Ch 47 Care of Patients with Eye and Vision Problems

Descripción

ch 46 Care of Patients with Eye and Vision Problems Test sobre Ch 47 Care of Patients with Eye and Vision Problems, creado por Megan Pattenaude el 08/04/2019.
Megan Pattenaude
Test por Megan Pattenaude, actualizado hace más de 1 año
Megan Pattenaude
Creado por Megan Pattenaude hace más de 5 años
50
1

Resumen del Recurso

Pregunta 1

Pregunta
A client has a corneal ulcer. What information provided by the client most indicates a potential barrier to home care?
Respuesta
  • Chronic use of sleeping pills
  • Impaired near vision
  • Slightly shaking hands

Pregunta 2

Pregunta
An older client has decided to give up driving due to cataracts. What assessment information is most important to collect?
Respuesta
  • Family history of visual problems
  • Feelings related to loss of driving
  • Knowledge about surgical options

Pregunta 3

Pregunta
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?
Respuesta
  • ask the client when the last dose was
  • document the information in the chart
  • notify the surgeon immediately

Pregunta 4

Pregunta
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?
Respuesta
  • because eye pressure is too high the tissue died
  • glaucoma always leads to blindness
  • the traumatic damage to your eye was too great

Pregunta 5

Pregunta
A clients intraocular pressure (IOP) is 28 mm Hg. What action by the nurse is best?
Respuesta
  • education the client on corneal transplant
  • facilitate scheduling the eye surgery
  • plan to teach about drugs for glaucoma

Pregunta 6

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

Pregunta 7

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

Pregunta 8

Pregunta
A client has a foreign body in the eye. What action by the nurse takes priority?
Respuesta
  • administering ordered antibiotics
  • assessing the clients visual acuity
  • removing the object immediately

Pregunta 9

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

Pregunta 10

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

Pregunta 11

Pregunta
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?
Respuesta
  • ask the client about excessive salivation
  • assess the client for SOB
  • hold the eyedrops and notify the HCP

Pregunta 12

Pregunta
A client has been prescribed brinzolamide (Azopt). What assessment by the nurse requires consultation with the provider?
Respuesta
  • allergy to eggs
  • allergy to sulfonamides
  • use of contact lenses

Pregunta 13

Pregunta
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?
Respuesta
  • prepare to irrigate the clients eye
  • ensure the client has a patent airway
  • turn the client to the unaffected side

Pregunta 14

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

Pregunta 15

Pregunta
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.)
Respuesta
  • 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

Pregunta 16

Pregunta
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.)
Respuesta
  • 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

Pregunta 17

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

Pregunta 18

Pregunta
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?
Respuesta
  • 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
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