sherpath visual problems
the health care provider is educating a 65-year-old patient on a new diagnosis of primary open-angle glaucoma (POAG). Which statement by the patient shows an understanding of the discussion?
"I will need to follow my treatment plan to prevent damage to the optic nerve."
A nurse is counseling a patient about to undergo cataract surgery. The patient will have cataracts removed from both eyes, but just the poorest eye will be operated on initially. Which statement demonstrates that the patient understands the procedure?
"If a complication arises in the eye with poorest vision, I will still have some vision in the better eye." Surgery must first be performed on the eye with lowest level of acuity because if surgery is unsuccessful, the patient will have some vision left in the other eye.
The nurse is caring for a patient with a family history of age-related macular degeneration (AMD), a medical history of high blood pressure, and a social history including daily cigar smoking. The patient asks if there is any way to prevent development of the disease. Which responses by the nurse are correct?
"Reduce or quit smoking cigars."Smoking is a major risk factor for AMD. Reducing or, ideally, quitting smoking tobacco can reduce the risk. Correct "Keep your blood pressure under control."Hypertension is a risk factor for AMD, and keeping blood pressure under control, either through diet and exercise or medication, can lower the risk for AMD.
The nurse is caring for a patient with age-related macular degeneration (AMD) and refers the patient to a psychologist. Which responses by the nurse are appropriate when the patient questions the reason for the referral?
"The permanent loss of central vision can be very difficult."The patient may need to see a psychologist to help deal with the vision loss and the implications to his or her lifestyle. Correct "This is done to discuss the need for additional support systems."The psychologist will help the patient deal with his or her own issues regarding loss of vision and discuss whether any additional support systems are needed.
During an education session for a patient with a chronic visual sensory perception problem, which information should the nurse ensure the patient knows?
Details of the treatment regimenAs patients understand their treatment regimen, they are often more compliant. This can help control the progression of the disorder. Long-term effects of the disease processPatients need to be provided anticipatory guidance on the long-term visual changes related to their disorder. How to recognize emergency care needsEmergency care needs are vital for any patient with a visual disorder and should be included in education. That food preferences and nutritional habits can affect eyesight Dietary intake, or lack thereof, can lead to disorders such as AMD. The patient should be educated on the importance of including specific vitamins and minerals in their diet.
A nurse is caring for a patient who has prolonged pupil dilation related to ophthalmic medication usage. The nurse will monitor the patient for which signs of acute PACG?
Nausea, vomiting, and acute eye pain An acute attack of PACG can result in excruciating pain in or around the eye that may be accompanied by nausea and vomiting.
A patient with a visual impairment is being admitted to the hospital after abdominal surgery. As the nurse prepares the room for the patient, which action must be taken?
Take note of the furniture placement in the room The nurse should implement fall precautions because the patient is at risk since he or she cannot see well. Part of the nursing interventions for a patient with visual impairment is to notify the patient if furniture or wastebaskets are moved. A careful review of the furniture placement can facilitate this action.
A nurse is caring for a patient who reports loss of peripheral vision that developed over time. Which diagnostic tests would the nurse anticipate the patient to undergo?
TonometryThe patient presents with a sign of glaucoma, which results from increased intraocular pressure. Tonometry, or measurement of intraocular pressure, is important to diagnosing glaucoma. Correct GonioscopyThe patient presents with a sign of glaucoma, which results from increased intraocular pressure due to decreased drainage. Gonioscopy allows the examiner to view the irideocorneal angle to evaluate whether drainage can occur.
The patient with acute angle-closure glaucoma is preparing for surgery. The nurse notes that the patient consented for a lens removal procedure. How should the nurse proceed?
contact the surgeon for revision of the consent form Either laser peripheral iridotomy or surgical iridectomy is the surgery of choice for acute angle-closure glaucoma. Lens removal is a surgery to correct cataracts. The nurse identifies this error and should consult the HCP to have the consent revised.
