to read." "If I do a lot of computer work, I should look away from the screen at least once every 20 minutes." "A humidifier may help keep my eyes moist in a dry environment." "I need to make sure that when I go outside during the day, I wear sunglasses." "I should position the light source directly in front of me if I am doing needlepoint work."

-"Bright overhead lights should be put on over the computer to reduce eye strain." -"I should position the light source directly in front of me if I am doing needlepoint work."

A nurse is providing education to a group about glaucoma. Which statements made by one of the participants indicate an understanding of the teaching session? Select all that apply. "I will make sure to have someone drive me to my radiation appointments daily." "I know this disorder is often called "silent blindness" because many people do not have any symptoms until the disease has progressed." "I will need to restrict the amount of high-purine foods in my diet." "I know my risk for glaucoma increases because my older sibling was diagnosed with glaucoma 2 months ago." "I will need to use eye medication for the rest of my life."

-"I know this disorder is often called "silent blindness" because many people do not have any symptoms until the disease has progressed." -"I know my risk for glaucoma increases because my older sibling was diagnosed with glaucoma 2 months ago." -"I will need to use eye medication for the rest of my life."

The nurse is teaching a group of clients about conjunctivitis. Which statements by the clients indicate the teaching has been effective? Select all that apply. "Using old eye make-up can be a cause of eye infections." "I will keep my contacts in place until the infection is gone." "I will not share washcloths among family members." "I will save my eye medicine to use if the other eye gets infected." "I will cleanse my eye from outer canthus to inner canthus every morning." "I will use warm compresses to remove crusted drainage."

-"Using old eye make-up can be a cause of eye infections." -"I will not share washcloths among family members." -"I will use warm compresses to remove crusted drainage."

Review the nursing note and highlight the findings that are consistent with glaucoma.

-70 year old -headache -bilateral eye pain rated 5/10 -"It feels like I am looking through a tunnel."

A nurse cares for a client who received a new diagnosis of glaucoma today. The nurse reviews the client's current list of medications. Highlight the medications that may need revision based on this client's new diagnosis.

-Ipratropium bromide -Tolterodine -Diphenhydramine

Which manifestations would the nurse expect to see in a client with cataract formation? Select all that apply. Having a sudden onset of ocular pain in the past week Seeing yellow halos around various objects Noticing a decline in vision over the past several months Having a decrease in visual acuity Seeing dark spots which move when walking Experiencing difficulty driving at night

-Noticing a decline in vision over the past several months -Having a decrease in visual acuity -Experiencing difficulty driving at night

The nurse assesses a client with suspected visual deficiency. What information in the assessment supports this suspicion? Select all that apply. Poor depth perception Dilated pupils during exam Sensitivity to light Reports of needing to wear sunglasses outside Blurry vision Frequent headaches Favoring one eye Double vision

-Poor depth perception -Sensitivity to light -Blurry vision -Frequent headaches -Favoring one eye -Double vision

A client is admitted to the medical-surgical unit for a total knee arthroplasty. The nurse notes the client has a comorbidity of bilateral cataracts. What strategies should the nurse use to create a safe environment for this client? Select all that apply. Have the client read a book rather than looking at the television while in bed. Ensure the lights are bright, so it is easier for the client to see in the room Turn on a night light or low light in the bathroom area during night hours. Keep items in the central field of vision rather than peripherally. Close the blinds on the window that is in the client's room.

-Turn on a night light or low light in the bathroom area during night hours. -Close the blinds on the window that is in the client's room.

Which prescription should the nurse expect to see on the medication administration record of a client being prepared for cataract surgery? An osmotic diuretic A miotic agent A thiazide diuretic A mydriatic medication

A mydriatic medication

Clients with glaucoma use prescription eye drops to maintain the pressure in the eye. This is a very important part of the treatment routine. Place the steps, in order, for the instillation of eye drops. Tilt head backward while sitting, standing, or lying down. Squeeze one drop into the pocket in the lower lid. Place index finger on the soft spot below the lower lid and pull down to form a pocket. Remove contacts. Look up. Gently press on the inside corner of the closed eye with index finger. Close the eye.

1. Remove contacts. 2. Tilt head backward while sitting, standing, or lying down. 3. Place index finger on the soft spot below the lower lid and pull down to form a pocket. 4. Look up. 5. Squeeze one drop into the pocket in the lower lid. 6. Close the eye. 7. Gently press on the inside corner of the closed eye with index finger.

The nurse is providing discharge instructions for a client following cataract removal. Which statements made by the client indicate a need for further teaching? Select all that apply. "I will need to set a daily reminder to take my antibiotic and corticosteroid eye drop at bedtime." ​"I will be sure to restrict my fluid intake to one liter per day to help with swelling in my eye." "I will ensure that I take my aspirin every morning and evening to help with pain." "I will wear my eye shield at night and my glasses during the day." "I will not lift anything more than 15 pounds for the first two weeks following surgery." "I will sleep on the same side as the eye that had the cataract repaired."

All BUT "I will wear my eye shield at night and my glasses during the day."

The nurse is caring for a client with conjunctivitis. Which manifestations would the nurse expect? Select all that apply. Purulent drainage from the eyes Pain in the eye area Eye redness Swollen eyelids Pruritis of the eyes Dry eyes

All BUT dry eyes

A nurse cares for a client with a visual acuity measured as 20/100 in both eyes using the Snellen chart. The nurse prepares to educate the client on management of this condition. Click to specify whether the teaching points are appropriate or not appropriate for this client's specific condition. Select one option per row.​

Appropriate --> -Describe the use of high-level lighting to prevent injury. -Discuss the use of corrective lenses to improve eyesight. Not appropriate --> -Explain that driving is not permitted with this degree of visual deficit. -Provide resources on how to make the move to an assisted living facility. -Recommend the client get on a waiting list to receive a "seeing eye" (guide) dog. -Review the procedures for patching one eye at a time every other day.

The nurse educates a client with dry macular degeneration caused by dietary insufficiencies on ways to prevent further deterioration in vision. Select the meal choice that indicates the client understands the dietary teaching. Select one meal choice per meal period. Select one option per group.​

Breakfast --> avocado on whole wheat toast Lunch --> Spinach salad with sunflower seeds and dried cranberries Dinner --> Salmon, carrots, and a sweet potato

A client is scheduled for cataract surgery in one week. The nurse decides to complete the postoperative teaching now so the client can be prepared for the time after the surgery. Click to specify whether the client statements indicate an understanding of the teaching or indicate a need for additional education. Select one option per row.​

Indicates Understanding --> -"If needed I can take a cough suppressant after the surgery for a few days." -"I won't lift anything heavier than a gallon of milk for a few weeks after the surgery." -"I will use extra pillows in the bed to keep me from turning onto my side where the eye surgery was done." -"I will have an eye patch the day I go home from the surgery." Indicates need for additional teaching --> -"I can drive until I have the surgery but then I will need to avoid driving for 1-2 weeks." -"After the surgery, I don't have to be as thorough with wearing sunglasses outside."

The nurse assesses three clients in the eye clinic. Select the priority assessment question to ask for each of these clients. Select one option per group.

J.R. --> Does anyone else in the home have this as well? M.S. --> How difficult is it for you to see at night? K.S. --> How much time do you spend outside or in the wind?

A home health nurse visits a client recently discharged home. The client has diabetes, hypertension, and retinopathy. Click to specify whether the nurse's findings in the home create a safety hazard or are designed to promote safety. Select one option per row.​

Safety Hazard --> -There are multiple throw rugs in the home instead of carpets -Garden hose is stretched across the yard with the open end in the flower bed -Client drinks warm coffee out of a black coffee mug -Outdoor clothesline is kept at waist height Promotes safety --> -Electrical cords are kept close to the baseboards. -Landline telephone has large font numbers. -Dark-colored towels are hanging in the bathroom, which has white walls. -Bath plug is attached to a short chain on the bathtub tap. -Large print labels are on home medications. -Uses a long-handled brush to wash kitchen knives.

For each assessment test, drag and drop the purpose of the diagnostic test and normal test result.

Snellen chart--> -Visual acuity -Right eye 20/20; left eye 20/20; both eyes 20/20 Visual fields--> -Peripheral vision -Equal to the examiner Cardinal fields of gaze--> -Extraocular movement -Able to follow in all fields without nystagmus Accommodation--> -Pupil response to near and far vision -Eyes turn inward, and pupils constrict when focusing on a near object.​

Match the glaucoma medication with the corresponding special considerations and medication examples.

Timolol, betaxolol --> Beta-blockers Apraclonidine, brimonidine --> Alpha-adrenergic agonists Latanoprost, bimatoprost --> Prostaglandin Carbachol, Pilocarpine --> Cholinergic agents (miotics) Acetazolamide, binzolamide --> Carbonic anhydrase inhibitors

Complete the following sentence by choosing from the list of options.​ The nurse should _______ a prescription for timolol eye drops because of the client's ______.

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