Nursing Care: Altered Sensory Perception- Vision
The nurse is providing discharge teaching to a client who just had cataract surgery. Which statement by the client indicates a need for further teaching?
"I do not need special glasses to protect my eyes after surgery."
The nurse is talking with several clients at a community health fair. Which client statements would prompt the nurse to recommend a comprehensive vision assessment? Select all that apply.
"I have not had an eye exam since I was diagnosed with diabetes mellitus two years ago." "My brother thinks I need to wear sunglasses, but I think they are a waste of money." "I work at a construction site, but I have never been provided with protective eye wear."
After discharge teaching, which statement by the client indicates a need for further teaching?
"I will administer the eye ointment first, wait 1 minute, then administer the eyedrops."
Drag and drop the eye parts below to their correct locations in this picture
1. Pupil 2. Sclera 3. Iris
The nurse recognizes that eye health deteriorates due to the aging process. Highlight each assessment finding that is associated with the normal aging process.
1. decreased central vision 2. presence of ptosis 3. loss of skin elasticity around eyes 4. increased eye dryness
While completing an eye examination, the nurse must interpret the client's descriptions of their vision to identify potential alterations. Match each image of a client's vision to the underlying condition.
1. normal vision 2. macular degeneration 3. cataracts
The nurse is providing information to a client who was recently diagnosed with age-related macular degeneration (AMD). The client asks the nurse to explain the difference between dry AMD and wet AMD. For each description, identify whether each describes wet AMD or dry AMD.
DRY most common form of AMD may begin with an abnormal accumulation of yellow deposits (drusen) in the retina macular cells begin to atrophy or degenerate, leading to vision loss Wet: more severe form of AMD abnormal blood vessel growth in the retinal and macula area possibility for abnormal vessels to begin to leak and form scar tissue possible occurrence of rapid onset of vision loss that may lead to blindness
The nurse is performing an assessment on an older adult client. Which finding indicates an early stage of cataract formation?
Decreased color perception and blurred vision
The nurse is providing teaching to a client who is prescribed antibiotic eyedrops. The client asks why they must occlude the lacrimal duct after administration. Which answer by the nurse is most appropriate?
Occluding the lacrimal duct keeps the medication in the eye
For each assessment finding, identify if the finding is a risk factor for altered vision or an abnormal finding that requires follow-up. Move the items to the correct category.
Risk Factors: diabetes mellitus (microvascular changes that lead to retinal damage) prolonged sun exposure (contributes to retinal damage) tobacco use (alters blood flow that can lead to retinal damage) Abnormal Findings: eyelids are droopy or asymmetrical (extraocular muscle dysfunction) one eye tracks, or follows, a pen or finger (extraocular muscle dysfunction) cloudy drainage from a single eye (infection) eyelid lesions (infection; integumentary alteration) pupil abnormalities (glaucoma; intraocular muscle dysfunction) cloudy appearance of the pupil (glaucoma)
For each potential healthcare provider prescription, indicate if the prescription is anticipated or not anticipated in the care of this client.
See picture
The nurse is preparing to administer a visual acuity exam using the Snellen chart. Which action by the nurse is appropriate?
Test the right eye first with the left eye covered
A nurse is observing the client administer eyedrops. Which actions by the client require the nurse to intervene? Select all that apply.
The client blinks quickly when the drop enters the eye. The client tightly squeezes the eyes closed after administration.
The client is likely experiencing _____ conjunctivitis caused by _____.
bacterial occupational exposure
The nurse should first _____ then ____.
clean the drainage from the eye administer antibiotic eye drops
Highlight the two assessment findings that require immediate follow-up by the nurse.
drainage that is thick and purulent reports pain 6/10 to the eye
