exam 3 213

What would you press on to occlude when instilling an eye drop that has a systemic effect?

Tear lacrimal duct

The nurse assesses the age-related changes that occur in the eye. Which finding(s) is/are consistent with aging? .)-

The cornea flattens and increases astigmatism., Water loss occurs from the lens. Presbyopia occurs. Ectropion occurs

The student nurse is ambulating with a blind patient. Which technique(s) indicate(s) that the student nurse requires further instruction? (Select all that apply.)-

Holding the patient's dominant arm, Instructing the patient to put both hands on his shoulders,1. Holding the patient's hand,. Walking just behind the patient

The nurse is orienting a visually impaired patient to a meal plate. Which action is most appropriate

Identify food according to an imaginary clock face

The nurse is performing postoperative teaching for a patient who underwent a left cataract removal. Which information should the nurse include in the teaching plan? (select all that apply.)-

.)- sleep on right side , take a stool softener to avoid straining

Which of the following are causes of cataracts? (Select all that apply.)-

.)-long term use of corticosteroids , congenital from exposure to maternal rubella, diabetes mellitus, smoking

When assessing for macular degeneration, the nurse should use which assessment tool?-

1. Amsler grid test

How often should eye cosmetics be discarded?-

6 months

Accommodation is accomplished through the interaction of the ciliary bodies and the___

ciliary muscles

The patient is experiencing frequent attacks of vertigo. When planning care, which activity should the nurse encourage?-

consider a smoking cessation program

Which component in the eye refracts light rays to be directed to the lens?-

cornea

Which complaint made by a 64-year-old patient during a health interview would alert the nurse to the possibility of cataracts?-

difficulty driving at night

A patient tilts her head to the side while reading a pamphlet. The nurse recognizes that this action may be an attempt to compensate for which problem?-

diplopia

1. the ADL that a patient with macular degeneration would need the most assistance with.

eating

The total removal of an eye is a(n)_____________-

enucleation

Which manifestation is the classic early warning symptom of a detached retina

flashing lights in eye and floaters

The patient who had a corneal transplant is taught that inflammatory changes (redness, swelling, and pain) in the corneal graft are best indicators of which complication?-

graft rejection

What should a patient who has had a cataract repair avoid

heavy lifting

The nurse is teaching a group of schoolchildren about the relationship between diet and vision. The nurse encourages the ingestion of foods rich in vitamin A. Which food choice should the nurse recommend?

kale

Which is a sign of acute angle closure glaucoma (AACG

large fixed pupils

What is the first nursing intervention step for the immediate care of a patient with a penetrating wound of the eye?-

lay the patient down flat

What would you expect a patient with retinal detachment to report

light flashes and floaters

What is the first indication of macular degeneration?-

loss of central vision

A nurse has been assigned to a patient with a hearing impairment. To enhance nurse-patient communication, the nurse should plan to communicate with the patient by speaking

normal soft tone

should be placed over the socket of an enucleated eye.

pressure dressing

The patient with a corneal transplant asks how long he must wear the eye shield at night. The nurse instructs the patient that he should wear the shield for at least what period of time?-

1 month

Know the steps of eye irrigation in the appropriate sequence

1. 1. instruct patient to lie supine,2. ask patient to turn head to affected side, 3.don gloves, 4.hold lids apart with thumb and finger,5. direct continuous stream of fluid from inner to outer canthus, 6have patient close eys to move debris from upper eyelid to conjunctions

for a patient who is experiencing diabetes-related visual changes. Which statement indicates that the patient accurately understands the nurse's teaching about the cause of vision changes in diabetes?

1. A long term exposure to high glucose levels can damage the blood vessels in my retina

A tonometer reading reflects the amount of pressure exerted by which component of the eye?

1. Aqueous humor

A client is newly fitted with a hearing aid. Which of the following client statements indicates a need for intervention by the nurse?-

1. I wash the ear piece of my hearing aid with alcohol

An office assistant tells the nurse his job requires him to work at his computer for 7 to 8 hours each day. Which statement indicates that the nurse's teaching about preventing eyestrain has been successful?"

1. I will close my eyes every few hours

What is a common mistake that hinders communication when communicating with the hearing impaired?-

1. Overaccentuating words

The visually impaired person has entered the outpatient clinic with a guide dog. What action is most appropriate for thenurse to take?

1. Refrain from interacting with the patient and dog until the dog leads the patient to seat

The nurse is assessing a patient's visual field. Which action(s) demonstrate(s) correct technique? (Select all that apply.)consistent with aging? (Select all that apply.)-

1. The nurse faces the patient.,The nurse moves a finger from an area outside the line of peripheral vision into the line of vision, The nurse instructs the patient to look directly into her eyes.

What does diabetes retinopathy result from

1. capillaries in retina hemorrhage

What should the nurse do when assisting a blind person to walk in an unfamiliar hospital environment? (Select all that apply.)

1. describe the surroundings, encourage the patient to ask for verbal cues, place patient hand on nurses shoulder or elbow

When the patient in the emergency room complains of seeing flashing lights and a curtain down over his right eye, the nurse recognizes this as a symptom of which condition?-

1. detached retina

Why is otitis media found more frequently in children 6 to 36 months

1. eustachian tubes are shorter and straighter

When performing the otoscopic examination on a patient with a hearing loss, which of the following indicates an unexpected finding?-

1. fluid or bubbles seen behind tympanic membrane

A patient comes to the ambulatory care clinic after getting hay into the eyes while farming. Which action(s) should the nurse implement? (select all that apply.)-

1. flush eye with warm water, gently evert the upper lid to inspect underneath, sweep the eye with a dampened cotton swab, pull upper lid over lower lid to sweep underneath upper lid

Which is a sign of acute angle closure glaucoma (AACG)?-

1. large fixed pupil

The nurse is caring for a patient following a left corneal transplant. When positioning the patient, the nurse correctly assists the patient into which positions? (select all that apply.)

1. supine, supine with head on small pillow, right side lying

The patient tells the nurse that he is legally blind. How would this information impact the nurse's plan of care for this patient?-

1. the nurse would need to determine how this patients visual impairment affects normal functioning

A 49 year old patient tells you that he has to hold the newspaper farther and farther away to read it. The best response by the nurse is

1. you have presbyopia prescription reading glasses will help you

Following a LASIK surgery, the nurse should explain to the patient that vision will improve:-

4-6 weeks