Unit 1 Test
A client's vision is assessed at 20/200. The client asks what that means. Which is the most appropriate response by the nurse?
"You see an object from 20 feet away that a person with normal vision sees from 200 feet away."
A client has undergone tonometry to evaluate for possible glaucoma. Which result would the nurse record as abnormal?
25 mm Hg
A patient comes to the clinic with a suspected eye infection. The nurse recognizes that the patient most likely has conjunctivitis, as evidenced by what symptom?
A mucopurulent ocular discharge
A patient is being seen in the ophthalmology clinic for a suspected detached retina. What clinical manifestations does the nurse recognize as significant for a retinal detachment? Select all that apply.
A visual field of floating particles, A definite area of blank vision, Momentary flashes of light.
Which type of glaucoma presents an ocular emergency?
Acute angle-closure glaucoma
On ocular examination, the health care provider notes severely elevated IOP, corneal edema, and a pupil that is fixed in a semi-dilated position. The nurse knows that these clinical signs are diagnostic of the type of glaucoma known as:
Acute angle-closure.
A patient has been diagnosed with bacterial conjunctivitis that was sexually transmitted. The nurse informs the patient that the isolated organism is which of the following?
Chlamydia trachomatis
Which of the following is the correct advice regarding food for a patient who underwent a cataract surgery?
Eat soft, easily chewed foods.
The nurse should monitor for which manifestation in a client who has undergone LASIK?
Halos and glare
A client has undergone enucleation. What complication of enucleation should be addressed by the nurse?
Hemorrhage
A client has noticed recently having clearer vision at a distance than up close. What is the term used to describe this client's visual condition?
Hyperopia (Farsightedness)
Which surgical procedure involves flattening the anterior curvature of the cornea by removing a stromal lamella layer?
Laser-assisted stromal in situ keratomileusis (LASIK)
A nurse conducted a history and physical for a newly admitted patient who states, "My arms are too short. I have to hold my book at a distance to read." The nurse knows that the patient is most likely experiencing:
Loss of accommodative power in the lens.
The nurse is performing an assessment of the visual fields for a patient with glaucoma. When assessing the visual fields in acute glaucoma, what would the nurse expect to find?
Marked blurring of vision
Assessment of visual acuity reveals that the client has blurred vision when looking at distant objects but no difficulty seeing near objects. The nurse documents this as which of the following?
Myopia
To avoid the side effects of corticosteroids, which medication classification is used as an alternative to treating inflammatory conditions of the eyes?
Nonsteroidal anti-inflammatory drugs (NSAIDs)
The nurse is caring for a client ordered for multiple eye screening. Following which procedure will the nurse instruct the client on a yellow coloring to the skin and urine as being normal?
Retinal Angiography
The nurse is assessing an older client's vision. The nurse integrates knowledge of which of the following during the assessment?
The power of the lens to accommodate will be decreased.
A client is color blind. The nurse understands that this client has a problem with:
cones.
A client has just been diagnosed with early glaucoma. During a teaching session, the nurse should:
demonstrate eyedrop instillation.
A client with an inflammatory ophthalmic disorder has been receiving repeated courses of a corticosteroid ointment, one-half inch in the lower conjunctival sac four times a day as directed. The client reports a headache and blurred vision. The nurse suspects that these symptoms represent:
increased intraocular pressure (IOP).
A client has developed diabetic retinopathy and is seeing the physician regularly to prevent further loss of sight. From where do the nerve cells of the retina extend?
optic nerve
