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Nursing

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Nov 24, 2024

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4.Encourage fluids and normal saline eyedrops. ANSWER: 3 The nurse should notify an ophthalmologist with the clients symptoms. The onset of a shadow in the field of vision that will not dissipate is an indication of a detached retina. Retinal detachments rarely self-repair, and the client will need surgery. The nurse should not instruct the client to return home to rest in bed. The client should not be encouraged to continue with normal daily activities. Fluids and saline eyedrops will not help a detached retina. 10.A client is experiencing a loss of central vision but not a loss of peripheral vision. The nurse realizes the client should be evaluated for: 1.detached retina syndrome. 2.nystagmus. 3. macular degeneration. 4. conjunctivitis. ANSWER: 3 Macular degeneration is a deterioration of part of the retina, causing loss of central vision but not affecting peripheral vision. The loss of central vision is not typically seen in a detached retina, nystagmus, or conjunctivitis. 11.A client is experiencing redness, burning, itching, and pain of the eyes. The nurse suspects the client is experiencing: 1.blepharitis. 2.conjunctivitis. 3.keratitis. 4.iritis. ANSW ER: 2 Clinical manifestations of conjunctivitis (pink eye) include watery eyes, redness, itching, and burning pain. Blepharitis is associated with a sticky exudate. Keratitis is associated with photophobia. Iritis is associated with blurred vision and photophobia. 12.A client has been diagnosed as being legally blind. The nurse realizes this clients vision is:
1.20/200 or less in the better eye with correction. 2.20/200 or less in the worse eye without correction. 3.20/100 or less in the better eye without correction. 4.20/100 or less in the worse eye with correction. ANSWER: 1 Legal blindness is defined as vision of 20/200 or less on a Snellen chart in the better eye with correction. The eye needs to have correction in order to be diagnosed as legally blind; therefore, thechoice of 20/200 in the worse eye without correction would be incorrect. The vision measurements of the other choices can be corrected with lenses and would not be categorized as legal blindness. 13.The nurse realizes that the best medication treatment for open-angle glaucoma would be: 1.timolol (Timoptic) eyedrops. 2. latanoprost (Xalatan) eyedrops. 3. timolol (Timoptic) and Latanoprost (Xalatan) eyedrops. 4.metoprolol oral medication. ANSWER: 3 For the best effect in the treatment of open-angle glaucoma, timolol (Timoptic) and latanoprost (Xalatan) should be prescribed together. Metoprolol is not prescribed for open-angle glaucoma. MULTIPLE RESPONSE 1.A client tells the nurse that he does not want to develop macular degeneration like his mother. Which of the following should the nurse instruct the client as being risk factors for the development of this disorder? (Select all that apply.) 1.There is greater risk as people age. 2.Women are at greater risk than men. 3.African AmericAnswer are at greater risk than CaucasiAnswer. 4.Family history of macular degeneration increases risk. 5.Smoking does not increase risk. 6.Alcohol prevents the onset of this disorder. ANSWER: 1, 2, 4
Recent statistics show that macular degeneration is age related and that women are at greater risk than men. Family history and smoking are also significant risk factors. CaucasiAnswer are at greater riskthan African AmericAnswer. Alcohol does not prevent the onset of this disorder. 2.A client is receiving tests to diagnose glaucoma. Which of the following diagnostic tests will be used to identify this disorder in the client? (Select all that apply.) 1.Visual acuity 2.Visual field test 3.Tonometry 4.Weber test 5.Rinne test 6.Electroencephalogra mANSWER: 1, 2, 3 Glaucoma is determined through a comprehensive eye exam including a visual acuity test, visual fields test, dilated eye exam, and tonometry. The Weber and Rinne tests are used in an ear assessment. An electroencephalogram is not used to diagnose glaucoma. 3.A client is diagnosed with ocular cancer. The nurse realizes this client could be treated with: (Select all that apply.) 1.Enucleation 2.Laser surgery 3.Plaque brachytherapy4.Block incision 5.Trabeculoplasty 6.Trabeculectomy ANSWER: 1, 3, 4 Surgical options for a client diagnosed with ocular cancer include enucleation, plaque brachytherapy, or block incision. Laser surgery, trabeculoplasty, and trabeculectomy would be used to treat glaucoma. 4.A client, diagnosed with keratoconus, asks the nurse what caused the disorder to develop. The nurse should instruct the client on which of the following as risk factors for the development of this disorder? (Select all that apply.)
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