PrepU Adult 2 Assignment 17
The nurse is administering an ophthalmic ointment to a patient with conjunctivitis. What disadvantage of the application of an ointment does the nurse explain to the patient?
Blurred vision results after application.
Which group of medications causes pupillary constriction?
Miotics
Which of the following would be an inaccurate clinical manifestation of a retinal detachment?
Pain
A nurse is giving discharge teaching to a client with an eye injury. Which statement about preventing eye injuries should the nurse include?
"Direct all spray nozzles away from your face before spraying."
After surgery for removal of cataract, a client is being discharged, and the nurse has completed discharge instruction. Which client statement indicates that the outcome of the teaching plan has been met?
"I should avoid pulling or pushing any object that weighs more than 15 lbs."
Which client statement would lead the nurse to suspect that the client is experiencing bacterial conjunctivitis?
"My eyelids were stuck together this morning."
A 52-year-old comes to the clinic for a follow-up examination after being diagnosed with glaucoma. The client states, "I'm hoping that I don't have to use these drops for very long." Which response by the nurse would be most appropriate?
"You'll need to use the drops for the rest of your life to control the glaucoma."
A client has just undergone a scleral buckle procedure for a retinal detachment. Which nursing interventions are aimed at reducing the risk for injury related to the surgical procedure? Select all that apply.
-Apply a shield over the patched eye at bedtime for at least 3 weeks. -Use a dim light in the room after sundown and at bedtime
A patient presents to an eye clinic with a number of symptoms related to his diminished vision. An initial history leads the nurse practitioner to suspect that the patient has acute angle-closure glaucoma. Which of the following symptoms would apply to this diagnosis? Select all that apply.
-Severe eye pain -Reddening of the eye -Sudden onset of visual disturbance -Nausea and vomiting
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?
Adhere to the medication regimen.
A nurse is caring for a legally blind client. What would the nursing interventions can the nurse use to promote the client's control over the hospital environment?
Ask where to store the client's self-care items
A patient has had cataract extractions and the nurse is providing discharge instructions. What should the nurse encourage the patient to do at home?
Avoid bending the head below the waist.
An ophthalmologist diagnoses a patient with myopia. The nurse explains that this type of impaired vision is a refractive error characterized by:
Blurred distance vision.
Which of the following medication classifications increases aqueous fluid outflow in the patient with glaucoma?
Cholinergics
What type of medication would the nurse use in combination with mydriatics to dilate the patient's pupil?
Cycloplegics
What is the correct advice regarding food for a client who underwent a cataract surgery?
Eat soft, easily chewed foods.
People with hyperopia are considered which of the following?
Farsighted
The nurse should monitor for which manifestation in a client who has undergone LASIK?
Halos and glare
Leslie Waterman, a 57-year-old corrections officer, is being seen at the ophthalmic group where you practice nursing. He's concerned about his vision changes where he sees distance much more clearly than nearby sights. What is the term used to describe his visual condition?
Hyperopia
Which action should the nurse recommend to a client with blepharitis?
Keep lid margins clean
Which surgical procedure involves flattening the anterior curvature of the cornea by removing a stromal lamella?
Laser-assisted in situ keratomileusis (LASIK)
Leslie Waterman, a 57-year-old corrections officer, is being seen at the ophthalmic group where you practice nursing. He's concerned about his vision changes where he sees distance much more clearly than nearby sights. After receiving his diagnosis, Mr. Waterman is puzzled as to the physical condition which caused his hyperopia. In explaining hyperopia, what do you indicate is the cause of Mr. Waterman's vision changes?
Mr. Waterman's eyeballs are shorter than normal
Assessment of visual acuity reveals that the client has blurred vision when looking at distant objects but no difficulty seeing near objects. The nurse documents this as which of the following?
Myopia
To avoid the side effects of corticosteroids, which medication classification is used as an alternative to treat inflammatory conditions of the eyes?
NSAIDs
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)
Laurie Sharples, a 45-year-old teacher, is being seen at the ophthalmic group where you practice nursing due to a vision change. She's noticed an inability to see reading material as she had previously, needing to extend her arms to make the print readable. What is the term used to describe her visual condition?
Presbyopia
Which statement is accurate regarding refractive surgery?
Refractive surgery is an elective, cosmetic surgery performed to reshape the cornea.
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
Which are accurate clinical manifestations of a retinal detachment?
Sudden onset of a greater number of floaters
Prior to an eye exam for possible macular degeneration, the nurse completes a history of symptoms. The nurse is aware that a diagnostic sign of age-related dry macular degeneration is:
The appearance of tiny, yellow spots in the field of vision.
A patient visits a clinic for an eye examination. He describes his visual changes and mentions a specific diagnostic clinical sign of glaucoma. What is that clinical sign?
The presence of halos around lights
A young client is being seen by a pediatric ophthalmologist due to a recent skateboarding accident that resulted in trauma to the right cornea, and is now at risk of developing an infection. Which nursing intervention would be contraindicated for a client at risk for infection?
To ensure correct application of antibiotic ointment, gently drag tip of tube along lower lid while squeezing ointment on to lid.
Which of the following types of conjunctivitis is preceded by symptoms of an upper respiratory infection?
Viral
A client has just been diagnosed with early glaucoma. During a teaching session, the nurse should:
demonstrate eyedrop instillation.
A client has noticed recently having clearer vision at a distance than up close. What is the term used to describe this client's visual condition?
hyperopia
Which would be an advanced stage finding in a client with wet macular degeneration?
inability to see images by looking at them directly
A client with an inflammatory ophthalmic disorder has been receiving repeated courses of a corticosteroid ointment, one-half inch in the lower conjunctival sac four times a day as directed. The client reports a headache and blurred vision. The nurse suspects that these symptoms represent:
increased intraocular pressure (IOP).
When obtaining the health history from a client with retinal detachment, a nurse expects the client to report:
light flashes and floaters in front of the eye.
A nurse is obtaining a history from a new client with glaucoma. The client indicates having read about the diagnosis and understanding that this type of glaucoma is due to the degeneration and obstruction of the trabecular meshwork, whose original function is to absorb the aqueous humor. The loss of absorption will lead to an increased resistance, and thus a chronic, painless buildup of pressure in the eye. Which type of glaucoma has the client described?
open angle
A client has noticed needing to hold printed material at arms length to make the print readable. What is the term used to describe this visual condition?
presbyopia
The nurse realizes that a client understands how to correctly instill ophthalmic medications when the client:
pulls the tissue near the cheek downward to instill medication.
After a fall at home, a client hits their head on the corner of a table. Shortly after the accident, the client arrives at the ED, unable to see out of their left eye. The client tells the nurse that symptoms began with seeing spots or moving particles in the field of vision but that there was no pain in the eye. The client is very upset that the vision will not return. What is the most likely cause of this client's symptoms?
retinal detachment
