ASSESSING THE EYES SITUATIONAL

The nurse is caring for a healthy adult client with no history of vision problems. The nurse should tell the client that a thorough eye examination is recommended every

2 years

An adult client tells the nurse that she frequently experiences burning and itching of both eyes. The nurse should assess the client for

Allergies

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

Check the client's blood pressure

An adult client tells the nurse that his eyes are painful because he left his contact lenses in too lon the day before yesterday. The nurse should instruct the client that prolonged wearing of contact lenses can lead to

Corneal damage

An adult client visits the clinic and tells the nurse that he has been experiencing double vision for the past few days. The nurse refers the client to a physician for evaluation of possible

Increased intracranial pressure

The nurse is preparing to examine an adult client's eyes, using a Snellen chart. The nurse should

Position the client 609.6 cm (20ft) away from the chart

A client tells the nurse that she has difficulty seeing while driving at night. The nurse should explain to the client that night blindness is often associated with

Vitamin A deficiency

An adult client visits the outpatient clinic and tells the nurse that he has a throbbing arching pain in his right eye. The nurse should assess the client for

A foreign body in the eye

While assessing the eyes of an adult client, the nurse uses a wisp of cotton to stimulate the client's

Corneal reflexes

The nurse has tested the near visual acuity of a 45 year old client. The nurse explains to the client that the client has impaired near vision and discusses a possible reason for the condition. The nurse determines that the client has understood the instructions when the client says that presbyopia is

Decreased accommodation

The nurse has tested an adult client's visual fields and determined that the temporal field is 90 degrees in both eyes. The nurse should

Document the findings in the client's records

While assessing the eye of an adult client, the nurse observes an inward turning of the client's left eye. The nurse should document the client's

Esotropia

A 45 year old client tells the nurse that he occasionally sees spots in front of his eyes. The nurse should

Tell the client that these often occur with aging

An adult client tells the nurse that his father had cataracts. He asks the nurse about risk factors for cataracts. The nurse should instruct the client that a potential risk factor is

UV light exposure

An adult client tells the nurse that her peripheral vision is not what it used to be and she has a blind spots in her left eye. The nurse should refer the client for evaluation of possible

Glaucoma

An adult client visits the clinic and tells the nurse that she has had a sudden change in her vision. The nurse should explain to the client that sudden changes in vision are often associated with

Head trauma

A client visits the local clinic after experiencing head trauma. The client tells the nurse that he has a consistent blind spot in his right eye. The nurse should

Refer the client to an ophthalmologist

A client has tested 20/40 on the distant visual acuity test using a Snellen chart. The nurse should

Refer the client to an optometrist

The nurse is examining an adult client's eyes. The nurse has explained the positions test to the client. The nurse determines the client needs further instructions when the client says that the positions test

Requires the covering of each eye separately

An adult client visits the clinic and tells the nurse that he has had excessive tearing in his left eye. The nurse should assess the client's eye for

Lacrimal obstruction