PREP U- the eyes
Men are affected with glaucoma more than women. True or False
True
A client presents to a primary care office with a complaint of double vision (diplopia). On questioning, the client claims to have not suffered any head injuries. Which of the following underlying conditions should the nurse most suspect in this client?
brain tumor
The chambers of the eye contain aqueous humor, which helps to maintain intraocular pressure and
cleanses the cornea and lense
The nurse is preparing to assess a client's visual fields to evaluate her gross peripheral vision. Which test would the nurse perform?
confrontation test
You are examining an older adult, what is a normal finding?
ectropia
where are the muscles that adjust to control the amount of light entering the eye?
iris
A client reports an area of distortion when looking at the Amsler chart. What does this finding indicate to the nurse?
macular degeneration
Where does the nurse look to visualize the optic disc
medially toward the nose
Newborns to age 5 should be tested for what in their eyes?
strabismus- eye misalignment entropia- one eye turned in exotropia- one eye turned out
the conjunctiva of the eye is divided into the palpebral portion and
the bulbar portion
The middle layer of the eye is known as the
the choroid layer
A client is diagnosed with a scotoma. What question is appropriate for the nurse to ask to obtain more data about this condition?
"are the blind spots continuous or intermittent"
What is amblyopia
"lazy eye" - one eye has better vision
A client is concerned about a bright red area on the sclera. What should the nurse say to the client about this finding?
"this can occur with sneezing or coughing and is harmless"
What do retinal abnormalities include?
**Age-related macular degeneration Mydriasis Argyll Robertson syndrome Horner's syndrome
optic nerves cross at:
the optic chiasm
What causes glaucoma
increased intraocular pressure
When performing an ophthalmoscopic exam, a nurse observes a round shape with distinct margins. The nurse would document this as which of the following?
the optic disc
If the patient is experiencing "flashing lights" what does this imply
detachment of vitreous retina- need prompt eye consult
What is seen in patients with anisocoria
one pupil is bigger in size
What ethnicity is more at risk for glaucoma
African americans
Abnormal protrusion of the eye is seen in what disease process
Graves disease
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 (pooling of blood inside the anterior chamber)
A nurse assesses a client's pupils for the reaction to light and observes that the pupils are of unequal size. What should the nurse do next in relation to this finding?
ask about previous trauma to the eyes
What blood vessels go into the eye?
the choroids
As part of a physical assessment, the nurse performs the confrontation test to assess the client's peripheral vision. Which test result should a nurse recognize as indicating normal peripheral vision for a client using the confrontation test?
the client and examiner see the examiners finger at the same time
Miosis in pupils is what
the constriction of the pupils mydriases: the dilation of the pupils
what part of the eye receives/ transmits visual stimuli to the brain for processing?
the retina
What is the primary purpose of the health history in relation to the eyes?
to identify changes
What is the function of the retina
transform light rays into nerve impulses that are conducted to the brain
