Exemplar 18.4: Glaucoma

Description

NCLEX Nursing (Medical-Surgical) Quiz on Exemplar 18.4: Glaucoma, created by Olivia McRitchie on 19/03/2018.
Olivia McRitchie
Quiz by Olivia McRitchie, updated more than 1 year ago
Olivia McRitchie
Created by Olivia McRitchie over 6 years ago
11
0

Resource summary

Question 1

Question
Open angle glaucoma has immediate effects on vision.
Answer
  • True
  • False

Question 2

Question
Which of the following people will be at risk for glaucoma?
Answer
  • 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.

Question 3

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

Question 4

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

Question 5

Question
An elevated pressure reading on a tonometry exam indicates glaucoma.
Answer
  • True
  • False

Question 6

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

Question 7

Question
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?
Answer
  • "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."

Question 8

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

Question 9

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

Question 10

Question
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?
Answer
  • "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."

Question 11

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

Question 12

Question
Which of the following statements indicates that the patient understands his discharge instructions?
Answer
  • "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."
Show full summary Hide full summary

Similar

Nervous System
4everlakena
Diabetes Mellitus
Kirsty Jayne Buckley
Renal System A&P
Kirsty Jayne Buckley
Oxygenation
Jessdwill
Clostridium Difficile
Kirsty Jayne Buckley
Definitions
katherinethelma
Clinical Governance
Kirsty Jayne Buckley
CMS Interpretive Guidelines for Complaint/Grievances
Lydia Elliott, Ed.D
NCLEX RN SAMPLE TEST
MrPRCA
NURS 310 EXAM 1 PRACTIC EXAM
harlacherha
Skin Integrity and Wound Care
cpeters