MS-ch. 20 visual problems
Which instruction would the nurse teach the patient about newly prescribed timolol (Timoptic) eyedrops for treatment of glaucoma?
"A temporary headache may occur after instilling these drops."
Which instruction would the nurse provide to the patient prescribed verteporfin (Visudyne) for age-related macular degeneration (AMD)?
"Avoid direct exposure to sunlight while on this particular treatment." Verteporfin is a photosensitizing drug that becomes active when exposed to a low-level laser light wave or sunlight and may cause thermal burns.
Which instruction would the nurse provide the patient who calls the clinic reporting a sty on their upper eyelid for several weeks, and warm moist compresses have not improved the situation? "Go to the pharmacy to get some eyedrops." "Come in so the ophthalmologist can remove the lesion for you." "The health care provider will need to inject it with an antibiotic." 'Wash the lid margins with baby shampoo to remove the crusting."
"Come in so the ophthalmologist can remove the lesion for you." A chalazion may evolve from a sty, or hordeolum, as it did for this patient. Initial treatment is with warm compresses, but when they are ineffective, the health care provider may surgically remove the lesion or inject it with corticosteroids.
Which intervention would the nurse teach a patient with glaucoma to perform when instilling their scheduled dose of pilocarpine (Isopto Carpine) drops?
"Do not perform any activities requiring visual acuity immediately after administration."
Which interventions would the nurse implement to prevent postoperative complications of the patient scheduled for cataract surgery? Select all that apply. -Administer antivi ral medications to prevent infections. -Teach the patient to instill medicine utilizing aseptic techniques. -Teach the patient about proper hygiene and eye care techniques. -Instruct the patient to discontinue all prescribed medicine two days after surgery. -Advise the patient to avoid actions that can increase their intraocular pressures.
-Teach the patient to instill medicine utilizing aseptic techniques. -Teach the patient about proper hygiene and eye care techniques. -Advise the patient to avoid actions that can increase their intraocular pressures.
When providing preprocedure teachings for a patient with high degrees of myopia, what is the correct order for the nurse to explain the steps that the health care provider performs a laser-assisted in situ keratomileusis (Lasik) procedure?
1. A flap is created in the cornea using a laser or surgical blade. 2. The flap is folded back on the middle section, or stroma, of the cornea. 3. Pulses from a computer-controlled laser vaporize a part of the stroma. 4. The flap is repositioned carefully. 5. The flap adheres on its own without sutures in a few minutes.
Which intervention would the nurse teach a patient about managing blepharitis? Gently cleaning the lid margins with baby shampoo Monitoring the spread of infection to the opposing eye Regular instillation of artificial tears to the affected eye Teaching the patient and family members good hygiene techniques
Gently cleaning the lid margins with baby shampoo Blepharitis is a common chronic bilateral inflammation of the eyelid margins. Emphasize thorough cleaning practices of the skin and scalp. Gentle cleansing of the lid margins with baby shampoo can effectively soften and remove crusting.
After undergoing a recent kidney transplantation surgery and taking immunosuppressant medications, which viral ophthalmic infection would the patient be susceptible to developing when exposed to a person with chickenpox? Blepharitis Hordeolum Astigmatism Herpes zoster ophthalmicus
Herpes zoster ophthalmicus
A patient has a new prescription for pilocarpine 1% (Isopto Carpine), two drops in each eye twice a day. For which patient co-morbidity would the nurse hold the prescription and contact the health care provider? Macular degeneration Hypertensive retinopathy Benign prostatic hypertrophy Chronic obstructive pulmonary disease (COPD)
Hypertensive retinopathy Contraindications to the use of pilocarpine include preexisting retinal disease (retinal detachment reported in susceptible individuals and those with preexisting retinal disease).
Which clinical manifestation would the nurse expect to identify in the patient diagnosed with strabismus?
Inability to focus both eyes on the same object, simultaneously.
Which explanation would the nurse use when a patient asks, "How does glaucoma damage my eyesight?"
Increased intraocular pressure from the glaucoma causes the damage.
Which intervention would the nurse implement for a patient who has undergone retinal surgery and injection of an intravitreal bubble? Monitor the BP. Prevent fluid volume excess. Maintain a darkened environment. Instruct on positioning and activity as preferred by the surgeon.
Instruct on positioning and activity as preferred by the surgeon.
For treatment of wet age-related macular degeneration, which intervention would the nurse implement for the patient who had photodynamic therapy (PDT) with use of IV verteporfin (Visudyne) and a cold laser?
Instruct the patient to avoid direct exposure to sunlight for five days after treatment.
When assessing for the presence of allergic conjunctivitis, about which clinical manifestation would the nurse ask the patient?
Itching
Which condition would the nurse provide additional information for when observing a patient with systemic lupus erythematosus (SLE) frequently rubbing his or her eyes from decreased tear production?
Keratoconjunctivitis sicca
Which condition would the nurse suspect in the older adult patient who states, "I feel like there is sand in my eyes."
Keratoconjunctivitis sicca
Which condition would the nurse suspect in the older adult patient who states, "I feel like there is sand in my eyes." Cataract Strabismus Keratoconus Keratoconjunctivitis sicca
Keratoconjunctivitis sicca Keratoconjunctivitis sicca is a dry eye disorder commonly seen in older adults. The patient with keratoconjunctivitis sicca reports irritation and the feeling of sand in the eye.
Which medication would the nurse anticipate providing when the patient complains of eye irritation and soreness after using a homemade saline solution to store contacts? Tropicamide (Mydriacyl) Besifloxacin (Besivance) Acetazolamide (Diamox) Ketoconazole (Nizoral)
Ketoconazole (Nizoral) Patients who use homemade saline solution are more susceptible to Acanthamoeba contamination, which can be treated with ketoconazole (Nizoral).
About which treatment option, when prescribed by the health care provider, would the nurse provide additional information for the patient diagnosed with proliferative retinopathy? Filtration surgery Photodynamic therapy Laser photocoagulation Argon laser trabeculoplasty
Laser photocoagulation Proliferative retinopathy is a condition associated with the formation of fragile new abnormal blood vessels that are predisposed to leaks, resulting in severe vision loss. This condition can be treated by laser photocoagulation.
When performing an assessment on a patient with glaucoma, which antiglaucoma medication would the nurse associate with the patient's brown iris pigmentation?
Latanoprost (Xalatan) Latanoprost is an antiglaucoma drug that stimulates melanin production in melanocytes and increases the amount of brown pigment in the eye.
When planning the discharge of a patient after eye surgery, which activities would the nurse instruct the patient to avoid? Select all that apply.
Lifting Coughing Bending over
Which physiologic change would the nurse recall as being responsible for a patient's inability to see near objects?
Light rays begin to focus behind the retina. called hyperopia, or farsightedness.
The neighbor of a nurse states, "While I was walking, I got something in my eye." Which intervention would the nurse implement for a suspected foreign object in the patient's eye?
Loosely cover the eye with a sterile patch and refer the patient to emergency care.
With which age group would the nurse associate the development of presbyopia, because the eye loses flexibility and is unable to accommodate close vision?
Men and women older than 40
When reviewing refractive errors of the eye, which statement would the nurse identify as correct?
Astigmatism is caused by an irregular corneal curvature.
After presentation of age-related macular degeneration (AMD) content by the nurse, which patients' statements indicates understanding? Select all that apply. "Family history is a major risk factor for AMD." "Age-related macular degeneration is related to retinal aging." "People with dark-colored eyes have a higher risk for AMD." "Long-term exposure to ultraviolet light is a risk factor for AM D." "Supplementing with vitamins C and E, beta-carotene, and zinc restores lost vision."
"Family history is a major risk factor for AMD." "Age-related macular degeneration is related to retinal aging." "Long-term exposure to ultraviolet light is a risk factor for AMD." Age-related macular degeneration 黄斑病变is the most common cause of irreversible central vision loss in people above 60 years of age. Some patients with AMD may benefit from supplements of vitamins C and E, beta-carotene, and zinc, which delay progression; however, the supplements do not reverse the disease. People with light-colored eyes, not dark-colored eyes, are more at risk for AMD because light eyes have less pigment, which makes them sensitive to light and can cause AMD; the patient making this statement requires further teaching. AMD is related to retinal视网膜 aging because changes in astrocytes in retinal aging cause retinal ischemia, which leads to AMD. Genetic factors play a major role in AMD; family history is a major risk factor for AMD because multiple genetic variants are involved in AMD. Longterm exposure to ultraviolet light is a risk factor for AMD because long-term exposure may cause retinal detachment.
For the 52-year-old African American patient, which statement reflects understanding of content taught by the nurse on glaucoma prevention?
"I will visit my eye doctor every one to two years."
For glaucoma discharge instructions, which patient statement indicates understanding of the nurse's teachings? "I'll limit my fluid intake each day." "I'll change positions very slowly." "I'll use my eyedrops until my vision clears." "I'll check the labels on my nonprescription drugs."
"I'll check the labels on my nonprescription drugs." Nonprescription drugs, even caffeine, may increase intraocular pressure, resulting in enough pressure to cause damage. Therefore it is important for the patient to check the contents of all drug labels.
Which explanation would the nurse provide when a patient with a sudden decrease in vision receives a diagnosis of papilledema and inquires as to what papilledema is?
"Sustained, severe high blood pressure can cause swelling of the optic disc and nerve, resulting in papilledema."
A group of adults received educational content from a nurse about eye health care. Which statements indicate understanding of the content? Select all that apply.
"Wash hands regularly to prevent the spread of diseases." "Wear eye protection during hazardous work activities to reduce the risk of eye injuries. "Regular eye checkups help in early detection of disease and prevent further loss of vision."
Which statement would the nurse use to reinforce medication teaching when administering the scheduled dose of pilocarpine (Pilocar)?
"You will need someone to drive you home today."
Which statement would the nurse use to reinforce medication teaching when administering the scheduled dose of pilocarpine (Pilocar)? "You will need someone to drive you home today." "This medication should be used as needed to reduce eye pain." "Eye irritation is to be expected during the first two weeks of use." "This medication will help to raise intraocular pressure to a near normal level."
"You will need someone to drive you home today." Pilocarpine causes blurred vision and difficulty focusing, so it is important not to engage in any activities requiring visual acuity until the vision clears.
Which patient statements indicate understanding of the information taught by the nurse on postsurgical cataract care? Select all that apply. "l might feel some scratchiness in my left eye after surgery." "l should notice an improvement in my vision within a few days." "l will call my health care provider if I notice white drainage or redness of my left eye." "l now have a new lens in my eye, so I will not need glasses or contacts after surgery." "Prior to surgery, I need to remove potential obstacles to prevent falling after surgery."
"l might feel some scratchiness in my left eye after surgery." "l will call my health care provider if I notice white drainage or redness of my left eye." "Prior to surgery, I need to remove potential obstacles to prevent falling after surgery." The patient will notice an improvement in vision after surgery, not in a few days.
Which interventions would the nurse perform when administering acetazolamide (Diamox) to a patient with chronic glaucoma? Select all that apply. - Monitor the patient's electrolyte levels. - Ask if the patient is allergic to sulfa drugs. - Avoid use if the patient has a history of asthma. - Caution the patient about decreased visual acuity. - Avoid use if the patient is on high-dose aspirin therapy.
- Monitor the patient's electrolyte levels. - Ask if the patient is allergic to sulfa drugs. - Avoid use if the patient is on high-dose aspirin therapy. Acetazolamide is used to decrease production of aqueous humor. The drug may cause allergic reactions in patients sensitive to sulfa drugs; therefore the nurse should ask the patient if he or she has a history of allergy to sulfa drugs. The drug has a diuretic effect and requires the nurse to monitor the patient's electrolyte levels.
Which statement would the nurse include when teaching a patient the pathophysiology of their open-angle glaucoma? -"The retinal nerve is damaged by an abnormal increase in the production of aqueous humor." -"There is decreased draining of aqueous humor in the eye, causing pressure damage to the optic nerve." -"The lens enlarges with normal aging, pushing the iris forward, which then covers the outflow channels of the eye." -"There is a decreased flow of aqueous humor into the anterior chamber caused by the lens of the eye blocking the papillary opening."
-"There is decreased draining of aqueous humor in the eye, causing pressure damage to the optic nerve." With primary open-angle glaucoma, there is increased intraocular pressure because the aqueous humor cannot drain from the eye. This leads to damage to the optic nerve over time.
The patient with acute glaucoma has a history of high-dose aspirin therapy and has a new prescription for acetazolamide (Diamox). Which medication change would the nurse expect when notifying the provider of the concomitant issue? -The dose of acetazolamide will be decreased by half the dose. -There will not be a prescription change for either of the medications. -Due to potential gastric disturbances, the acetazolamide will be changed. -Administration times will be rescheduled to avoid taking the two medications at the same time.
-Due to potential gastric disturbances, the acetazolamide will be changed.
While performing a medication reconciliation with a newly admitted patient's home medications, the nurse notes the patient is taking pilocarpine eye drops. Which desired effects would the nurse associate with this medication? Select all that apply. -Facilitates aqueous humor outflow -Reverses damage to the optic nerve -Improves the patient's vision in dim light -Lessens the amount of pupillary dilation -Decreases the amount of fluid within the eye
-Facilitates aqueous humor outflow -Lessens the amount of pupillary dilation Pilocarpine is a cholinergic (parasympathomimetic) medication used to treat chronic openangle glaucoma. It causes miosis (pupillary constriction), which improves the flow of the fluid (aqueous humor) within the trabecular meshwork of the eye. This keeps the pressure within the eye low and decreases likelihood of optic nerve damage. Damage to the optic nerve from glaucoma cannot be reversed with treatment. Miotic effects of the medication do not allow for pupil dilation that normally occurs in dim light. Pilocarpine does not decrease the amount of aqueous humor production as do some other medications (β-adrenergic blockers) used to treat glaucoma.
Which instruction would the nurse include in a patient's discharge teachings after undergoing cataract extraction and intraocular lens implantation?
Avoid straining during bowel movements.
Which intervention assists in preventing further vision loss from chronic open-angle glaucoma?
Strict adherence to prescribed eyedrop medication schedule
Which intervention would be the nurse's priority to implement for the patient with poor visual acuity from age-related macular degeneration (AMD)?
Assess impact of vision on normal functioning.
Which intervention would the nurse implement when providing care for a patient who lost an eye after an industrial accident yesterday?
Assist the patient with the same grieving process associated with other losses.
For which patient condition would the nurse withhold the prescribed timolol (Timoptic; Istalol), two drops to each eye every 12 hours, and contact the prescriber?
Asthma
When teaching a patient about a new prescription, which disorder would the nurse associate with a patient's prescription for ketoconazole (Nizoral) eyedrops?
Acanthamoeba keratitis Ketoconazole is an antifungal eyedrop that is prescribed for the treatment of Acanthamoeba keratitis because the causative organism is resistant to other drugs.
When admitting a patient with glaucoma who reports an allergy to all sulfa drugs, which prescribed medication would the nurse question by contacting the health care provider?
Acetazolamide (Diamox)
Which intervention would the nurse implement to provide relief of the patient's discomfort when presenting to the clinic with a red, swollen, circumscribed, acutely tender area near the eye and in the lid margin?
Application of a warm, moist compress four times a day
For which contributing factor would the nurse closely monitor in the patient experiencing retinal hemorrhages, anoxic cotton-wool spots, and macular swelling in the eye? Glucose level BP Intraocular pressure Thyroid hormone levels
BP Hypertensive retinopathy is caused by high BP that creates blockages in retinal blood vessels. The eye examination of a patient with hypertensive retinopathy reveals retinal hemorrhages, anoxic cotton-wool spots, and macular swelling. If the eye examination shows capillary microaneurysms, retinal swelling, and hard exudates, then the nurse will suspect nonproliferative retinopathy and high blood glucose level.
The health care provider's assessment identified optic nerve atrophy and peripheral visual field loss in the patient reporting sudden, severe eye pain accompanied by nausea and vomiting. When providing the patient's discharge instructions, which medication would the nurse correlate with this disorder? Betaxolol (Betoptic) Besifloxacin (Besivance) Tropicamide (Mydriacyl) Ranibizumab (Lucentis)
Betaxolol (Betoptic) Betaxolol is an antiglaucoma drug that decreases intraocular pressure. Besifloxacin is an antibiotic that is used to treat acute bacterial conjunctivitis. Tropicamide is a cycloplegic that is used to produce pupillary dilation. Ranibizumab is a selective inhibitor of endothelial growth factor that is used to slow vision loss in age-related macular degeneration.
Which visual disorder would the nurse associate with the patient's clinical manifestations of itching, irritation, intolerance of light, and crusty debris on the lid margins and lashes?
Blepharitis
Which additional clinical manifestation would the nurse associate with the patient whose anterior cornea is cone-shaped? Pain Blurred vision Corneal infla mmation Abnormal color perception
Blurred vision Keratoconus is a noninflammatory eye disorder in which the anterior cornea thins and protrudes forward, taking on a cone shape. The only symptom associated with keratoconus is blurred vision.
Which clinical manifestation would the nurse document and report when suspecting a patient of having age-related macular degeneration (AMD)?
Blurred, darkened vision
Which clinical manifestation would the nurse document and report when suspecting a patient of having age-related macular degeneration (AMD)? Blurred, darkened vision Itching, burning, and redness Sudden, excruciating pain in the eye Decreased vision and abnormal color perception
Blurred, darkened vision
The nurse would teach the patient diagnosed with a hordeolum which intervention for self-management of the red, swollen, circumscribed, and acutely tender area in the lid margin?
Suggest applying warm, moist compresses at least four times a day until the condition improves.
For the patient with glaucoma who is taking timolol (Timoptic), which instruction would the nurse reinforce with patient teaching?
You may experience blurred vision for several minutes after administration.
For which contraindication would the nurse assess the patient before administering a new prescription for timolol (Timoptic; Istalol) eyedrops as treatment of glaucoma?
Chronic obstructive pulmonary disease (COPD)
The nurse teaches that which part of the eye becomes inflamed for the patient who developed keratitis?
Cornea
Which eye disorder would the nurse associate with the patient scheduled for a penetrating keratoplasty procedure?
Corneal scars
For which procedure will the nurse provide additional information to the patient who states, "They are going to stick a very cold probe into my eye to produce a scar on my torn retina"?
Cryopexy Cryopexy is a procedure used to seal retinal breaks. This procedure involves using extreme cold to create the inflammatory reaction that produces the sealing scar.
Which extraocular eye disorder would the nurse associate with the patient experiencing inflammation of the cornea and exophthalmos?
Exposure keratitis
When assessing a patient for esotropia, which finding is clinically significant?
Eye deviating in
When performing a patient's visual examination, the presence of which classic clinical manifestation would lead the nurse to suspect primary open-angle glaucoma (POAG)?
Decreased peripheral vision
When performing a patient's visual examination, the presence of which classic clinical manifestation would lead the nurse to suspect primary open-angle glaucoma (POAG)? Vacillating pupil Constant tearing Decreased peripheral vision Colored halos around lights
Decreased peripheral vision
When preparing a patient for a surgical procedure, which finding would the nurse expect in the history and physical examination report regarding the patient's history of primary open-angle glaucoma?
Denial of eye pain or pressure
The nurse teaches cataract surgery discharge instructions and includes that the development of which clinical manifestation warrants the patient contacting the surgeon immediately? Glare Itching Eye pain Blurred vision
Eye pain
Which actions would the nurse implement when using the sighted-guide technique to assist a patient who is blind? Select all that apply.
Describe the environment to the patient while walking. Help the patient to sit by placing the patient's hand on the seat of the chair. Stand slightly in front and to one side of the patient; provide an elbow for support
For the patient who wears contact lenses, which intervention would the nurse teach the patient when diagnosed with bacterial conjunctivitis? Discard all opened or used contact lenses and lens care products. Disinfect contact lenses by soaking in a cleaning solution for 48 hours. Put all used cosmetics in a plastic bag for one week to kill any bacteria before reusing. Disinfect all lens care products with prescribed antibiotic drops for one week post infection.
Discard all opened or used contact lenses and lens care products.
For the patient diagnosed with bacterial conjunctivitis, which clinical manifestations would the nurse expect the patient to exhibit?
Discomfort, pruritus, redness, and a mucopurulent drainage in the eye
Which action would the nurse implement when a patient with a history of asthma receives a prescription for timolol to treat chronic glaucoma?
Do not administer timolol, and notify the health care provider.
Which instruction is most important for the nurse to include in the discharge teaching of a patient being discharged home after cataract surgery?
Do not bend, stoop, cough, or lift.
Which action would be the nurse's priority when noting blood in the anterior chamber of the patient's eye after sustaining an eye injury, as well as redness of the sclera?
Elevate the head of bed to 45 degrees.
For the patient recovering from a recent total hip replacement, on which intervention would the nurse focus when establishing a plan of care related to increased intraocular pressures from the 68-year-old patient's glaucoma?
Encourage medication compliance to reduce progression of vision loss.
Which condition involves inflammation of the vitreous cavity of the eye?
Endophthalmitis
Which type of inflammation would the nurse associate with the patient's clinical manifestations of ocular pain; photophobia; decreased visual acuity; headaches; corneal edema; and reddened, swollen conjunctiva?
Endophthalmitis Endophthalmitis is an extensive intraocular inflammation of the vitreous cavity
Which condition is caused by a refractive error within the eye?
Myopia
Which information would the nurse provide to the patient who needs a corneal transplant but refuses the procedure because of the vision difficulties lasting up to 12 months after transplant?
Newer procedures limit the transplanted tissue to the damaged areas of cornea only and have a faster recovery.
Which action would the nurse implement immediately when visiting a patient who is two days post-cataract surgery and reporting intense eye pain?
Notify the surgeon.
When assessing four assigned patients with different refractive errors, which patient would the nurse suspect as having hyperopia?
Patient B: Inability to accommodate for near objects. Hyperopia, or farsightedness, is an inability to accommodate near objects. It causes the light rays to focus behind the retina and requires the patient to use accommodation to focus the light rays on the retina for near objects;
For the patient with severe myopia, which type of correction is scheduled when the patient states, "I can't wait to see after they implant contact lenses over my existing ones"?
Phakic intraocular lenses (phakic IOLs)
Which surgery treats age-related macular degeneration (AMD) by destroying abnormal blood vessels without causing permanent damage to the retinal pigment epithelium and photoreceptor cells?
Photodynamic therapy
Which surgery treats age-related macular degeneration (AMD) by destroying abnormal blood vessels without causing permanent damage to the retinal pigment epithelium and photoreceptor cells? Filtration surgery Photodynamic therapy Laser photocoagulation Argon laser trabeculoplasty
Photodynamic therapy
While in the preoperative area prior to cataract removal surgery, which intervention would the nurse implement after administering tropicamide (Mydriacyl) in both eyes of a patient? Brighten the room with extra lights. Provide the patient dark glasses to wear. Monitor for the patient for pulmonary effects of the drug. Reassure the patient that the surgery will be soon and uneventful.
Provide the patient dark glasses to wear. Tropicamide is a cycloplegic. The medication dilates the pupil by blocking the effect of acetylcholine on the iris sphincter muscle. Because the medication causes photophobia, the nurse should provide dark glasses and instruct the patient to wear them. T
Which initial clinical manifestation would a patient report with a retinal detachment? Redness of the conjunctiva Increased glare with artificial light Seeing flashes of light and floaters Severe pain when moving the eyes
Seeing flashes of light and floaters
While awaiting arrival of the emergency response team, which intervention would the occupational health nurse implement for the patient who sustained a penetrating eye injury from a foreign object?
Stabilize the foreign object within the injury site
The adult child of a patient with macular degeneration asks how to avoid developing this condition. Which interventions would the nurse include when teaching? Select all that apply.
Stop smoking or do not start. Avoid eye exposure to ultraviolet light. Eat green leafy vegetables (spinach or kale) regularly.
For the patient diagnosed with epidemic keratoconjunctivitis (EKC), which intervention would the nurse suggest to help alleviate the patient's symptoms? Suggest the use of ice packs and dark glasses. Discourage the use of mild topical corticosteroids. Advise the patient to avoid the use of topical antibiotic ointments. Advise the patient to avoid implementing any treatment, because the condition is self-limiting.
Suggest the use of ice packs and dark glasses. Epidemic keratoconjunctivitis is an ocular adenoviral disease. It is spread by direct contact, including sexual activity. Treatment involves the use of ice packs to reduce irritation. Dark glasses are used to reduce photophobia. Treatment should not be avoided in this condition. In severe cases, therapy can include mild topical corticosteroids and topical antibiotic ointment.
When a patient is prescribed dipivefrin (Propine) for the treatment of glaucoma, the nurse would teach the patient to monitor the development of which potential side effects? Select all that apply. Depression Tachycardia Hypertension Bronchospasm Taste alteration
Tachycardia Hypertension Dipivefrin is an α-adrenergic agonist and is converted to epinephrine inside the eye. It decreases aqueous humor production and enhances outflow facility.
Which actions would the nurse implement when a patient presents with a sty on their left eye? Select all that apply.
Teach the patient to perform lid scrubs daily. Administer appropriate antibiotic ointments or drops, as prescribed. Instruct the patient to apply warm, moist compresses at least four times a day.
The patient with a detached retina states, "Before you patched my eye, I saw a lot of spots." Which rational would the nurse use to explain the "spots"? -Contamination of the eye's aqueous humor created the blank spots. -Pieces of the retina are floating within the eye and creating the objects you see. -The spots are blood cells released into the eye by the detached retina -Spasms of the retinal blood vessels traumatized by the detached retina caused the spots.
The spots are blood cells released into the eye by the detached retina
Which rationale would the nurse associate with the health care provider's order of cycloplegics for a patient preparing for surgical intervention of a visual disorder?
To block the effect of acetylcholine on ciliary body muscles
Which response would the nurse use when asked why the lights were dimmed prior to instillation of the patient's pupil-dilating eyedrops?
To minimize photophobia
The nurse assists the health care provider to rinse a patient's eye with saline solution and instill a dye onto the conjunctiva of the injured eye. Which statement would the nurse use to explain the purpose of the dye to the patient?
To stain the eye tissue so disruptions can be identified easily
Which prescription would the nurse question prior to administering to a patient with keratitis caused by the herpes simplex virus (HSV)? Oral acyclovir (Zovirax) Trifluridine drops (Viroptic) Topical corticosteroids (Aristocort A) Topical vidarabine oi ntment (VIRA-A 3%)
Topical corticosteroids (Aristocort A) Keratitis is an inflammation or infection of the cornea that can be caused by a variety of microorganisms. Topical corticosteroids are contraindicated in this patient because they may cause deeper ulceration of the cornea on prolonged treatment.
For the patient recently blinded from a motor vehicle accident, which patient goal has the highest priority? Use suitable coping strategies to reduce stress. Identify the patient's strengths and support system. Verbalize feelings related to visual impairment. Transition successfully to the sudden vision loss.
Verbalize feelings related to visual impairment.
