Chap. 63- Patients With Eye and Vision Disorders

When assessing the pressure of the anterior chamber of the eye, a nurse normally expects to find a pressure of: -20 to 30 mm Hg. -10 to 20 mm Hg. -5 to 10 mm Hg. -over 30 mm Hg.

10 to 20 mm Hg.

A nurse practitioner examines a patient and documents a best corrected visual acuity (BCVA) ratio in his better eye that qualifies him for government financial assistance based on the definition of legal blindness. What is that ratio? -20/160 -20/200 -20/140 -20/120

20/200

When undergoing testing of visual acuity with a Snellen chart, the client can read the line labeled 20/50 but misses three letters on the line. The nurse documents this finding as which of the following? -20/20/50 -20/50 -20/50-3 -20/20 + 30

20/50-3

A client has undergone enucleation. What complication of enucleation should be addressed by the nurse? -Hypotension -Nausea & Vomiting -Hemorrhage -Pueumonia

Hemorrhage

The nurse admits a client to the emergency department who has been referred by the eye clinic. Which condition is an emergency where the nurse should refer the client for medical treatment immediately? -Blepharitis -Hordeolum -Acute angle-closure glaucoma -Chalazion

Acute angle-closure glaucoma

A nurse is performing an eye examination. Which question would NOT be included in the examination? -"Are you able to raise both eyebrows?" -Have you experienced blurred, double, or distorted vision?" -"What medications are you taking?" -"Do any family members have any eye conditions?"

"Are you able to raise both eyebrows?"

Following an ophthalmologic exam, an anxious client asks the nurse, "How serious is a refraction error?" Which of the following is the best response from the nurse? -"It means corrective lenses are required." -"It is nothing serious." -"Simple surgery can fix this problem." -"This is normal for anyone your age."

"It means corrective lenses are required."

Which of the following surgical procedures involves taking a piece of silicone plastic or sponge and sewing it onto the sclera at the site of a retinal tear? -Scleral buckle -Pneumatic retinopexy -Phacoemulsification -Pars plana vitrectomy

Scleral buckle

Which client statement would lead the nurse to suspect that the client is experiencing bacterial conjunctivitis? -"My eyes hurt when I'm in the bright sunlight." -"It feels like there is something stuck in my eye." -"My eyes feel like they are on fire." -"My eyelids were stuck together this morning."

"My eyelids were stuck together this morning."

The nurse is giving a visual field examination to a 55-year-old male client. The client asks what this test is for. What would be the nurse's best answer? -"This test measures visual acuity." -"This test measures how well your eyes move." -"This test is to see how well your eyes are aging." -"This test measures peripheral vision and detects gaps in the visual field."

"This test measures peripheral vision and detects gaps in the visual field."

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. -Normal tension. -Chronic angle-closure. -Chronic open-angle.

Acute angle-closure.

A major role for nursing in the management of glaucoma is health education. Which of the following is the most important teaching point that the nurse should advise the patient of? - Keep a record of eye pressure measurements. -Participate in the decision-making process. -Adhere to the medication regimen. -Keep all follow-up appointments.

Adhere to the medication regimen.

Which feature should a nurse observe during an ophthalmic assessment? -Internal eye function -Intraocular pressure -Appearance of the external eye -Visual acuity

Appearance of the external eye

A client who is blind is awaiting elective surgery. What should the nurse do to promote this client's control over their hospital environment? -Ask the client where to store his or her self-care items. -Arrange the meal tray in a way that is easiest for the nurse to assist the client. -Keep personal care items where the nurse knows their location. -Open all containers without prompting to be helpful.

Ask the client where to store his or her self-care items.

The nurse should monitor for which manifestation in a client who has had LASIK surgery? -Excessive tearing -Cataract formation -Halos and glare -Stye formation

Halos and glare

Which type of benign tumor of the eyelids is characterized by superficial, vascular capillary lesions that are strawberry red in color? -Milia -Molluscum contagiosum -Hemangioma -Xanthelasma

Hemangioma

The nurse is obtaining a visual history from a client who has noted an increase in glare and changes in color perception. Which assessment would the nurse anticipate to confirm a definitive diagnosis? -Identification of opacities on the lens -Identification of white circle around the cornea -Identification of redness of the sclera -Identification of yellowish aging spot on the retina

Identification of opacities on the lens

The client with chronic open-angle glaucoma is receiving timolol (Timoptic) eye drops. Which evaluation finding would indicate to the nurse the treatment is working? -Decrease in nausea and vomiting -Reduced peripheral vision -Intraocular pressure 15 mm Hg -Halos around lights

Intraocular pressure 15 mm Hg

A client presents to the ED reporting a chemical burn to both eyes. Which is the priority nursing intervention? -Obtain the Material Safety Data Sheet (MSDS). -Assess the pH of the corneal surface. -Assess visual acuity. -Irrigate both eyes.

Irrigate both eyes.

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. -Opacity in the lens -Shrinkage of the vitreous body -Decreased eye muscle tone

Loss of accommodative power in the lens.

The nurse is explaining metastatic rhabdomyosarcoma to a group of parents with children diagnosed with the disease. The most common site of metastasis in clients diagnosed with rhabdomyosarcoma is the: -brain. -lymph nodes. -bone. -lung.

Lung

Which is the most common cause of visual loss in people older than 60 years of age? -Retinal detachment -Macular degeneration -Cataracts -Glaucoma

Macular degeneration

During an intial assessment, the nurse notes a symptom of a mild case of bacterial conjunctivitis and documents in the electronic medical record that the client is displaying which of the following ? -Mucopurulent ocular discharge -Elevated intraocular pressure -Severe pain -Blurred vision

Mucopurulent ocular discharge

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) -Mioticss -Mydriatics -Cycloplegics

Nonsteroidal anti-inflammatory drugs (NSAIDs)

The nurse is assisting the eye surgeon in completing an examination of the eye. Which piece of equipment would the nurse provide to the physician to examine the optic disc under magnification? -Ophthalmoscope -Tonometer -Amsler grid -Retinoscope

Ophthalmoscope

The nurse is reviewing the medical record of a client with glaucoma. Which of the following would alert the nurse to suspect that the client was at increased risk for this disorder? -Age younger than 40 years -Hyperopia since age 20 years -History of respitatory disease -Prolonged use of corticosteroids

Prolonged use of corticosteroids

Which is an accurate statement regarding refractive surgery? -Refractive surgery may be performed on all clients, even if they have underlying health conditions. -Refractive surgery is an elective cosmetic surgery performed to reshape the cornea. -Refractive surgery will alter the normal aging of the eye. -Refractive surgery may be performed on clients with an abnormal corneal structure as long as they have a stable refractive error.

Refractive surgery is an elective cosmetic surgery performed to reshape the cornea.

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 Imaging -Retinal Angiography -Retinoscopy -Ultrasonography

Retinal Angiography

When the patient tells the nurse that his vision is 20/200, and asks what that means, the nurse informs the patient that a person with 20/200 vision: -Sees an object from 20 feet away that a person with normal vision sees from 20 feet away. -Sees an object from 200 feet away that a person with normal vision sees from 200 feet away. -Sees an object from 200 feet away that a person with normal vision sees from 20 feet away. -Sees an object from 20 feet away that a person with normal vision sees from 200 feet away.

Sees an object from 20 feet away that a person with normal vision sees from 200 feet away.