eyes: chapter 13 (PREP U QUESTIONS)

A client recently diagnosed with Grave's diseases exhibits protruded eyeballs. Which eye care instruction should the nurse discuss with this client?

"Wear an eyepatch and use moisturizing eye drops."

Parts of conjunctiva

-palpebral -bulbar

Which of the following statements most accurately describes the maintenance of normal intraocular pressure?

Aqueous humor is continuously circulating through the eye with production equaling drainage.

Which technique by the nurse demonstrates proper use of the ophthalmoscope?

Asks the client to fix the gaze upon an object and look straight ahead

When performing the cover test, a nurse notices that the client's left eye turns outward. How should the nurse document this finding in the client's record?

Exotropia

The nurse is preparing to test a client's eyes for accommodation. The nurse would have the client focus on an object in which sequence for this test?

Far, then near

A client presents to the emergency department after being hit in the head with a baseball bat during a game. The nurse should assess for which condition?

Hyphema

A nurse assesses the distant vision acuity of a client using the Snellen chart. Which action should the nurse implement to perform the test with accuracy?

Instruct the client to read without reading glasses

A 52-year-old client with myopia calls the ophthalmology clinic very upset. She tells the nurse, "I keep seeing semi-clear spots floating across my vision. What is wrong with me?" What would be the most appropriate response by the nurse?

It is not an uncommon finding in people older than 40 years for this to happen. They are called 'floaters'."

When examining the eye with an ophthalmoscope, where would the nurse look to visualize the optic disc?

Medially toward the nose

A nurse assesses the pupillary reaction to light for a client. Which precaution should the nurse follow to get an accurate result of consensual response?

Place an opaque card in between the eyes of the client

The nurse observes a middle-aged colleague fully extending her arm to read the label on a vial of medication. Which of the following age-related changes is the nurse likely to have observed?

Presbyopia

A client has a nursing diagnosis of disturbed visual sensory perception. Which of the following is the most appropriate outcome for this client's care planning?

The client will remain free from harm resulting from a loss of vision.

A client has an abnormal consensual pupillary reaction to light. A nurse understands that what reaction occurs in the client's eyes?

There is no reaction in the opposite pupil to light.

accommodation of eyes

This is the lens changing shape to focus on near or distant objects

The functional reflex that allows the eyes to focus on near objects is termed:

accommodation

Argyll Robertson syndrome

bilaterally small pupils that do not constrict when exposed to bright light but do constrict when focused on a nearby object

A nurse is collecting subjective data during a client's eye and vision assessment. When asking the question, "Do you wear sunglasses during exposure to the sun?" the nurse is addressing a known risk factor for what health problem?

cataracts

The middle layer of the eye is known as the

choroid layer

Horner's syndrome

collection of signs relating to injury of the cervical sympathetic innervation to the eye

A light is pointed at a client's pupil, which then contracts. It is also noted that the other pupil contracts as well, though it is not exposed to bright light. Which of the following terms describes this latter phenomenon?

consensual reaction

A nurse is performing a focused visual assessment on a client. The nurse assesses the pupillary response with a pen light. Both of the client's pupils immediately constrict when the light is shone into the right pupil. How should the nurse document this finding?

consensual reflexes observed

Retina

contains photoreceptors

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 usually due to

decreased accomodation

Mydriasis

dilation of the pupil

A client complains of feeling like he is slowly losing his central vision. The nurse knows this symptom could represent

macular degeneration

myopia

nearsightedness

The optic nerves from each eyeball cross at the

optic chiasma

When performing an ophthalmoscopic exam, a nurse observes a round shape with distinct margins. The nurse would document this as which of the following?

optic disc

What is the primary purpose of the health history in relation to the eyes?

to identify changes

The nurse notes that the ophthalmologist suspects death of the optic nerve. When looking into the eye, the nurse would expect to see what color if the disc is dead?

white

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.

The nurse is using the ophthalmoscope to examine the client's eyes. The nurse holds the scope

in the right hand for the right eye and in the left hand for the left eye

A nurse examines a client's retina during the ophthalmic examination and notices light-colored spots on the retinal background. The nurse should ask the client about a history of what disease process?

diabetes

presbyopia

impaired vision as a result of aging

When testing the near reaction, an expected finding includes which of the following?

Pupillary constriction on near gaze; dilation on distant gaze

A 48-year-old client reports a recent loss of peripheral vision and eye pain. Based on these findings, the nurse determines these signs and symptoms may be the result of which of the following eye disorders?

glaucoma

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.

Glaucoma

increased intraocular pressure results in damage to the retina and optic nerve with loss of vision

The nurse observes a middle-aged colleague fully extending her arm to read the label on a vial of medication. Which of the following age-related changes is the nurse likely to have observed?

presbyopia