Cataracts

a nurse is collecting data from a client with a new diagnosis of mastoiditis. which of the following manifestations should the nurse expect? swelling behind the ear facial drooping nystagmus on the affected side pearly gray color of the affected ear drum

A: swelling behind the ear

manifestations of primary open angle glaucoma A: loss of peripheral vision B: Headache C: loss of color perception D:discomfort in the eyes

A: Loss of peripheral vision

T/F Decreased color perception is a sign of cataracts

True

otorrhea

any discharge from the external ear

The nurse is monitoring a male client for adverse reactions to atropine sulfate (Atropine Care) eyedrops. Systemic absorption of atropine sulfate through the conjunctiva can cause which adverse reaction? A Tachycardia B Increased salivation C Hypotension D Apnea

A Tachycardia

A female client is admitted to the facility for investigation of balance and coordination problems, including possible Ménière's disease. When assessing this client, the nurse expects to note: A vertigo, tinnitus, and hearing loss. B vertigo, vomiting, and nystagmus. C vertigo, pain, and hearing impairment. D vertigo, blurred vision, and fever

A: Ménière's disease, an inner ear disease, is characterized by the symptom triad of vertigo, tinnitus, and hearing loss.

The nurse is assessing a 37-year-old client diagnosed with multiple sclerosis. Which of the following symptoms would the nurse expect to find? A Vision changes B Absent deep tendon reflexes C Tremors at rest D Flaccid muscles

A: Vision changes, such as diplopia, nystagmus, and blurred vision, are symptoms of multiple sclerosis.

An auto mechanic accidentally has battery acid splashed in his eyes. His coworkers irrigate his eyes with water for 20 minutes, and then take him to the emergency department of a nearby hospital, where he receives emergency care for corneal injury. The physician prescribes dexamethasone (Maxidex Ophthalmic Suspension), two drops of 0.1% solution to be instilled initially into the conjunctival sacs of both eyes every hour; and polymyxin B sulfate (Neosporin Ophthalmic), 0.5% ointment to be placed in the conjunctival sacs of both eyes every 3 hours. Dexamethasone exerts its therapeutic effect by: A increasing the exudative reaction of ocular tissue. B decreasing leukocyte infiltration at the site of ocular inflammation. C inhibiting the action of carbonic anhydrase. D producing a miotic reaction by stimulating and contracting the sphincter muscles of the iris.

B: Dexamethasone exerts its therapeutic effect by decreasing leukocyte infiltration at the site of ocular inflammation. ** This reduces the exudative reaction of diseased tissue

After an eye examination, a male client is diagnosed with open-angle glaucoma. The physician prescribes pilocarpine ophthalmic solution (Pilocar), 0.25% gtt i, OU q.i.D. Based on this prescription, the nurse should teach the client or a family member to administer the drug by: A instilling one drop of pilocarpine 0.25% into both eyes daily. instilling one drop of pilocarpine 0.25% into both eyes four times daily. C instilling one drop of pilocarpine 0.25% into the right eye daily. instilling one drop of pilocarpine 0.25% into the left eye four times daily

B: The abbreviation "gtt" stands for drop, "i" is the apothecary symbol for the number 1, OU signifies both eyes, and "q.i.d." means four times a day.

A male client is color blind. The nurse understands that this client has a problem with: A rods. B cones. C lens. D aqueous humor.

B: cones provide daylight color vision and their stimulation is interpreted as color

A nurse is reinforcing discharge teaching w/PT who is postoperative following scleral buckling to repair a detached retina. which of the following instructions should the nurse include in the teaching? A expect vision back immediately B expect flashing light in front of the effected eye after the procedure C you can remove your eye shield at nigh D do not lift more than 25lbs

B: expect flashing light in front of the effected eye after the procedure

A nurse is talking with a client who will undergo surgery to repair retinal detachment. which of the following preoperative instructions should the nurse include? A: keep both eyes patcched B:restrict head movement C: lie down as much as possible D: apply cool compresses

B: restrict head movement

reinforcing education on a PT following cataract removal of the left eye with placement of intraocular lens implant. which of the following statements indicates to the nurse that additional education is needed A even though my vision is improved i will still need glasses B If there is drainage clean with clean damp cloth C I may have pain for a day or two but keeping the eye patched will help D my vision may be blurry for a couple weeks until completely healed

C: DO NOT KEEP EYE PATCHED

a nurse is collecting data from a client who has a new diagnosis of acute angle-closure glaucoma. the nurse should anticipate the client to report which of the following manifestations. A Multiple Floaters B flashes of light C severe eye pain D double vision

C: Severe eye Pain

5. The nurse is right when she instructs the patient to avoid: A. Getting up from bed for 2 weeks after surgery. B. Chewing on the same side of the operated area. C. Taking anticoagulants. D. Using eyeglasses when going outside.

C: Taking anticoagulants predisposes the patient to hemorrhage

4. On ophthalmic examination, the physician noted the major objective finding seen with cataracts: A. Tunnel vision. B. Glare. C. Opaque lens. D. Eye pain.

C: The lens of the eye turns milky white in cataracts, and this is the major objective finding seen.

A female client who was found unconscious at home is brought to the hospital by a rescue squaD. In the intensive care unit, the nurse checks the client's oculocephalic (doll's eye) response by: A introducing ice water into the external auditory canal. B touching the cornea with a wisp of cotton. C turning the client's head suddenly while holding the eyelids open. D shining a bright light into the pupil.

C: To elicit the oculocephalic response, which detects cranial nerve compression, the nurse turns the client's head suddenly while holding the eyelids open.

2. After cataract surgery, the patient is encouraged to: A. Maintain bed rest for 1 week. B. Lie on his or her stomach while sleeping. C. Avoid bending his or her head below the waist. D. Lift weights to increase muscle strength.

C: avoid bending his or her head below the waist

A nurse is caring for a client who is receiving mydriatic eye drops. which of the following clinical manifestations indicated to the nurse that the client has developed a systemic anticholinergic effect? A: seizures B: Tachypnea C: constipation D: hypothermia

C: mydriatic eyedrops can cause systemic anticholingeric effects such as constipation dry mouth, photophobia, and tachycardia

a nurse is reinforcing education about postop care to a client who is schedueled for cataract surgery. which of the following information should be included A bloodshot eyes the day of surgery should be reported B apply warm compress 3x a day C photophobia is expected for 2-3 days D vision will greatly approve the day of surgery

D

reinforcing teaching with a client who has a new diagnosis of primarary open angle glaucoma: which info should the nurse include? A lost vision can improve with eye drops B administer eye drops PRN C glasses will be necessary to correct accompanying presbyopia D driving can be dangerous due to loss of peripheral vision E laser surgery can help reestablish the flow of aqueous humor

D, E

A male client with a conductive hearing disorder caused by ankylosis of the stapes in the oval window undergoes a stapedectomy to remove the stapes and replace the impaired bone with a prosthesis. After the stapedectomy, the nurse should provide which client instruction? A "Lie in bed with your head elevated, and refrain from blowing your nose for 24 hours." B "Try to ambulate independently after about 24 hours." C "Shampoo your hair every day for 10 days to help prevent ear infection." D "Don't fly in an airplane, climb to high altitudes, make sudden movements, or expose yourself to loud sounds for 30 days."

D20

A female client complains of periorbital aching, tearing, blurred vision, and photophobia in her right eye. Ophthalmologic examination reveals a small, irregular, nonreactive pupil — a condition resulting from acute iris inflammation (iritis). As part of the client's therapeutic regimen, the physician prescribes atropine sulfate (Atropisol), two drops of 0.5% solution in the right eye twice daily. Atropine sulfate belongs to which drug classification? A Parasympathomimetic agent B Sympatholytic agent C Adrenergic blocker D Cholinergic blocker

D: Atropine sulfate is a cholinergic blocker.

1. Nurse Kaye is carrying out her operative teachings for an older client who will have cataract surgery on the right eye. The nurse concludes that the client needs further understanding about the teachings if he says: A. "I will sleep on my left side after surgery." B. "I will wipe my nose gently if it is congested after surgery." C. "I will call my physician if I have sharp and sudden pain or a fever after surgery." D. "I will bend below my waist frequently to increase circulation after surgery."

D: Immediately after the procedure, the client should avoid bending over, to prevent putting extra pressure on the eye.

3. Upon assessment, the patient told the nurse that she was experiencing the three common symptoms found with cataracts and these are listed below except for: A. Blurred vision. B. Glare. C. Halos. D. Eye pain.

D: Pain is not present in cataract; only in glaucoma.

after repair of detached retina which position should the client be in if oil or gas was used?

Prone: laying on the stomach

precautions when using pilocarpine?

do not drive for an hour or so while using medication because it causes blurred vision for 1-2 hrs