Weber- Chapter 16 (assessing eyes)
A 52-year-old patient 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'."
The nurse is performing visual acuity testing on an older adult who has fallen and fractured their femur. What finding would be considered normal for this client? (Select all that apply.)
Arcus senilis Cataract Decreased tear production
A patient complains of feeling like he is slowly losing his central vision. The nurse knows this symptom could represent
Macular degeneration
When testing the near reaction, an expected finding includes...
Pupillary constriction on near gaze; dilation on distant gaze
A nurse performs the Snellen test on a client and obtains these results: OD 20/40, OS 20/30. What conclusion can the nurse make in regards to the client's vision based on these results?
The larger the bottom number, the worse the visual acuity.
A nurse is inspecting a client's eyes to assess for the possibility of detached retinas. The nurse is aware that which of the following is the function of the retina?
Transforms light rays into nerve impulses that are conducted to the brain
You are assessing visual fields on a patient newly admitted for eye surgery. The patient's left eye repeatedly does not see your fingers until they have crossed the line of gaze. You would document that the patient has what?
a left temporal hemianopsia
A client performs the test for distant visual acuity and scores 20/50-2. How should the nurse most accurately interpret this finding?
at 20 feet from the chart, the client sees what a person with good vision can see at 50 feet
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
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 clients records
characteristic symptom of graves hyperthyroidism
exophthalmos
A client frequently experiences dry, irritated eyes. These findings are consistent with a problem in what part of the eye?
lacrimal apparatus
An client presents at the ophthalmologist's office after being referred by his family physician. The referral was made after a benign growth of the conjunctiva was found growing from the nasal side of the sclera to the limbus in the client's right eye. The client asks the nurse what this growth is. What is the best answer the nurse can give?
pterygium
A client is assigned a visual acuity of 20/100 in her left eye. Which of the following is true?
she can see at 20 feet what a normal person could see at 100 feet
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 the examiner see the examiner's finger at the same time
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
The nurse is inspecting the cornea and lens of an elderly client and notices a white arc around the limbus of the client's eye. The nurse recognizes this condition, common in older adults, as which of the following?
Arcus senilis