Pathophysiology Exam #1
A 78-year-old female client has been scheduled for outpatient cataract surgery. While taking a presurgery history, which statement by the client correlates to the surgical procedure?
"I have blurred vision in both my eyes and my visual is distorted."
An elderly woman has been diagnosed with macular degeneration following a visit to an ophthalmologist. Which of the woman's following statements best demonstrates an accurate understanding of her new diagnosis?
"I suppose that this may be one of the things that happen when you get older."
A patient has been diagnosed with a cataract and wants to know what percentage of individuals get cataracts. The patient is 78 years old. What percentage of patients over the age of 75 have cataracts?
70%
A client tells the nurse that he is experiencing floaters in the eye. Which is the appropriate nursing intervention?
Contact the doctor
The nurse is conducting a vision assessment on a 2-year-old child. The nurse should assess for which of the following?
Fixation. The best vision assessment for infants and children under 3 years of age is accomplished by determining whether each eye can fixate on an object, maintain fixation, and follow the object.
What are risk factors for retinal detachment? Select all that apply.
History of congenital eye disease, High grade of myopia, Hereditary vitreopathies with abnormal vitreous gel
As part of the community health department, a nurse is educating a group of diabetic clients about prevention of blindness. Which of the following topics should be covered during this class? Select all that apply.
Importance of yearly eye exams, Tight control of blood glucose levels, Keep BP below 130.85 (Am. Heart Assoc. Guidelines)
The nurse documents the presence of nystagmus when assessing a client. This can be interpreted as:
Involuntary eye movements that preserve eye fixation on stable objects in the visual field
During an eye assessment the nurse notes inflammation of the client's cornea. The nurse should document this as which of the following?
Keratitis
Cortical blindness is the bilateral loss of the primary visual cortex. What is retained in cortical blindness?
Pupillary reflexes
The parents of a 6-month-old child who was born with a blocked tear duct is concerned because their child has been waking up the past few mornings with inflammation in the left eye and yellow, dried secretions preventing eye opening in spite of massaging the tear duct. The nurse would anticipate which of the following?
The child has developed dacryocystitis.
The nursing instructor is teaching a class on diabetes and discusses complications of the disease. She further states that diabetic retinopathy is one of the leading causes of blindness. What does she tell the students are major risk factors for developing diabetic retinopathy? Select all that apply.
• Hypertension • Chronic hyperglycemia • Smoking
