Megan Pattenaude
Test por , creado hace más de 1 año

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.

50
1
0
Megan Pattenaude
Creado por Megan Pattenaude hace más de 5 años
Cerrar

Ch 47 Care of Patients with Eye and Vision Problems

Pregunta 1 de 18

1

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

Selecciona una de las siguientes respuestas posibles:

  • Chronic use of sleeping pills

  • Impaired near vision

  • Slightly shaking hands

Explicación

Pregunta 2 de 18

1

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

Selecciona una de las siguientes respuestas posibles:

  • Family history of visual problems

  • Feelings related to loss of driving

  • Knowledge about surgical options

Explicación

Pregunta 3 de 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?

Selecciona una de las siguientes respuestas posibles:

  • ask the client when the last dose was

  • document the information in the chart

  • notify the surgeon immediately

Explicación

Pregunta 4 de 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?

Selecciona una de las siguientes respuestas posibles:

  • because eye pressure is too high the tissue died

  • glaucoma always leads to blindness

  • the traumatic damage to your eye was too great

Explicación

Pregunta 5 de 18

1

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

Selecciona una de las siguientes respuestas posibles:

  • education the client on corneal transplant

  • facilitate scheduling the eye surgery

  • plan to teach about drugs for glaucoma

Explicación

Pregunta 6 de 18

1

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

Selecciona una de las siguientes respuestas posibles:

  • 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.

Explicación

Pregunta 7 de 18

1

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

Selecciona una de las siguientes respuestas posibles:

  • 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

Explicación

Pregunta 8 de 18

1

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

Selecciona una de las siguientes respuestas posibles:

  • administering ordered antibiotics

  • assessing the clients visual acuity

  • removing the object immediately

Explicación

Pregunta 9 de 18

1

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

Selecciona una de las siguientes respuestas posibles:

  • 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

Explicación

Pregunta 10 de 18

1

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

Selecciona una de las siguientes respuestas posibles:

  • 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

Explicación

Pregunta 11 de 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?

Selecciona una de las siguientes respuestas posibles:

  • ask the client about excessive salivation

  • assess the client for SOB

  • hold the eyedrops and notify the HCP

Explicación

Pregunta 12 de 18

1

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

Selecciona una de las siguientes respuestas posibles:

  • allergy to eggs

  • allergy to sulfonamides

  • use of contact lenses

Explicación

Pregunta 13 de 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?

Selecciona una de las siguientes respuestas posibles:

  • prepare to irrigate the clients eye

  • ensure the client has a patent airway

  • turn the client to the unaffected side

Explicación

Pregunta 14 de 18

1

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

Selecciona una de las siguientes respuestas posibles:

  • 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

Explicación

Pregunta 15 de 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.)

Selecciona una o más de las siguientes respuestas posibles:

  • 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

Explicación

Pregunta 16 de 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.)

Selecciona una o más de las siguientes respuestas posibles:

  • 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

Explicación

Pregunta 17 de 18

1

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

Selecciona una o más de las siguientes respuestas posibles:

  • 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

Explicación

Pregunta 18 de 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?

Selecciona una o más de las siguientes respuestas posibles:

  • 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

Explicación

Anterior
Siguiente