Question 1
Question
A client has a corneal ulcer. What information provided by the client most indicates a potential barrier to
home care?
Question 2
Question
An older client has decided to give up driving due to cataracts. What assessment information is most
important to collect?
Answer
-
Family history of visual problems
-
Feelings related to loss of driving
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Knowledge about surgical options
Question 3
Question
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?
Answer
-
ask the client when the last dose was
-
document the information in the chart
-
notify the surgeon immediately
Question 4
Question
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?
Answer
-
because eye pressure is too high the tissue died
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glaucoma always leads to blindness
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the traumatic damage to your eye was too great
Question 5
Question
A clients intraocular pressure (IOP) is 28 mm Hg. What action by the nurse is best?
Answer
-
education the client on corneal transplant
-
facilitate scheduling the eye surgery
-
plan to teach about drugs for glaucoma
Question 6
Question
A client had a retinal detachment and has undergone surgical correction. What discharge instruction is most
important?
Answer
-
Avoid reading, writing, or close work such as sewing
-
Dim the lights in your house for at least a week
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Keep the follow-up appointment with the ophthalmologist.
Question 7
Question
A client has been taught about retinitis pigmentosa (RP). What statement by the client indicates a need for
further teaching?
Answer
-
Beta carotene, lutein, and zeaxanthin are good supplements.
-
i might qualify for retinal transplant one day soon
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since im going blind sunglasses are not needed anymore
Question 8
Question
A client has a foreign body in the eye. What action by the nurse takes priority?
Answer
-
administering ordered antibiotics
-
assessing the clients visual acuity
-
removing the object immediately
Question 9
Question
A client who is near blind is admitted to the hospital. What action by the nurse is most important?
Answer
-
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
Question 10
Question
A client had proxymetacaine (Ocu-Caine) instilled in one eye in the emergency department. What
discharge instruction is most important?
Answer
-
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
Question 11
Question
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?
Answer
-
ask the client about excessive salivation
-
assess the client for SOB
-
hold the eyedrops and notify the HCP
Question 12
Question
A client has been prescribed brinzolamide (Azopt). What assessment by the nurse requires consultation
with the provider?
Answer
-
allergy to eggs
-
allergy to sulfonamides
-
use of contact lenses
Question 13
Question
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?
Answer
-
prepare to irrigate the clients eye
-
ensure the client has a patent airway
-
turn the client to the unaffected side
Question 14
Question
A nurse is seeing clients in the ophthalmology clinic. Which client should the nurse see first?
Answer
-
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
Question 15
Question
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.)
Answer
-
A chalazion is an inflammation of an eyelid sebaceous gland
-
An ectropion is the eyelid turning inward
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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
Question 16
Question
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.)
Answer
-
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
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I wont touch the tip of the eye drop bottle to my eye
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When the infection is gone, I can use my contacts again
Question 17
Question
A client had cataract surgery. What instructions should the nurse provide? (Select all that apply.)
Answer
-
Call the doctor for increased pain
-
Do not bend over from the waist
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Do not lift more than 10 pounds
-
Sexual intercourse is allowed
-
Use stool softeners to avoid constipation
Question 18
Question
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?
Answer
-
Heating the wet washcloth in the microwave
-
Holding the cloth on the client using an ace wrap
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Turning the cloth t so it remains warm on the client
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Using a clean washcloth for the compress
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Washing the hands on entering the clients room