Assessment & Management of Patients w/ Eye & Vision Disorders

A nurse is performing an eye examination. Which question would not be included in the examination? Have you experienced blurred, double, or distorted vision?" "Do any family members have any eye conditions?" "Are you able to raise both eyebrows?" "What medications are you taking?"

"Are you able to raise both eyebrows?"

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? "Usually we will send you home with this bottle and written instructions for administering the medication." "I will let the doctor know." "Prescriptions of this medication are generally not given because it can cause corneal problems." "It is standard for the doctor to write a prescription for this medication."

"Prescriptions of this medication are generally not given because it can cause corneal problems."

"You see an object from 20 feet away that a person with normal vision sees from 200 feet away." What ratio would this be?

20/200

definition of legal blindness ratio=

20/200

The nurse is establishing a visual test using the Snellen chart for a client experiencing visual changes. At which distance should the nurse instruct the client to stand?

A 20-feet distance

Which type of glaucoma presents an ocular emergency?

Acute angle-closure glaucoma

On ocular examination, the health care provider notes severely elevated IOP, corneal edema, and a pupil that is fixed in a semi-dilated position. The nurse knows that these clinical signs are diagnostic of the type of glaucoma known as:

Acute angle-closure.

most important teaching point for glaucoma=

Adhere to the medication regimen.

A client has been referred to an ophthalmologist for suspected macular degeneration. The nurse knows to prepare what test for the physician to give the client?

Amsler grid

Which term refers to the absence of the natural lens?

Aphakia

The nurse is demonstrating how to perform punctal occlusion. Which activities does the nurse perform?

Applies gentle pressure bilaterally on the bridge of the nose to the inner canthus of each eye

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?

BUN and creatinine

The nurse is administering an ophthalmic ointment to a patient with conjunctivitis. What disadvantage of the application of an ointment does the nurse explain to the patient? It has a lower concentration than eye drops. Blurred vision results after application. It has more side effects than eye drops. It does not work as rapidly as eye drops do.

Blurred vision results after application.

What is the main refracting surface of the eye?

Cornea

The nurse is preparing a presentation for a group of older adults on the topic of open-angle glaucoma. Which symptoms would be included as indications of open-angle glaucoma?

Difficulty adjusting eyes in low lighting Decreasing peripheral vision Halos around lights Blurred vision

what eye disorders is caused by an elevated intraocular pressure (IOP)?

Glaucoma

The nurse should monitor for which manifestation in a client who has undergone LASIK?

Halos and glare

Which type of benign tumor of the eyelids is characterized by superficial, vascular capillary lesions that are strawberry-red in color?

Hemangioma

A client has undergone enucleation. What complication of enucleation should be addressed by the nurse?

Hemorrhage

Which surgical procedure involves flattening the anterior curvature of the cornea by removing a stromal lamella layer?

Laser-assisted stromal in situ keratomileusis (LASIK)

A nurse conducted a history and physical for a newly admitted patient who states, "My arms are too short. I have to hold my book at a distance to read." The nurse knows that the patient is most likely experiencing?

Loss of accommodative power in the lens.

Assessment of visual acuity reveals that the client has blurred vision when looking at distant objects but no difficulty seeing near objects. The nurse documents this as what?

Myopia

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?

Myopia

To avoid the side effects of corticosteroids, which medication classification is used as an alternative to treat inflammatory conditions of the eyes?

NSAIDs

The nurse is assisting the eye surgeon in completing an examination of the eye. Which piece of equipment would the nurse provide to the physician to examine the optic disc under magnification?

Ophthalmoscope

Which term refers to swelling of the optic disc due to increased intracranial pressure?

Papilledema

A nurse is reviewing the medical records of several patients who have had their intraocular pressure (IOP) measured: Patient A: IOP 12 mm Hg Patient B: IOP 15 mm Hg Patient C: IOP 21 mm Hg Patient D: IOP 24 mm Hg Which patient would the nurse identify as having increased IOP suggesting glaucoma?

Patient D: IOP 24 mm Hg

A 68-year-old client reports a change in vision when driving during the night. Which strategies would the nurse recommend to mitigate this problem? Recommend contrast sensitivity testing measures to determine visual function. Utilize an eye shield during the day to promote and protect night vision. Propose reading eyeglasses for presbyopia, which is changing only their night vision. Wear darkly tinted sunglasses since the eyes are now more sensitive to glare.

Recommend contrast sensitivity testing measures to determine visual function.

The nurse is caring for a client ordered for multiple eye screening. Following which procedure will the nurse instruct the client on a yellow coloring to the skin and urine as being normal?

Retinal Angiography

What surgical procedures involves taking a piece of silicone plastic or sponge and sewing it onto the sclera at the site of a retinal tear?

Scleral buckle

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?

The presence of halos around lights

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?

To prevent vision loss

A client is scheduled to have a cataract removed and an artificial lens implanted. What test would the nurse know would be useful in measuring for an intraocular lens implant in this client?

Ultrasonography

What type of conjunctivitis is preceded by symptoms of an upper respiratory infection?

Viral

An ophthalmologist diagnoses a patient with myopia. The nurse explains that this type of impaired vision is a refractive error characterized by?

blurred distance vision

A client is color blind. The nurse understands that this client has a problem with?=

cones

A client has just been diagnosed with early glaucoma. During a teaching session, the nurse should: provide instructions on eye patching. teach about intraocular lens cleaning. assess the client's visual acuity. demonstrate eyedrop instillation.

demonstrate eyedrop instillation.

When a pt has hyperopia, what is the cause of vision changes?

eyeballs that are shorter than normal

desired effects of iridotomy procedure?

improve outflow drainage

Which would be an advanced stage finding in a client with wet macular degeneration? diminished perception of color blurred vision when reading or doing close-up work distortion of vision inability to see images by looking at them directly

inability to see images by looking at them directly

Which of the following is NOT a clinical manifestation of a retinal detachment? Sudden onset of a greater number of floaters Pain Bright flashing lights Cobwebs

pain

What test is performed by a pt maintaining a fixed gaze on a stationary point while an object is moved from a point on the side, where it can't be seen, toward the center.; then the pt will indicate when the object becomes visible?

perimetry test

visual field examination will test=

peripheral vision and detects gaps in the visual field

A client has noticed needing to hold printed material at arms length to make the print readable. What is the term used to describe this visual condition?

presbyopia

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?

retinal detachment