Exam 65: Management of Clients with Visual Disorders

A client asks the nurse how glaucoma can best be prevented. The nurse's response would include preventive information related to primary open-angle glaucoma, including which of the following?

The nurse providing normal postoperative care to a client who underwent laser trabeculoplasty as part of glaucoma management would

The nurse caring for a client after keratoplasty (corneal transplantation) would assess the client for possible graft rejection, as indicated by

A client is scheduled for enucleation of the eye because of advanced ocular melanoma. The nurse finds the client crying and saying, "I'm sure I will just look horrid. I can't let anyone see me after the operation ever again!" The best response by the nurse would be

An elderly client had surgery to repair a retinal detachment and is being discharged to home the next day. The nurse is concerned that the client will not be able to adjust to the decreased vision. The most appropriate action by the nurse is to

As part of preoperative counseling for the client contemplating cataract surgery, the nurse would explain that postoperative follow-up is done

A client has had an enucleation for ocular melanoma. Which of the following instructions takes priority when dismissing this client?

The nurse would consider that discharge teaching for a client after cataract surgery was not effective when the client states "I will

The nurse talking with a client with open-angle glaucoma would instruct the client to make a behavior change based on the statement

The nurse evaluating a client's retinal arterioles during a funduscopic examination would record a grade indicating severe hypertensive retinopathy as

In planning the care of a client with Crohn's disease for 10 years who has developed Sjögren's syndrome, the nurse would include

A nurse in an outpatient surgical setting is assessing a client scheduled for cataract removal. The nurse would expect to find that the client has (Select all that apply)

The nurse obtaining the history of a client admitted for retinal detachment would note that the assessment finding not consistent with retinal detachment is the client's report of

The nurse recently diagnosed a client as experiencing Visual Sensory/Perceptual Alterations related to increased intraocular pressure. The priority for the plan of care would be

A client has had vision loss because of glaucoma. The nurse identifies the diagnosis: Anticipatory Grieving related to loss of vision. Which interventions does the nurse include in the client's plan of care? (Select all that apply.)

A client wants "eye glasses surgery" to fix nearsightedness, but was told several years ago that the corneas were too thin and flat for traditional laser in situ keratomileusis (LASIK) surgery. The nurse working in an ophthalmologist's office counsels the client to ask about which procedure?

A nurse is conducting wellness seminars in the community. One health promotion activity the nurse could advise the audience to reduce the chances of developing cataracts is to

A client with moderate age-related macular degeneration (AMD) asks the nurse about vitamins being advertised for this condition. Which is the best response by the nurse?

The nurse would instruct a client being taught to administer pilocarpine eye drops for glaucoma that the client

The nurse is concerned about a client's slowly healing corneal ulcer because such an injury can lead to