CH. 13 Eyes

A client has conjunctivitis. The nurses understand that conjunctivitis differs from conjunctival hemorrhage in that conjunctivitis

has a watery, mucoid discharge.

The goals related to visual health are to improve visual health through ____________, early detection, treatment, and rehabilitation.

prevention

Which technique by the nurse demonstrates proper use of the ophthalmoscope?

Asks the client to fix the gaze upon an object and look straight ahead

A client is being assessed following a motor vehicle accident. The client's right eye is swollen shut and very painful. Why does this require further assessment?

Blunt-force trauma often results in fracture of the orbit

Cloudiness in the lens can indicate a ___________.

Cataract

A client has been diagnosed with astigmatism. The nurse should be prepared to teach the client about which treatment for this condition?

Corrective lenses

A 29-year-old physical therapist presents for evaluation of an eyelid problem. On observation, the right eyeball appears to be protruding forward. Based on this description, what is the most likely diagnosis?

Exophthalmos

Cranial nerves involved with the eyes include II, III, IV, and V.

False

Patients older than 40 years of age often have an increased ability to accommodate, moving the object further away to read.

False

A client frequently experiences dry, irritated eyes. These findings are consistent with a problem in what part of the eye?

Lacrimal apparatus

The nurse asks the client to perform the action pictured. What is the nurse assessing?

Near Vision

The nurse performs the action shown when assessing a client's eyes. What is the nurse assessing?

Ocular alignment

When performing an ophthalmoscopic exam, a nurse observes a round shape with distinct margins. The nurse would document this as which of the following?

Optic Disk

_________ is documented when the pupils are equal, round, and reactive to light and accommodation.

PERRLA

The __________chart is used to assess far vision; the Jaeger test is used for near vision.

Snellen

A client has a nursing diagnosis of disturbed visual sensory perception. Which of the following is the most appropriate outcome for this client's care planning?

The client will remain free from harm resulting from a loss of vision.

A patient with 20/20 vision can read at 20 ft what the normal person can read at 20 ft.

True

Static and kinetic confrontation tests measure peripheral vision.

True

The use of protective eyewear is an important health promotion measure for contact sports and occupational exposure.

True

The ____________fields of gaze allow the nurse to detect muscle defects that cause misalignment or uncoordinated movement of the eyes.

cardinal