Saunder Nclex Eyes

A client is diagnosed with glaucoma. Which piece of nursing assessment data identifies a risk factor associated with this eye disorder?

Cardiovascular disease.

The nurse is caring for a client who was recently diagnosed with primary open-angle glaucoma (POAG). Which assessment finding is specific to this type of glaucoma?

Client report of "tunnel vision"

The nurse is preparing a teaching plan for a client who had a cataract extraction with intraocular implantation. Which home care measures should the nurse include in the plan? Select all that apply.

-Avoid activities that require bending over. -Take acetaminophen for minor eye discomfort. -Place an eye shield on the surgical eye at bedtime. -Contact the surgeon if a decrease in visual acuity occurs.

The nurse is caring for a client in the postoperative period following enucleation. The nurse notes bloody staining on the surgical eye dressing. Which nursing action is most appropriate?

Contact the primary health care provider (PHCP).

The nurse is performing an admission assessment on a client with a diagnosis of detached retina. Which sign or symptom is associated with this eye disorder?

A sense of a curtain falling across the field of vision

The nurse is performing an admission assessment on a client with a diagnosis of detached retina. Which sign or symptom is associated with this eye problem?

A sense of a curtain falling across the field of vision

The nurse is performing an assessment on a client with a suspected diagnosis of cataract. Which clinical manifestation should the nurse expect to note in the early stages of cataract formation?

Blurred vision

The nurse is performing an assessment on a client with a suspected diagnosis of cataract. Which clinical manifestation should the nurse expect to note in the early stages of cataract formation?

Blurred vision (Early symptoms include slightly blurred vision and a decrease in color perception.)

A client is diagnosed with glaucoma. Which piece of nursing assessment data identifies a risk factor associated with this eye disorder?

Cardiovascular disease

The nurse is developing a teaching plan for a client with glaucoma. Which instruction should the nurse include in the plan of care?

Eye medications will need to be administered for life.

The nurse is developing a teaching plan for a client with glaucoma. Which instruction should the nurse include in the plan of care?

Eye medications will need to be administered for life. (The administration of eye drops is a critical component of the treatment plan for the client with glaucoma.)

A client's vision is tested with a Snellen chart. The results of the tests are documented as 20/60. What action should the nurse implement based on this finding?

Instruct the client that he or she may need glasses when driving.

Tonometry is performed on a client with a suspected diagnosis of glaucoma. The nurse looks at the documented test results and notes an intraocular pressure (IOP) value of 23. What should be the nurse's initial action?

Note the time of day the test was done.

A client with retinal detachment is admitted to the nursing unit in preparation for a repair procedure. Which prescription should the nurse anticipate?

Placing an eye patch over the client's affected eye.