Quiz 3 - MS

The nurse is observing a student nurse administer eyedrops, as shown in the figure. What should the nurse instruct the student to do? 1. Move the dropper to the inner canthus. 2. Have the client raise her eyebrows. 3. Administer the drops in the center of the lower lid. 4. Have the client squeeze both eyes after administering the drops.

3. Administer the drops in the center of the lower lid.

The expected outcome of using motifs to treat glaucoma is: 1. Paralyzing ciliary muscles 2. Constriction the intraocular vessels 3. Constricting the pupil 4. Relaxing ciliary muscles

3. Miotic agent constricts the pupil and contracts ciliary musculature.

A client has been diagnosed with an acute episode of angle-closure glaucoma. The nurse plans the client's nursing care with the understanding that acute angle-closure glaucoma: 1. frequently resolves without treatment .2. is typically treated with sustained bed rest. 3. is a medical emergency that can rapidly lead to blindness. 4. is most commonly treated with steroid therapy.

3. is a medical emergency that can rapidly lead to blindness

Which medication, if prescribed for the client with glaucoma, should the nurse question? 1. Betaxolol 2. Pilocarpine 3. Erythromycin 4. Atropine sulfate

4. Atropine sulfate

The nurse should assess clients with chronic open-angle glaucoma (COAG) for: 1. eye pain. 2. excessive lacrimation. 3. colored light flashes. 4. decreasing peripheral vision.

4. decreasing peripheral vision.

A short time after cataract surgery, the client has nausea. The nurse should first: 1. instruct the client to take a few deep breaths until the nausea subsides. 2. explain that this is a common feeling that will pass quickly. 3. tell the client to call the nurse promptly if vomiting occurs. 4. medicate the client with an antiemetic, as prescribed.

4. medicate the client with an antiemetic, as prescribed.

Which clinical manifestation should the nurse assess when a client has acute angle-closure glaucoma? 1. gradual loss of central vision 2. acute light sensitivity 3. loss of color vision 4. sudden eye pain

4. sudden eye pain

Cataract surgery results in aphakia. Which of the following statements best describes this term? A Absence of the crystalline lens B A "keyhole" pupil C Loss of accommodation D Retinal detachment

A Absence of the crystalline lens

A client with detachment of the retina is to patch both eyes. The expected outcome of patching is to: 1. reduce rapid eye movements 2. decrease the irritation caused by light entering the damaged eye 3. protect the injured eye from infection 4. minimize eye strain on the uninvolved eye

A: Patching the eyes helps decrease random eye movements that could enlarge and worsen retinal detachment.

The clinic nurse is preparing to test the visual acuity of a client using a Snellen chart. Which of the following identifies the accurate procedure for this visual acuity test? A:Both eyes are assessed together, followed by the assessment of the right and then the left eye. B: The right eye is tested followed by the left eye, and then both eyes are tested. C: The client is asked to stand at a distance of 40ft. from the chart and is asked to read the largest line on the chart. D: The client is asked to stand at a distance of 40ft from the chart and to read the line than can be read 200 ft away by an individual with unimpaired vision.

B: The right eye is tested followed by the left eye, and then both eyes are tested.

In preparation for cataract surgery, the nurse is to administer prescribed eye drops. The nurse reviews the physicians orders, expecting which type of eye drops to be instilled? A An osmotic diuretic B A miotic agent C A mydriatic medication D A thiazide diuretic

C A mydriatic medication

The nurse is performing an admission assessment on a client with a diagnosis of detached retina. Which of the following is associated with this eye disorder? A Pain in the affected eye B Total loss of vision C A sense of a curtain falling across the field of vision D A yellow discoloration of the sclera.

C A sense of a curtain falling across the field of vision

A client uses timolol maleate (Timoptic) eye drops. The expected outcome of this beta-adrenergic blocker is to control glaucoma by: A. constricting the pupils B. dilating the canals of Schlemm C. reducing aqueous humor formation D. improving the ability of the ciliary muscle to contract

C. reducing aqueous humor formation

The clinic nurse notes that the following several eye examinations, the physician has documented a diagnosis of legal blindness in the client's chart. A 20/20 vision B 20/40 vision C 20/60 vision D 20/200 vision

D 20/200 vision

The nurse is assessing a client with maculardegeneration. Identify the illustration that bestdepicts what clients with this disorder typically see.

In macular degeneration the center vision is blackened out and only the outer visual fields are clear.

The nurse is assessing a 65-year-old patient for presbyopia. Which instruction will the nurse give the patient before the test? a. "Hold this card and read the print out loud." b. "Cover one eye at a time while reading the wall chart." c. "You'll feel a short burst of air directed at your eyeball." d. "A light will be used to look for a change in your pupils."

a. "Hold this card and read the print out loud."

A nurse should include which instructions when teaching a patient with repeated hordeolum how to prevent further infection?

b. Discard all open or used cosmetics applied near the eyes.Hordeolum (styes) are commonly caused by Staphylococcus aureus, which may be present in cosmetics that the patient is using.

A 60-year-old patient is being prepared for outpatient cataract surgery. When obtaining admission data from thepatient, what would the nurse expect to find in the patient's history? a. A painless, sudden, severe loss of vision b. Blurred vision, colored halos around lights, and eye pain c. A gradual loss of vision with abnormal color perception and glare d. Light flashes, floaters, and a "cobweb" in the field of vision with loss of central or peripheral vision

c. A gradual loss of vision with abnormal color perception and glare

The patient is diagnosed with presbyopia. When he asks the nurse what that is, what is the best explanation the nurse can give to the patient? a. Abnormally long eyeballs b. Absence of crystalline lens c. Correctable with cylinder lens d. Loss of accommodation associated with age

d. Absence of crystalline lens is aphakia.

A patient with early cataracts tells the nurse that he is afraid cataract surgery may cause permanent visual damage. What should the nurse teach the patient? a. The cataracts will only worsen with time and should be removed as early as possible to prevent blindness. b. Cataract surgery is very safe and with the implantation of an intraocular lens, the need for glasses will be eliminated. c. Progression of the cataracts can be prevented by avoidance of ultraviolet (UV) light and good dietary management. d. Vision enhancement techniques may improve vision until surgery becomes an acceptable option to maintain desired activities.

d. Vision enhancement techniques may improve vision until surgery becomes an acceptable option to maintain desired activities.

The nurse performing an eye examination will document normal findings for accommodation when a. shining a light into the patient's eye causes pupil constriction in the opposite eye. b. a blink reaction follows touching the patient's pupil with a piece of sterile cotton. c. covering one eye for 1 minute and noting pupil constriction as the cover is removed. d. the pupils constrict while fixating on an object being moved closer to the patient's eyes.

d. the pupils constrict while fixating on an object being moved closer to the patient's eyes.

When assessing a patient's consensual pupil response, the nurse should a.have the patient cover one eye while facing the nurse. b.observe for a light reflection in the center of both corneas. c.instruct the patient to follow a moving object using only the eyes. d.shine a light into one pupil and observe the response of both pupils.

d.shine a light into one pupil and observe the response of both pupils

The nurse is to instill drops of phenylephrine hydrochloride into the client's eye prior to cataract surgery. What is the expected outcome?

dilation of the pupil and constriction of blood vessels

Which complications can occur following cataract surgery? Select all that apply. 1. acute bacterial endophthalmitis 2. retrobulbar hemorrhage 3. rupture of the posterior capsule 4. suprachoroidal hemorrhage 5. vision loss

1. acute bacterial endophthalmitis 5. vision loss

After returning home, a client who has had cataract surgery will need to continue to instill eyedrops in the affected eye. The client is instructed to apply slight pressure against the nose at the inner canthus of the eye after instilling the eyedrops. The expected outcome of applying pressure is that the pressure: 1. prevents the medication from entering the tear duct. 2. prevents the drug from running down the client's face. 3. allows the sensitive cornea to adjust to the medication 4. facilitates distribution of the medication over the eye surface.

1. prevents the medication from entering the tear duct (systemic effects)

A client tells the nurse that the eye doctor said the pressure in her right eye was 19 and asks if this is normal. Which is the most appropriate answer?

19 is within the normal range of 10-21

The client's vision is tested with a Snellen's chart. The results of the tests are documented as 20/60. Which actions should the nurse implement based on this finding? 1. Provide the client with materials on legal blindness. 2. Instruct the client that he or she may need glasses when driving. 3. Inform the client of where he or she can purchase a white cane with a red tip. 4. Inform the client that it is best to sit near the back of the room when attending lectures.

2. Instruct the client that he or she may need glasses when driving.

A client is having a cataract removed and will use eyeglasses after the surgery. The nurse should develop a teaching plan that includes which of the following? Select all that apply. 1. Images will appear to be one-third larger. 2. Look through the center of the glasses. 3. The changes will be immediate. 4. Use handrails when climbing stairs. 5. Stay out of the sun for 2 weeks.

1. Images will appear to be one-third larger. 2. Look through the center of the glasses. 4. Use handrails when climbing stairs.

The client with a cataract tells the nurse that she is afraid of being awake during eye surgery. Which of the following responses by the nurse would be the most appropriate? 1. "Have you ever had any reactions to local anesthetics?" 2. "What is it that disturbs you about the idea of being awake?" 3. "By using a local anesthetic, you won't have nausea and vomiting after the surgery." 4. "There's really nothing to fear about being awake. You'll be given a medication that will help you relax."

2. "What is it that disturbs you about the idea of being awake?"

The client has had a cataract removed. The nurse's discharge instructions should include which of the following? . Keep the head aligned straight 2. Utilize bright lights in the home. 3. Use an eye shield at night. 4. Change the eye patch as needed.

3. Using an eye shield at night prevents rubbing the eye. The head should be turned to the side to scan the entire visual field to compensate for impaired peripheral vision. The surgeon changes the eye patch the second postoperative day.

What should the nurse teach all patients with conjunctival infections to use? a. Artificial tears to moisten and soothe the eyes b. Dark glasses to prevent the discomfort of photophobia c. Warm moist compresses to the eyes to promote drainage and healing d. Frequent and thorough hand washing to avoid spreading the infection

d. Frequent and thorough hand washing to avoid spreading the infection

The client arrives in the emergency room with a penetrating eye injury from wood chips while cutting wood. The nurse assesses the eye and notes a piece of wood protruding from the eye, what is the initial nursing action? A. Remove the piece of wood using a sterile eye clamp B. Apply an eye patch C. Perform visual acuity tests D. Irrigate the eye with sterile saline

C. Perform visual acuity tests

The client's vision is tested with a Snellen's chart. The results of the tests are documented as 20/60. The nurse interprets this as: A The client can read at a distance of 60 feet what a client with normal vision can read at 20 feet. B The client is legally blind. C The client's vision is normal D. The client can read only at a distance of 20 feet what a client with normal vision can read at 60 feet.

D. The client can read only at a distance of 20 feet what a client with normal vision can read at 60 feet.

A client is prescribed an eyedrop and an eye ointment for the right eye. How should the nurse best administer the medications? a) Administer the eyedrop first, followed by the eye ointment. b) Administer the eye ointment first, followed by the eyedrop. c) Administer the eyedrop, wait 15 minutes, and administer the eye ointment. d) Administer the eye ointment, wait 15 minutes, and administer the eyedrop.

a) Administer the eyedrop first, followed by the eye ointment.

A patient with bilateral cataracts is scheduled for an extracapsular cataract extraction with an intraocular lensimplantation of one eye. What should be done by the nurse preoperatively? a. Assess the visual acuity in the unoperated eye to plan the need for postoperative assistance. b. Inform the patient that the operative eye will need to be patched for 3 to 4 days postoperatively. c. Assure the patient that vision in the operative eye will be improved to near normal on the first postoperative day. d. Teach the patient routine coughing and deep-breathing techniques to use postoperatively to prevent respiratory complications.

a. Assess the visual acuity in the unoperated eye to plan the need for postoperative assistance.

Assessment of a patient's visual acuity reveals that the left eye can see at 20 feet what a person with normal vision can see at 50 feet and the right eye can see at 20 feet what a person with normal vision can see at 40 feet. The nurse records which finding? a.OS 20/50; OD 20/40 b.OU 20/40; OS 50/20 c.OD 20/40; OS 20/50 d.OU 40/20; OD 50/20

a.OS 20/50; OD 20/40

The nurse is performing an eye examination on a 76-year-old patient. The nurse should refer the patient for a more extensive assessment based on which finding? a.The patient's sclerae are light yellow. b.The patient reports persistent photophobia. c.The pupil recovers slowly after responding to a bright light. d.There is a whitish gray ring encircling the periphery of the iris.

b. The patient reports persistent photophobia.

When assisting a blind patient in ambulating to the bathroom, the nurse should

d. walk slightly ahead of the patient and allow the patient to hold the nurse's elbow.When using the sighted-guide technique, the nurse walks slightly in front and to the side of the patient and has the patient hold the nurse's elbow.