HNI 370 Final

A 52-year-old client with myopia calls the ophthalmology clinic very upset. She tells the nurse, "I keep seeing semi-clear spots floating across my vision. What is wrong with me?" What would be the most appropriate response by the nurse?

"It is not an uncommon finding in people older than 40 years for this to happen. They are called 'floaters'."

The functional reflex that allows the eyes to focus on near objects is termed

Accomodation

gradually causes loss of sharp central vision, needed for common daily tasks (e.g., driving, reading).

Age-related macular degeneration

While assessing the ears of an 8-year-old client, the nurse observes white spots on the tympanic membrane with no redness present. Which action would be most appropriate?

Ask the mother whether the child has had numerous ear infections. Explanation: White spots on the tympanic membrane indicate scarring from previous infections. Therefore the nurse would ask the mother about a history of previous ear infections. A bluish or dark red color to the membrane would suggest skull trauma. Impacted cerumen would prevent the nurse from viewing the tympanic membrane. A red, bulging eardrum and a distorted, diminished, or absent light reflex would suggest acute otitis media.

An adult client tells the nurse that he has been experiencing gradual vision loss. The nurse should

Check the pts blood pressure

The nurse is preparing to assess a client's visual fields to evaluate her gross peripheral vision. Which test would the nurse perform?

Confrontation test

A nurse shines a light into one eye during ocular exam and the pupil of the other constricts. The nurse interprets this as which of the following?

Consensual response

an everted lower lid resulting from drying of the conjunctiva, would be considered abnormal in younger clients, but is considered normal in an older client

Ectropion

When performing the cover test, a nurse notices that the client's left eye turns outward. How should the nurse document this finding in the client's record?

Exotropia

What muscles control the eye movement and hold the eye in place in the socket?

Extraocular

What is vital in maintaining vision and a healthy outlook for clients?

Health education

A nurse obtains an objective assessment on a child who presents to the clinic with reports of right ear pain. The nurse observes the following: painful movement of the pinna and tragus; ear canal is red and swollen with presence of purulent discharge from the external canal; temperature 101.8°F. The mother states that the family was on vacation at the beach last week. The nurse recognizes these findings as an indication of what acute ear condition?

Otitis externa

During a client's eye assessment, the nurse is testing for consensual pupillary constriction. Which technique should the nurse implement?

Place a barrier between the client's eyes.

Photoreceptors of the eye are located in the eye's

Retina

What part of the eye receives and transmits visual stimuli to the brain for processing?

Retina Explanation: The retina, which is the innermost layer of the eye, receives and transmits visual stimuli to the brain for processing. The posterior and vitreous chambers of the eye contain aqueous and vitreous humor of the eye. The optic disc, a well-defined round or oval area, is the opening for the optic nerve head.

A nurse practitioner is assessing the tympanic membrane of a client who has come to the clinic. What would the nurse practitioner expect to visualize if the client has a normal otoscopic evaluation?

Short process of the malleus

Signs of macular degeneration seen during the ophthalmoscopic examination include which of the following?

Subretinal exudate

Function of the retina

Transforms light rays into nerve impulses that are conducted to the brain

The nurse notes that the ophthalmologist suspects death of the optic nerve. When looking into the eye, the nurse would expect to see what color if the disc is dead?

White

The meibomian glands secrete

an oily substance to lubricate the eyes.

During adolescence, what vision change is common?

nearsightedness

The optic nerves from each eyeball cross at the

optic chiasma

The nurse is inspecting the cornea and lens of an elderly client and notices a white arc around the limbus of the client's eye. The nurse recognizes this condition, common in older adults, as which of the following?

Arcus senilis

A client presents to the emergency department after being hit in the head with a baseball bat during a game. The nurse should assess for which condition?

Hyphema Explanation: Hyphema is blood in the anterior chamber of the eye, usually caused by blunt trauma.

A nurse notices a middle-aged client in the waiting room pick up a magazine to read while she waits to be seen. She opens the magazine and then extends her arms to move it further from her eyes. Which condition does the nurse most suspect in this client?

Presbyopia