22 Flashcards
To evaluate the effectiveness of the prescribed bifocals for a patient with myopia and presbyopia, the nurse in the eye clinic will check the patient for
a. strength of the eye muscles.
b. both near and distant vision.
c. cloudiness in the eye lenses.
d. intraocular pressure changes.
b. both near and distant vision.
A patient is seen in the ophthalmology clinic and diagnosed with recurrent staphylococcal and seborrheic blepharitis. The nurse will plan to teach the patient about
a. saline irrigation of the eyes.
b. surgical removal of the lesion.
c. using baby shampoo to clean the lids.
d. the use of cool compresses to the eyes.
c. using baby shampoo to clean the lids.
Which action should the nurse take when assisting a totally blind patient to walk to the bathroom?
a. Take the patient by the arm and lead the patient slowly to the bathroom.
b. Have the patient place a hand on the nurse’s shoulder and guide the patient.
c. Stay beside the patient and describe any obstacles on the path to the bathroom.
d. Walk slightly ahead of the patient and allow the patient to hold the nurse’s elbow.
d. Walk slightly ahead of the patient and allow the patient to hold the nurse’s elbow
A patient is seen at a clinic for repeated hordeolum of the eyes during the last 6 months. To help prevent further infection, the nurse advises the patient to
a. apply cold compresses at the first sign of recurrence.
b. discard all open or used cosmetics used near the eyes.
c. wash the scalp and eyebrows with an antiseborrheic shampoo.
d. be evaluated for the presence of sexually transmitted diseases (STDs).
b. discard all open or used cosmetics used near the eyes.
Which topic will the nurse plan to include when teaching the patient with herpes simplex keratitis of the left eye about management of the infection?
a. How to apply an occlusive dressing to the affected eye
b. Need for frequent hand washing and avoiding touching the eyes
c. Application of antibiotic drops to the left eye several times daily
d. Use of corticosteroid ophthalmic ointment to decrease inflammation
b. Need for frequent hand washing and avoiding touching the eyes
A new patient with 20/200 vision (with the use of corrective lenses) is being cared for by the nurse in the eye clinic. The nurse will plan to teach the patient about
a. how to use a cane safely.
b. how to access audio books.
c. where Braille instruction is available.
d. where to obtain specialized magnifiers.
d. where to obtain specialized magnifiers.
A patient is diagnosed with adult inclusion conjunctivitis (AIC) caused by Chlamydia trachomatis. Which of these actions will be included in the plan of care?
a. Discussing the need for sexually transmitted disease testing
b. Applying topical corticosteroids to prevent further inflammation
c. Assisting with applying for community visual rehabilitation services
d. Educating about the use of antiviral eyedrops to treat the infection
a. Discussing the need for sexually transmitted disease testing
Which topic will the nurse include in patient teaching after a patient has had outpatient cataract surgery and lens implantation?
a. Use of oral opioids for pain control
b. Administration of antibiotic eyedrops
c. Importance of coughing and deep breathing exercises
d. Need for bed rest for the first 24 hours after the surgery
b. Administration of antibiotic eyedrops
In reviewing a 50-year-old patient’s medical record, the nurse notes that the last eye examination revealed an intraocular pressure of 28 mm Hg. The nurse will plan to assess
a. visual acuity.
b. pupil reaction.
c. color perception.
d. peripheral vision.
d. peripheral vision.
A patient with a left retinal detachment has a pneumatic retinopexy procedure. Which information will be included in the discharge teaching plan?
a. The use of bilateral eye patches to reduce movement of the operative eye
b. The need to wear dark or tinted glasses to protect the eyes from bright light
c. The procedure for sterile dressing changes when the eye dressing is saturated
d. The purpose of maintaining the head in a prescribed position for several weeks
d. The purpose of maintaining the head in a prescribed position for several weeks
A patient with age-related macular degeneration has just had photodynamic therapy. Which statement by the patient indicates that the discharge teaching has been effective?
a. “I will need to use bright lights to read for at least the next week.”
b. “I will use drops to keep my pupils dilated until my appointment.”
c. “I will not use facial lotions near my eyes during the recovery period.”
d. “I will keep covered with long-sleeved shirts and pants for the next 5 days.”
d. “I will keep covered with long-sleeved shirts and pants for the next 5 days.”
To determine whether treatment is effective for a patient with primary open-angle glaucoma (POAG), the nurse will evaluate the patient for improvement in
a. eye pain.
b. visual field.
c. blurred vision.
d. depth perception.
b. visual field.
A patient with glaucoma who has been using timolol (Timoptic) drops for several days tells the nurse that the eyedrops cause eye burning and visual blurriness for a short time after administration. The best response to the patient’s statement is
a. “These are normal side effects of the drug, which should become less noticeable with time.”
b. “If you occlude the puncta after you administer the drops, it will help relieve these side effects.”
c. “The drops are uncomfortable, but it is very important for you to use them as prescribed to retain your vision.”
d. “These symptoms are caused by glaucoma and may indicate a need for an increased dosage of the eyedrops.”
c. “The drops are uncomfortable, but it is very important for you to use them as prescribed to retain your vision.”
A patient who is being admitted to the hospital for abdominal pain and nausea tells the nurse about a history of glaucoma. Which of these prescribed medications should the nurse question?
a. morphine sulfate 4 mg IV
b. diazepam (Valium) 5 mg IV
c. betaxolol (Betoptic) 0.25% eyedrops
d. scopolamine patch (Transderm Scop) 1.5 mg
d. scopolamine patch (Transderm Scop) 1.5 mg
A patient who has bacterial endophthalmitis in the left eye is restless, frequently asking whether the eye is healing and whether removal of the eye will be necessary. Based on the assessment data, which nursing diagnosis is appropriate?
a. Grieving related to current loss of functional vision
b. Anxiety related to the possibility of permanent vision loss
c. Situational low self-esteem related to loss of visual function
d. Risk for falls related to inability to see environmental hazards
b. Anxiety related to the possibility of permanent vision loss
To decrease the risk for future hearing loss, which action should the nurse working with college students at the on-campus health clinic implement?
a. Arrange to include otoscopic examinations for all patients.
b. Administer rubella immunizations to all students at the clinic.
c. Discuss the importance of limiting exposure to very amplified music.
d. Teach patients to regularly irrigate the ear to decrease cerumen impaction.
c. Discuss the importance of limiting exposure to very amplified music.