21MD Flashcards
The nurse is providing health promotion teaching to a group of older adults. Which information will the nurse include when teaching about routine glaucoma testing?
a. A Tono-pen will be applied to the surface of the eye.
b. The test involves reading a Snellen chart from 20 feet.
c. Medications will be used to dilate the pupils for the test.
d. The examination involves checking the pupil’s reaction to light.
a. A Tono-pen will be applied to the surface of the eye.
The nurse is performing an eye examination on a 76-year-old patient. The nurse should refer the patient for a more extensive assessment based on which finding?
a. The patient’s sclerae are light yellow.
b. The patient reports persistent photophobia.
c. The pupil recovers slowly after responding to a bright light.
d. There is a whitish gray ring encircling the periphery of the iris.
b. The patient reports persistent photophobia.
The nurse performing an eye examination will document normal findings for accommodation when
a. shining a light into the patient’s eye causes pupil constriction in the opposite eye.
b. a blink reaction follows touching the patient’s pupil with a piece of sterile cotton.
c. covering one eye for 1 minute and noting pupil constriction as the cover is removed.
d. the pupils constrict while fixating on an object being moved closer to the patient’s eyes.
d. the pupils constrict while fixating on an object being moved closer to the patient’s eyes.
Which assessment finding alerts the nurse to provide patient teaching about cataract development?
a. History of hyperthyroidism
b. Unequal pupil size and shape
c. Blurred vision and light sensitivity
d. Loss of peripheral vision in both eyes
c. Blurred vision and light sensitivity
Assessment of a patient’s visual acuity reveals that the left eye can see at 20 feet what a person with normal vision can see at 50 feet and the right eye can see at 20 feet what a person with normal vision can see at 40 feet. The nurse records which finding?
a. OS 20/50; OD 20/40
b. OU 20/40; OS 50/20
c. OD 20/40; OS 20/50
d. OU 40/20; OD 50/20
a. OS 20/50; OD 20/40
When assessing a patient’s consensual pupil response, the nurse should
a. have the patient cover one eye while facing the nurse.
b. observe for a light reflection in the center of both corneas.
c. instruct the patient to follow a moving object using only the eyes.
d. shine a light into one pupil and observe the response of both pupils.
d. shine a light into one pupil and observe the response of both pupils.
The nurse is observing a student who is preparing to perform an ear examination for a 30-year-old patient. The nurse will need to intervene if the student
a. pulls the auricle of the ear up and posterior.
b. chooses a speculum larger than the ear canal.
c. stabilizes the hand holding the otoscope on the patient’s head.
d. stops inserting the otoscope after observing impacted cerumen.
b. chooses a speculum larger than the ear canal.
When obtaining a health history from a 49-year-old patient, which patient statement is most important to communicate to the primary health care provider?
a. “My eyes are dry now.”
b. “It is hard for me to see at night.”
c. “My vision is blurry when I read.”
d. “I can’t see as far over to the side.”
d. “I can’t see as far over to the side.”
A 65-year-old patient is being evaluated for glaucoma. Which information given by the patient has implications for the patient’s treatment?
a. “I use aspirin when I have a sinus headache.”
b. “I have had frequent episodes of conjunctivitis.”
c. “I take metoprolol (Lopressor) daily for angina.”
d. “I have not had an eye examination for 10 years.”
c. “I take metoprolol (Lopressor) daily for angina.”
The nurse is testing the visual acuity of a patient in the outpatient clinic. The nurse’s instructions for this test include asking the patient to
a. stand 20 feet from the wall chart.
b. follow the examiner’s finger with the eyes only.
c. look at an object far away and then near to the eyes.
d. look straight ahead while a light is shone into the eyes.
a. stand 20 feet from the wall chart.
A patient who underwent eye surgery is required to wear an eye patch until the scheduled postoperative clinic visit. Which nursing diagnosis will the nurse include in the plan of care?
a. Disturbed body image related to eye trauma and eye patch
b. Risk for falls related to temporary decrease in stereoscopic vision
c. Ineffective health maintenance related to inability to see surroundings
d. Ineffective denial related to inability to admit the impact of the eye injury
b. Risk for falls related to temporary decrease in stereoscopic vision
Which information will the nurse provide to the patient scheduled for refractometry?
a. “You will need to wear sunglasses for a few hours after the exam.”
b. “The surface of your eye will be numb while the doctor does the exam.”
c. “You should not take any of your eye medicines before the examination.”
d. “The doctor will shine a bright light into your eye during the examination.”
a. “You will need to wear sunglasses for a few hours after the exam.”
The nurse is assessing a 65-year-old patient for presbyopia. Which instruction will the nurse give the patient before the test?
a. “Hold this card and read the print out loud.”
b. “Cover one eye at a time while reading the wall chart.”
c. “You’ll feel a short burst of air directed at your eyeball.”
d. “A light will be used to look for a change in your pupils.”
a. “Hold this card and read the print out loud.”
A patient arrives in the emergency department complaining of eye itching and pain after sleeping with contact lenses in place. To facilitate further examination of the eye, fluorescein angiography is ordered. The nurse will teach the patient to
a. hold a card and fixate on the center dot.
b. report any burning or pain at the IV site.
c. remain still while the cornea is anesthetized.
d. let the examiner know when images shown appear clear.
b. report any burning or pain at the IV site.
A patient complains of dizziness when bending over and of nausea and dizziness associated with physical activities. The nurse will plan to teach the patient about
a. tympanometry.
b. rotary chair testing.
c. pure-tone audiometry.
d. bone-conduction testing.
b. rotary chair testing.