Megan Pattenaude
Quiz von , erstellt am more than 1 year ago

ch 46 Care of Patients with Eye and Vision Problems Quiz am Ch 47 Care of Patients with Eye and Vision Problems, erstellt von Megan Pattenaude am 08/04/2019.

50
1
0
Megan Pattenaude
Erstellt von Megan Pattenaude vor mehr als 5 Jahre
Schließen

Ch 47 Care of Patients with Eye and Vision Problems

Frage 1 von 18

1

A client has a corneal ulcer. What information provided by the client most indicates a potential barrier to
home care?

Wähle eine der folgenden:

  • Chronic use of sleeping pills

  • Impaired near vision

  • Slightly shaking hands

Erklärung

Frage 2 von 18

1

An older client has decided to give up driving due to cataracts. What assessment information is most
important to collect?

Wähle eine der folgenden:

  • Family history of visual problems

  • Feelings related to loss of driving

  • Knowledge about surgical options

Erklärung

Frage 3 von 18

1

A client is in the preoperative holding area waiting for cataract surgery. The client says Oh, yeah, I forgot to
tell you that I take clopidogrel, or Plavix. What action by the nurse is most important?

Wähle eine der folgenden:

  • ask the client when the last dose was

  • document the information in the chart

  • notify the surgeon immediately

Erklärung

Frage 4 von 18

1

A client does not understand why vision loss due to glaucoma is irreversible. What explanation by the nurse
Test Bank - Medical-Surgical Nursing: Concepts for Interprofessional Collaborative Care 9e 397

is best?

Wähle eine der folgenden:

  • because eye pressure is too high the tissue died

  • glaucoma always leads to blindness

  • the traumatic damage to your eye was too great

Erklärung

Frage 5 von 18

1

A clients intraocular pressure (IOP) is 28 mm Hg. What action by the nurse is best?

Wähle eine der folgenden:

  • education the client on corneal transplant

  • facilitate scheduling the eye surgery

  • plan to teach about drugs for glaucoma

Erklärung

Frage 6 von 18

1

A client had a retinal detachment and has undergone surgical correction. What discharge instruction is most
important?

Wähle eine der folgenden:

  • Avoid reading, writing, or close work such as sewing

  • Dim the lights in your house for at least a week

  • Keep the follow-up appointment with the ophthalmologist.

Erklärung

Frage 7 von 18

1

A client has been taught about retinitis pigmentosa (RP). What statement by the client indicates a need for
further teaching?

Wähle eine der folgenden:

  • Beta carotene, lutein, and zeaxanthin are good supplements.

  • i might qualify for retinal transplant one day soon

  • since im going blind sunglasses are not needed anymore

Erklärung

Frage 8 von 18

1

A client has a foreign body in the eye. What action by the nurse takes priority?

Wähle eine der folgenden:

  • administering ordered antibiotics

  • assessing the clients visual acuity

  • removing the object immediately

Erklärung

Frage 9 von 18

1

A client who is near blind is admitted to the hospital. What action by the nurse is most important?

Wähle eine der folgenden:

  • allow the client to feel his or her way around

  • let the client arrange objects on the bedside table

  • orient the client to the room using a focal point

Erklärung

Frage 10 von 18

1

A client had proxymetacaine (Ocu-Caine) instilled in one eye in the emergency department. What
discharge instruction is most important?

Wähle eine der folgenden:

  • do not touch or rub the eye until it is no longer numb.

  • monitor the eye for any bleeding for the next day

  • rinse the eye with normal saline at home

Erklärung

Frage 11 von 18

1

A client is taking timolol (Timoptic) eyedrops. The nurse assesses the clients pulse at 48 beats/min. What
action by the nurse is the priority?

Wähle eine der folgenden:

  • ask the client about excessive salivation

  • assess the client for SOB

  • hold the eyedrops and notify the HCP

Erklärung

Frage 12 von 18

1

A client has been prescribed brinzolamide (Azopt). What assessment by the nurse requires consultation
with the provider?

Wähle eine der folgenden:

  • allergy to eggs

  • allergy to sulfonamides

  • use of contact lenses

Erklärung

Frage 13 von 18

1

A client is brought to the emergency department after a car crash. The client has a large piece of glass in
the left eye. What action by the nurse takes priority?

Wähle eine der folgenden:

  • prepare to irrigate the clients eye

  • ensure the client has a patent airway

  • turn the client to the unaffected side

Erklärung

Frage 14 von 18

1

A nurse is seeing clients in the ophthalmology clinic. Which client should the nurse see first?

Wähle eine der folgenden:

  • Client with intraocular pressure reading of 24 mm Hg

  • Client who has had cataract surgery and has worsening vision

  • Client whose red reflex is absent on ophthalmologic examination

Erklärung

Frage 15 von 18

1

The nurse working in the ophthalmology clinic sees clients with eyelid and eye problems. What information
should the nurse understand about these disorders? (Select all that apply.)

Wähle eine oder mehr der folgenden:

  • A chalazion is an inflammation of an eyelid sebaceous gland

  • An ectropion is the eyelid turning inward

  • An entropion is the eyelid turning outward

  • A hordeolum is an infection of the eyelid sweat gland

  • Keratoconjunctivitis sicca is caused by drugs or diseases

Erklärung

Frage 16 von 18

1

A client is seen in the ophthalmology clinic with bacterial conjunctivitis. Which statements by the client
indicate a good understanding of home management of this condition? (Select all that apply.)

Wähle eine oder mehr der folgenden:

  • As long as I dont wipe my eyes , I can share my towel

  • Eye irrigation should be done with warm saline or water

  • I will throw away all of my eye make up when I get home

  • I wont touch the tip of the eye drop bottle to my eye

  • When the infection is gone, I can use my contacts again

Erklärung

Frage 17 von 18

1

A client had cataract surgery. What instructions should the nurse provide? (Select all that apply.)

Wähle eine oder mehr der folgenden:

  • Call the doctor for increased pain

  • Do not bend over from the waist

  • Do not lift more than 10 pounds

  • Sexual intercourse is allowed

  • Use stool softeners to avoid constipation

Erklärung

Frage 18 von 18

1

A nurse has delegated applying a warm compress to a clients eye. What actions by the unlicensed assistive
Test Bank - Medical-Surgical Nursing: Concepts for Interprofessional Collaborative Care 9e 401
personnel (UAP) warrant intervention by the nurse?

Wähle eine oder mehr der folgenden:

  • Heating the wet washcloth in the microwave

  • Holding the cloth on the client using an ace wrap

  • Turning the cloth t so it remains warm on the client

  • Using a clean washcloth for the compress

  • Washing the hands on entering the clients room

Erklärung