Olivia McRitchie
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NCLEX Nursing (Medical-Surgical) Quiz on Exemplar 18.4: Glaucoma, created by Olivia McRitchie on 19/03/2018.

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Olivia McRitchie
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Exemplar 18.4: Glaucoma

Exemplar 18.4: Glaucoma

Question 1 of 12

1

Open angle glaucoma has immediate effects on vision.

Select one of the following:

  • True
  • False

Explanation

Question 2 of 12

1

Which of the following people will be at risk for glaucoma?

Select one or more of the following:

  • A Caucasian male whose mom suffered from glaucoma.

  • An African American female with no family history of glaucoma.

  • An Asian female who sustained an eye injury while fishing.

  • An elderly Caucasian female who has had severe eczema her whole life and is prescribed corticosteroids for it

  • A 65 year old Mexican who works as a missionary in Guatemala.

Explanation

Question 3 of 12

1

Which of the following is a sign of open angle glaucoma?

Select one of the following:

  • Blank spots in the visual field

  • Face pain

  • Colored halos around lights

  • Abrupt decrease in visual acuity

Explanation

Question 4 of 12

1

Which of the following are symptoms of angle closure glaucoma?

Select one or more of the following:

  • Pupils nonreactive to light

  • Photophobia

  • Decreased or blurred vision

  • Loss of peripheral vision

  • Decreased accommodation

Explanation

Question 5 of 12

1

An elevated pressure reading on a tonometry exam indicates glaucoma.

Select one of the following:

  • True
  • False

Explanation

Question 6 of 12

1

An increase in size and depth of the optic cup on the optic disk during a funduscopy exam is significant when diagnosing glaucoma.

Select one of the following:

  • True
  • False

Explanation

Question 7 of 12

1

You are educating a patient who has just had a laser trabeculectomy. Which of the following statements from the patient indicates that he/she understands the post-surgical instructions?

Select one or more of the following:

  • "I will call my doctor if I see any yellow or green drainage, feel nauseated, or experience any visual changes."

  • "I will wear sunglasses when I go to Meijer with my husband later today."

  • "I will take my allergy medication when I get home."

  • "I can go back to spring cleaning when I get home."

  • "I can wear my tight dress when I go clubbing tomorrow night."

  • "I can lie on any side I want when I'm in bed."

Explanation

Question 8 of 12

1

Which medications are effective in treating glaucoma?

Select one or more of the following:

  • Beta-blockers

  • Prostaglandin analogs

  • Adrenergic agonists

  • Carbonic anhydrate inhibitors

  • Miotics

Explanation

Question 9 of 12

1

A nurse is educating a patient about the effects of his Xalatan, which is a prostaglandin analog. Which of the following is proper teaching?

Select one of the following:

  • "Your eye color may change from light brown to dark brown while you are using this medication."

  • "This drug might lower your blood pressure."

  • "You should weigh yourself daily while on this medication."

  • "You might experience anxiety while you are taking this medication."

Explanation

Question 10 of 12

1

A nurse is educating a group of clients who are over 40 years old about decreasing their risk for glaucoma. Which of the following is correct teaching?

Select one of the following:

  • "You should get an eye exam that includes a tonometry screening every 2-4 years."

  • "If your mom or dad had glaucoma, you should get an eye exam that includes a tonometry screening every 2-4 years."

  • "If you are 50 plus years old, you should get an eye exam every year."

  • "You should get an eye exam that includes a tonometry screening every 1-2 years."

Explanation

Question 11 of 12

1

Which of the following is an appropriate nursing intervention for a patient who has glaucoma?

Select one or more of the following:

  • Do not raise the side rails on the patient's bed.

  • Verbally explain to the patient who you are and why you are in their room.

  • Provide the patient with a copy of "Hitchhiker's Guide To The Galaxy" in large print.

  • Hold the client's arm or elbow during ambulation.

  • Opening the client's milk carton and placing the straw inside.

Explanation

Question 12 of 12

1

Which of the following statements indicates that the patient understands his discharge instructions?

Select one of the following:

  • "I should turn my head fully toward the side I lost vision in when I want to look at something."

  • "I should be able to drive like normal."

  • "That rug in the living room should be fine because I know where it is."

  • "I should put in my eye drops every other day."

Explanation

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