Question 1

A client has a corneal ulcer.What information provided by the client most indicates a potential barrier to home care?

Accepted Answer

A)  Chronic use of sleeping pills 
B)  Impaired near vision 
C)  Slightly shaking hands 
D)  Use of contact lenses 
A)  Chronic use of sleeping pills 
B)  Impaired near vision 
C)  Slightly shaking hands 
D)  Use of contact lenses A

Question 2

A client had proxymetacaine (Ocu-Caine)instilled in one eye in the emergency department.What discharge instruction is most important?

Accepted Answer

A)  Do not touch or rub the eye until it is no longer numb. 
B)  Monitor the eye for any bleeding for the next day. 
C)  Rinse the eye with warm saline solution at home. 
D)  Use all the eyedrops as prescribed until they are gone. 
A)  Do not touch or rub the eye until it is no longer numb. 
B)  Monitor the eye for any bleeding for the next day. 
C)  Rinse the eye with warm saline solution at home. 
D)  Use all the eyedrops as prescribed until they are gone. A

Question 3

A nurse has delegated applying a warm compress to a client's eye.What actions by the unlicensed assistive personnel (UAP)warrant intervention by the nurse? (Select all that apply.)

Accepted Answer

A)  Heating the wet washcloth in the microwave 
B)  Holding the cloth on the client using an Ace wrap 
C)  Turning the cloth so it remains warm on the client 
D)  Using a clean washcloth for the compress 
E)  Washing the hands on entering the client's room 
A)  Heating the wet washcloth in the microwave 
B)  Holding the cloth on the client using an Ace wrap 
C)  Turning the cloth so it remains warm on the client 
D)  Using a clean washcloth for the compress 
E)  Washing the hands on entering the client's room A,B

Question 4

A client had cataract surgery.What instructions should the nurse provide? (Select all that apply.)

Accepted Answer

A)  Call the doctor for increased pain. 
B)  Do not bend over from the waist. 
C)  Do not lift more than 10 pounds. 
D)  Sexual intercourse is allowed. 
E)  Use stool softeners to avoid constipation. 
A)  Call the doctor for increased pain. 
B)  Do not bend over from the waist. 
C)  Do not lift more than 10 pounds. 
D)  Sexual intercourse is allowed. 
E)  Use stool softeners to avoid constipation.

Question 5

A client has a foreign body in the eye.What action by the nurse takes priority?

Accepted Answer

A)  Administering ordered antibiotics 
B)  Assessing the client's visual acuity 
C)  Obtaining consent for enucleation 
D)  Removing the object immediately 
A)  Administering ordered antibiotics 
B)  Assessing the client's visual acuity 
C)  Obtaining consent for enucleation 
D)  Removing the object immediately

Question 6

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.)

Accepted Answer

A)  A chalazion is an inflammation of an eyelid sebaceous gland. 
B)  An ectropion is the eyelid turning inward. 
C)  An entropion is the eyelid turning outward. 
D)  A hordeolum is an infection of the eyelid sweat gland. 
E)  Keratoconjunctivitis sicca is caused by drugs or diseases. 
A)  A chalazion is an inflammation of an eyelid sebaceous gland. 
B)  An ectropion is the eyelid turning inward. 
C)  An entropion is the eyelid turning outward. 
D)  A hordeolum is an infection of the eyelid sweat gland. 
E)  Keratoconjunctivitis sicca is caused by drugs or diseases.

Question 7

A client has been taught about retinitis pigmentosa (RP).What statement by the client indicates a need for further teaching?

Accepted Answer

A)  "Beta carotene, lutein, and zeaxanthin are good supplements." 
B)  "I might qualify for a retinal transplant one day soon." 
C)  "Since I'm going blind, sunglasses are not needed anymore." 
D)  "Vitamin A has been shown to slow progression of RP." 
A)  "Beta carotene, lutein, and zeaxanthin are good supplements." 
B)  "I might qualify for a retinal transplant one day soon." 
C)  "Since I'm going blind, sunglasses are not needed anymore." 
D)  "Vitamin A has been shown to slow progression of RP."

Question 8

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?

Accepted Answer

A)  Administer a tetanus booster shot. 
B)  Ensure the client has a patent airway. 
C)  Prepare to irrigate the client's eye. 
D)  Turn the client on the unaffected side. 
A)  Administer a tetanus booster shot. 
B)  Ensure the client has a patent airway. 
C)  Prepare to irrigate the client's eye. 
D)  Turn the client on the unaffected side.

Question 9

An older client has decided to give up driving due to cataracts.What assessment information is most important to collect?

Accepted Answer

A)  Family history of visual problems 
B)  Feelings related to loss of driving 
C)  Knowledge about surgical options 
D)  Presence of family support 
A)  Family history of visual problems 
B)  Feelings related to loss of driving 
C)  Knowledge about surgical options 
D)  Presence of family support

Question 10

A client who is near blind is admitted to the hospital.What action by the nurse is most important?

Accepted Answer

A)  Allow the client to feel his or her way around. 
B)  Let the client arrange objects on the bedside table. 
C)  Orient the client to the room using a focal point. 
D)  Speak loudly and slowing when talking to the client. 
A)  Allow the client to feel his or her way around. 
B)  Let the client arrange objects on the bedside table. 
C)  Orient the client to the room using a focal point. 
D)  Speak loudly and slowing when talking to the client.

Question 11

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.)

Accepted Answer

A)  "As long as I don't wipe my eyes, I can share my towel." 
B)  "Eye irrigations should be done with warm saline or water." 
C)  "I will throw away all my eye makeup when I get home." 
D)  "I won't touch the tip of the eyedrop bottle to my eye." 
E)  "When the infection is gone, I can use my contacts again." 
A)  "As long as I don't wipe my eyes, I can share my towel." 
B)  "Eye irrigations should be done with warm saline or water." 
C)  "I will throw away all my eye makeup when I get home." 
D)  "I won't touch the tip of the eyedrop bottle to my eye." 
E)  "When the infection is gone, I can use my contacts again."

Question 12

A client has been prescribed brinzolamide (Azopt).What assessment by the nurse requires consultation with the provider?

Accepted Answer

A)  Allergy to eggs 
B)  Allergy to sulfonamides 
C)  Use of contact lenses 
D)  Use of beta blockers 
A)  Allergy to eggs 
B)  Allergy to sulfonamides 
C)  Use of contact lenses 
D)  Use of beta blockers

Question 13

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?

Accepted Answer

A)  Ask the client when the last dose was. 
B)  Check results of the prothrombin time (PT) and international normalized ratio (INR). 
C)  Document the information in the chart. 
D)  Notify the surgeon immediately. 
A)  Ask the client when the last dose was. 
B)  Check results of the prothrombin time (PT) and international normalized ratio (INR). 
C)  Document the information in the chart. 
D)  Notify the surgeon immediately.

Question 14

A nurse is seeing clients in the ophthalmology clinic.Which client should the nurse see first?

Accepted Answer

A)  Client with intraocular pressure reading of 24 mm Hg 
B)  Client who has had cataract surgery and has worsening vision 
C)  Client whose red reflex is absent on ophthalmologic examination 
D)  Client with a tearing, reddened eye with exudate 
A)  Client with intraocular pressure reading of 24 mm Hg 
B)  Client who has had cataract surgery and has worsening vision 
C)  Client whose red reflex is absent on ophthalmologic examination 
D)  Client with a tearing, reddened eye with exudate

Question 15

A client had a retinal detachment and has undergone surgical correction.What discharge instruction is most important?

Accepted Answer

A)  "Avoid reading, writing, or close work such as sewing." 
B)  "Dim the lights in your house for at least a week." 
C)  "Keep the follow-up appointment with the ophthalmologist." 
D)  "Remove your eye patch every hour for eyedrops." 
A)  "Avoid reading, writing, or close work such as sewing." 
B)  "Dim the lights in your house for at least a week." 
C)  "Keep the follow-up appointment with the ophthalmologist." 
D)  "Remove your eye patch every hour for eyedrops."

Question 16

A client is taking timolol (Timoptic)eyedrops.The nurse assesses the client's pulse at 48 beats/min.What action by the nurse is the priority?

Accepted Answer

A)  Ask the client about excessive salivation. 
B)  Assess the client for shortness of breath. 
C)  Give the drops using punctal occlusion. 
D)  Hold the eyedrops and notify the provider. 
A)  Ask the client about excessive salivation. 
B)  Assess the client for shortness of breath. 
C)  Give the drops using punctal occlusion. 
D)  Hold the eyedrops and notify the provider.

Question 17

A client does not understand why vision loss due to glaucoma is irreversible.What explanation by the nurse is best?

Accepted Answer

A)  "Because eye pressure was too high, the tissue died." 
B)  "Glaucoma always leads to permanent blindness." 
C)  "The traumatic damage to your eye was too great." 
D)  "The infection occurs so quickly it can't be treated." 
A)  "Because eye pressure was too high, the tissue died." 
B)  "Glaucoma always leads to permanent blindness." 
C)  "The traumatic damage to your eye was too great." 
D)  "The infection occurs so quickly it can't be treated."

Question 18

A client's intraocular pressure (IOP)is 28 mm Hg.What action by the nurse is best?

Accepted Answer

A)  Educate the client on corneal transplantation. 
B)  Facilitate scheduling the eye surgery. 
C)  Plan to teach about drugs for glaucoma. 
D)  Refer the client to local Braille classes. 
A)  Educate the client on corneal transplantation. 
B)  Facilitate scheduling the eye surgery. 
C)  Plan to teach about drugs for glaucoma. 
D)  Refer the client to local Braille classes.

Exam 47: Care of Patients with Eye and Vision Problems

A client has a corneal ulcer.What information provided by the client most indicates a potential barrier to home care?

A client had proxymetacaine (Ocu-Caine)instilled in one eye in the emergency department.What discharge instruction is most important?

A nurse has delegated applying a warm compress to a client's eye.What actions by the unlicensed assistive personnel (UAP)warrant intervention by the nurse? (Select all that apply.)

A client had cataract surgery.What instructions should the nurse provide? (Select all that apply.)

A client has a foreign body in the eye.What action by the nurse takes priority?

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.)

A client has been taught about retinitis pigmentosa (RP).What statement by the client indicates a need for further teaching?

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?

An older client has decided to give up driving due to cataracts.What assessment information is most important to collect?

A client who is near blind is admitted to the hospital.What action by the nurse is most important?

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.)

A client has been prescribed brinzolamide (Azopt).What assessment by the nurse requires consultation with the provider?

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?

A nurse is seeing clients in the ophthalmology clinic.Which client should the nurse see first?

A client had a retinal detachment and has undergone surgical correction.What discharge instruction is most important?

A client is taking timolol (Timoptic)eyedrops.The nurse assesses the client's pulse at 48 beats/min.What action by the nurse is the priority?

A client does not understand why vision loss due to glaucoma is irreversible.What explanation by the nurse is best?

A client's intraocular pressure (IOP)is 28 mm Hg.What action by the nurse is best?

Introduction to Medical Surgical Nursing Practice

Common Health Problems of Older Adults

Assessment and Care of Patients with Pain

Genetic and Genomic Concepts for Medical Surgical Nursing

Evidence Based Practice in Medical Surgical Nursing

Rehabilitation Concepts for Chronic and Disabling Health Problems

End of Life Care

Concepts of Emergency and Trauma Nursing

Care of Patients with Common Environmental Emergencies

Concepts of Emergency and Disaster Preparedness

Assessment and Care of Patients with Fluid and Electrolyte Imbalances

Assessment and Care of Patients with Acid-Base Imbalances

Infusion Therapy

Care of Preoperative Patients

Care of Intraoperative Patients

Care of Postoperative Patients

Inflammation and Immunity

Care of Patients with Arthritis and Other Connective Tissue Diseases

Care of Patients with HIV Disease and Other Immune Deficiencies

Care of Patients with Immune Function Excess: Hypersensitivity (Allergy)and Autoimmunity

Cancer Development

Care of Patients with Cancer

Care of Patients with Infection

Assessment of the Skin, Hair, and Nails

Care of Patients with Skin Problems

Care of Patients with Burns

Assessment of the Respiratory System

Care of Patients Requiring Oxygen Therapy or Tracheostomy

Care of Patients with Noninfectious Upper Respiratory Problems

Care of Patients with Noninfectious Lower Respiratory Problems

Care of Patients with Infectious Respiratory Problems

Care of Critically Ill Patients with Respiratory Problems

Assessment of the Cardiovascular System

Care of Patients with Dysrhythmias

Care of Patients with Cardiac Problems

Care of Patients with Vascular Problems

Care of Patients with Shock

Care of Patients with Acute Coronary Syndromes

Assessment of the Hematologic System

Care of Patients with Hematologic Problems

Assessment of the Nervous System

Care of Patients with Problems of the Central Nervous System: The Brain

Care of Patients with Problems of the Central Nervous System: The Spinal Cord

Care of Patients with Problems of the Peripheral Nervous System

Care of Critically Ill Patients with Neurologic Problems

Assessment of the Eye and Vision

Assessment and Care of Patients with Ear and Hearing Problems

Assessment of the Musculoskeletal System

Care of Patients with Musculoskeletal Problems

Care of Patients with Musculoskeletal Trauma

Assessment of the Gastrointestinal System

Care of Patients with Oral Cavity Problems

Care of Patients with Esophageal Problems

Care of Patients with Stomach Disorders

Care of Patients with Noninflammatory Intestinal Disorders

Care of Patients with Inflammatory Intestinal Disorders

Care of Patients with Liver Problems

Care of Patients with Problems of the Biliary System and Pancreas

Care of Patients with Malnutrition: Undernutrition and Obesity

Assessment of the Endocrine System

Care of Patients with Pituitary and Adrenal Gland Problems