Megan Pattenaude
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ch 46 Care of Patients with Eye and Vision Problems Quiz on Ch 47 Care of Patients with Eye and Vision Problems, created by Megan Pattenaude on 08/04/2019.

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Megan Pattenaude
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Ch 47 Care of Patients with Eye and Vision Problems

Question 1 of 18

1

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

Select one of the following:

  • Chronic use of sleeping pills

  • Impaired near vision

  • Slightly shaking hands

Explanation

Question 2 of 18

1

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

Select one of the following:

  • Family history of visual problems

  • Feelings related to loss of driving

  • Knowledge about surgical options

Explanation

Question 3 of 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?

Select one of the following:

  • ask the client when the last dose was

  • document the information in the chart

  • notify the surgeon immediately

Explanation

Question 4 of 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?

Select one of the following:

  • because eye pressure is too high the tissue died

  • glaucoma always leads to blindness

  • the traumatic damage to your eye was too great

Explanation

Question 5 of 18

1

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

Select one of the following:

  • education the client on corneal transplant

  • facilitate scheduling the eye surgery

  • plan to teach about drugs for glaucoma

Explanation

Question 6 of 18

1

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

Select one of the following:

  • 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.

Explanation

Question 7 of 18

1

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

Select one of the following:

  • 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

Explanation

Question 8 of 18

1

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

Select one of the following:

  • administering ordered antibiotics

  • assessing the clients visual acuity

  • removing the object immediately

Explanation

Question 9 of 18

1

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

Select one of the following:

  • 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

Explanation

Question 10 of 18

1

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

Select one of the following:

  • 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

Explanation

Question 11 of 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?

Select one of the following:

  • ask the client about excessive salivation

  • assess the client for SOB

  • hold the eyedrops and notify the HCP

Explanation

Question 12 of 18

1

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

Select one of the following:

  • allergy to eggs

  • allergy to sulfonamides

  • use of contact lenses

Explanation

Question 13 of 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?

Select one of the following:

  • prepare to irrigate the clients eye

  • ensure the client has a patent airway

  • turn the client to the unaffected side

Explanation

Question 14 of 18

1

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

Select one of the following:

  • 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

Explanation

Question 15 of 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.)

Select one or more of the following:

  • 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

Explanation

Question 16 of 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.)

Select one or more of the following:

  • 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

Explanation

Question 17 of 18

1

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

Select one or more of the following:

  • 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

Explanation

Question 18 of 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?

Select one or more of the following:

  • 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

Explanation

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