Open angle glaucoma has immediate effects on vision.
Which of the following people will be at risk for glaucoma?
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.
Which of the following is a sign of open angle glaucoma?
Blank spots in the visual field
Face pain
Colored halos around lights
Abrupt decrease in visual acuity
Which of the following are symptoms of angle closure glaucoma?
Pupils nonreactive to light
Photophobia
Decreased or blurred vision
Loss of peripheral vision
Decreased accommodation
An elevated pressure reading on a tonometry exam indicates glaucoma.
An increase in size and depth of the optic cup on the optic disk during a funduscopy exam is significant when diagnosing glaucoma.
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?
"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."
Which medications are effective in treating glaucoma?
Beta-blockers
Prostaglandin analogs
Adrenergic agonists
Carbonic anhydrate inhibitors
Miotics
A nurse is educating a patient about the effects of his Xalatan, which is a prostaglandin analog. Which of the following is proper teaching?
"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."
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?
"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."
Which of the following is an appropriate nursing intervention for a patient who has glaucoma?
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.
Which of the following statements indicates that the patient understands his discharge instructions?
"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."
