Exemplar 18.4: Glaucoma

Descrição

NCLEX Nursing (Medical-Surgical) Quiz sobre Exemplar 18.4: Glaucoma, criado por Olivia McRitchie em 19-03-2018.
Olivia McRitchie
Quiz por Olivia McRitchie, atualizado more than 1 year ago
Olivia McRitchie
Criado por Olivia McRitchie mais de 6 anos atrás
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Resumo de Recurso

Questão 1

Questão
Open angle glaucoma has immediate effects on vision.
Responda
  • True
  • False

Questão 2

Questão
Which of the following people will be at risk for glaucoma?
Responda
  • 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.

Questão 3

Questão
Which of the following is a sign of open angle glaucoma?
Responda
  • Blank spots in the visual field
  • Face pain
  • Colored halos around lights
  • Abrupt decrease in visual acuity

Questão 4

Questão
Which of the following are symptoms of angle closure glaucoma?
Responda
  • Pupils nonreactive to light
  • Photophobia
  • Decreased or blurred vision
  • Loss of peripheral vision
  • Decreased accommodation

Questão 5

Questão
An elevated pressure reading on a tonometry exam indicates glaucoma.
Responda
  • True
  • False

Questão 6

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

Questão 7

Questão
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?
Responda
  • "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."

Questão 8

Questão
Which medications are effective in treating glaucoma?
Responda
  • Beta-blockers
  • Prostaglandin analogs
  • Adrenergic agonists
  • Carbonic anhydrate inhibitors
  • Miotics

Questão 9

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

Questão 10

Questão
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?
Responda
  • "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."

Questão 11

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

Questão 12

Questão
Which of the following statements indicates that the patient understands his discharge instructions?
Responda
  • "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."

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