Glaucoma

Which condition is not a single eye disease, but a group of eye conditions that present with increased intraocular pressure? Macular degeneration Cataracts Glaucoma Eye trauma

Glaucoma

Answer the following questions regarding application of eye drops for a client with glaucoma. Client Positioning for Eye Drop Administration Have client tilt head back Instruct client to keep eye open Position client in side lying position Place client in supine position to facilitate eye drop insertion Head of the bed in Trendelenburg Head propped on two pillows

Have client tilt head back Instruct client to keep eye open Eye drops can be administered to a client who is seated or lying in bed. It is not necessary to place the client in supine position. The client should be instructed to tilt his or her head back and keep the eye open.

What treatment option is available to a client who does not respond to medication for open-angle glaucoma? Lens replacement Pleurodesis with chemical agents Laser trabeculoplasty Insertion of corneal implant

Laser trabeculoplasty

Which type of medication used for the treatment of glaucoma increases the outflow of aqueous humor while decreasing the intraocular pressure? Carbonicanhydrase inhibitors Alpha antagonists Prostaglandins Beta blockers

Prostaglandins

Which physical assessment examination verifies increased ocular pressures in patients with glaucoma? Tonometer examination Visual acuity test Ophthalmoscope examination Slit lamp evaluation

Tonometer examination

The nurse is discussing the plan of care for a patient with glaucoma who underwent trabeculectomy. Which statement indicates a need for correction? Select all that apply. "The patient should avoid bending at the waist." "I should instruct the patient to use the prescribed eye drops for life." "I should instruct the patient to avoid bending for 12 hours postsurgery." "I should instruct the patient to elevate the head while in a supine position." "I should advise the patient to avoid lifting heavy objects greater than 35 pounds."

"I should instruct the patient to avoid bending for 12 hours postsurgery." "I should advise the patient to avoid lifting heavy objects greater than 35 pounds."

The nurse is performing an eye assessment on a 45-year-old patient. Which report from the patient should cause the nurse to notify the primary healthcare provider? "I noticed that my eyes become dry when I read." "My peripheral vision is decreased." "I experience difficulty identifying faces." "I am unable to read the newspaper when it's placed at a normal distance from me."

"My peripheral vision is decreased."

A client requires additional eye drops for treatment of glaucoma as prescribed by the provider. What time frame should be noted when administering the additional drops? They can be given immediately following the first series of drops. Wait 30 minutes before administering. Separate medication administration by 4 hours. Administer additional drops within 3 to 5 minutes.

Administer additional drops within 3 to 5 minutes.

A clinical diagnosis of open-angle glaucoma is more likely to be associated with which ethnic group? Caucasian African Americans Mexican Americans Hispanic Americans

African Americans

Which technique would lead to increased eye absorption of medications used in the treatment of glaucoma? Encourage the client to drink fluids following administration of medication. Apply gentle pressure to the client's nasolacrimal duct for 30 to 60 seconds. Position the client on the affected side to increase absorption post administration. Instruct the client to refrain from coughing.

Apply gentle pressure to the client's nasolacrimal duct for 30 to 60 seconds.

Which medications used in the treatment of glaucoma reduce production of aqueous humor? Select all that apply. Carbonic anhydrase inhibitors Beta blockers Epinephrine Miotic drugs Prostaglandin type

Carbonic anhydrase inhibitors Beta blockers

Answer the following questions regarding application of eye drops for a client with glaucoma. Administering Drops to Client's Right Eye Retract right lower lid downward Rest wrist on client's left cheek Invert medication bottle prior to administering medication Touch the bottle tip to the client's eye to maintain contact Gently squeeze bottle to provide the correct number of drops, avoiding eye contact Have client keep right eye open for 2 minutes following eye drop administration Application of warm towel to facilitate eye drop absorption

Retract right lower lid downward Invert medication bottle prior to administering medication Gently squeeze bottle to provide the correct number of drops, avoiding eye contact When administering an eye drop to the client's right eye, you should rest your wrist on his or her right cheek. Then retract the right lower lid downward and invert the medication bottle prior to administering. Avoid contact with the eye or any foreign object when administering the medication.

The nurse is caring for a patient diagnosed with acute angle glaucoma. Which clinical manifestation does the nurse expect to see in this patient? Select all that apply. Double vision Severe eye pain Halo vision Loss of peripheral vision Decreased night vision

Severe eye pain Halo vision

Answer the following questions regarding application of eye drops for a client with glaucoma. Multiple Drops Ordered Administer all eye drops at one time within seconds. Use non-sterile gloved hands to administer each set of drops. Alternate eye receiving medication. Administer each medication within 3 to 5 minutes after previous medication. Wait 4 hours before administering any additional eye drops. Change gloves between each type of eye drop.

Use non-sterile gloved hands to administer each set of drops. Administer each medication within 3 to 5 minutes after previous medication. If additional eye drops are ordered, the nurse can administer them within 3 to 5 minutes of the last medication with non-sterile gloved hands.

Answer the following questions regarding application of eye drops for a client with glaucoma. Facilitating Local Medication Absorption Apply a warm compress to the eye. Apply direct pressure to the client's nasolacrimal duct for 2 minutes. Use a sterile gauze swab to apply pressure on the nasolacrimal duct for 1 minute. Use a clean tissue to apply pressure on the nasolacrimal duct for 30-60 seconds. Have the client swallow following administration of the eye drop. Wait 3 to 5 minutes between different medications.

Wait 3 to 5 minutes between different medications. Use a clean tissue to apply pressure on the nasolacrimal duct for 30-60 seconds. Applying gentle pressure using a clean tissue on the client's nasolacrimal duct for 30 to 60 seconds will decrease systemic absorption and increase local absorption following eye drop administration. There is no need to apply a warm compress or have the client swallow. Direct pressure is not indicated. Additional eye drops may be administered after 3 to 5 minutes to allow for absorption.

Answer the following questions regarding application of eye drops for a client with glaucoma. Preventive Steps for Eye Drop Application Washing hands appropriately Maintaining a sterile field for equipment Performing surgical scrub Using non-sterile gloves Using sterile gloves Performing in a dust-free environment

Washing hands appropriately Using non-sterile gloves A surgical scrub is not required for administration of eye drops nor is setting up a sterile field for assembled equipment. Handwashing is done to prevent infection and non-sterile gloves are indicated for eye drop administration. A dust-free environment is not possible.