Question 1

The patient with glaucoma is prescribed an Ocusert miotic.The medication should be replaced with what frequency?

Accepted Answer

A) Daily 
B) Semiweekly 
C) Weekly 
D) Biweekly

Question 2

Before enucleation,the patient is taught that,aside from removing the eye,the surgeon will:

Accepted Answer

A) suture an artificial eye in the socket to preserve normal appearance. 
B) suture an implant to eye muscles to which the prosthesis can be attached. 
C) place iodoform dressing in the socket to preserve shape for the prosthesis. 
D) suture the orbit closed and apply a removable eye patch to wear until a prosthesis is fitted.

Question 3

The nurse has completed the assessment on a newly admitted patient.Which findings would be associated with the development of cataracts? (Select all that apply.)

Accepted Answer

A) Two-pack-a-day smoker for the last 10 years 
B) Radiation therapy for cancer completed 1 month ago 
C) Postmenopausal hormone replacement therapy 
D) Asthmatic on long-term corticosteroid protocol

Question 4

The nurse explains that the classic early warning symptom of a detached retina is:

Accepted Answer

A) tearing and swelling of the eye. 
B) flashing colored lights in the eye. 
C) bleeding into the anterior chamber. 
D) intense brow pain.

Question 5

A patient comes to the ambulatory care clinic with reports of getting hay into the eyes while farming.When providing care to the patient,which actions may be included in the plan of care? (Select all that apply.)

Accepted Answer

A) Flush the eye with warm water. 
B) Gently evert the upper lid to inspect underneath. 
C) Sweep the eye with a dampened cotton swab. 
D) Pull the upper lid over the lower lid to sweep underneath the upper lid. 
E) Ask the patient to rub the eyes with the lids closed to produce more tears.

Question 6

The nurse explains that a photorefractive keratectomy (PRK)is a very brief surgery that corrects myopia by:

Accepted Answer

A) using a laser to remove a thin layer of the cornea. 
B) using a laser to reshape the cornea, then replace the outer layer. 
C) making tiny cuts in the cornea to flatten it. 
D) using a laser to reshape the fundus.

Question 7

A patient has developed keratitis.When planning care,the nurse would anticipate that the first intervention to improve the patient's comfort would be the use of:

Accepted Answer

A) eye shields. 
B) artificial tears. 
C) cold compresses. 
D) warm compresses.

Question 8

The nurse is observing a patient applying eye ointment.Which action indicates understanding of the correct application of eye ointment?

Accepted Answer

A) The patient applies the ointment from the inner to outer canthus. 
B) The patient applies the ointment in the center of the conjunctival sac. 
C) The patient applies the ointment liberally from the outer to inner canthus. 
D) The patient applies the ointment directly to the sclera.

Question 9

Matching
Place the steps of eye irrigation in appropriate sequence.

-Step: 5

Accepted Answer

A) Ask patient to turn head to affected side. 
B) Don gloves. 
C) Direct continuous stream of fluid from inner to outer canthus. 
D) Instruct patient to lie supine. 
E) Hold lids apart with thumb and finger.
F)Have patient close eyes to move debris from upper eyelid to conjunctival sac.

Question 10

The nurse in the walk-in clinic assesses a small piece of rock embedded in the right eye of a man who was breaking up rocks with a sledge hammer.The most appropriate action by the nurse would be to:

Accepted Answer

A) flush the eye with a continuous stream of warm water. 
B) instill artificial tears and cover the injured eye with a dressing. 
C) irrigate the eye with cool water and apply a pressure dressing. 
D) cover both eyes with a dressing and refer to the physician.

Question 11

Arrange the steps of the pathophysiological process of open-angle glaucoma in the correct order.

-Step: 4

Accepted Answer

A) Intraocular pressure exceeding 25 mm Hg 
B) Optic nerve and retina damaged by ischemia 
C) Permanent and irreversible vision impairment 
D) Overproduction of aqueous humor 
E) Continued high intraocular pressure restricting blood flow to optic nerve and retina

Question 12

The nurse is reviewing the plan of care for a patient following a tympanoplasty.The nurse correctly notes which intervention in the immediate postoperative care?

Accepted Answer

A) Keeping the patient flat in bed for 2 to 3 hours 
B) Encouraging deep breathing and coughing 
C) Repositioning the patient quickly to reduce nausea and vomiting 
D) Turning the head toward the operated side

Question 13

Matching
Place the steps of eye irrigation in appropriate sequence.

-Step: 4

Accepted Answer

A) Ask patient to turn head to affected side. 
B) Don gloves. 
C) Direct continuous stream of fluid from inner to outer canthus. 
D) Instruct patient to lie supine. 
E) Hold lids apart with thumb and finger.
F)Have patient close eyes to move debris from upper eyelid to conjunctival sac.

Question 14

Matching
Place the steps of eye irrigation in appropriate sequence.

-Step: 1

Accepted Answer

A) Ask patient to turn head to affected side. 
B) Don gloves. 
C) Direct continuous stream of fluid from inner to outer canthus. 
D) Instruct patient to lie supine. 
E) Hold lids apart with thumb and finger.
F)Have patient close eyes to move debris from upper eyelid to conjunctival sac.

Question 15

Arrange the steps of the pathophysiological process of open-angle glaucoma in the correct order.

-Step: 5

Accepted Answer

A) Intraocular pressure exceeding 25 mm Hg 
B) Optic nerve and retina damaged by ischemia 
C) Permanent and irreversible vision impairment 
D) Overproduction of aqueous humor 
E) Continued high intraocular pressure restricting blood flow to optic nerve and retina

Question 16

Accommodation is accomplished through the interaction of the ciliary bodies and the _____.

Accepted Answer

The answer of Accommodation is accomplished through the interaction of...

Exam 27: Care of Patients With Disorders of the Eyes and Ears

The patient with glaucoma is prescribed an Ocusert miotic.The medication should be replaced with what frequency?

Before enucleation,the patient is taught that,aside from removing the eye,the surgeon will:

The nurse has completed the assessment on a newly admitted patient.Which findings would be associated with the development of cataracts? (Select all that apply.)

The nurse explains that the classic early warning symptom of a detached retina is:

A patient comes to the ambulatory care clinic with reports of getting hay into the eyes while farming.When providing care to the patient,which actions may be included in the plan of care? (Select all that apply.)

The nurse explains that a photorefractive keratectomy (PRK) is a very brief surgery that corrects myopia by:

A patient has developed keratitis.When planning care,the nurse would anticipate that the first intervention to improve the patient's comfort would be the use of:

The nurse is observing a patient applying eye ointment.Which action indicates understanding of the correct application of eye ointment?

Matching Place the steps of eye irrigation in appropriate sequence. -Step: 5

The nurse in the walk-in clinic assesses a small piece of rock embedded in the right eye of a man who was breaking up rocks with a sledge hammer.The most appropriate action by the nurse would be to:

Arrange the steps of the pathophysiological process of open-angle glaucoma in the correct order. -Step: 4

The nurse is reviewing the plan of care for a patient following a tympanoplasty.The nurse correctly notes which intervention in the immediate postoperative care?

Matching Place the steps of eye irrigation in appropriate sequence. -Step: 4

Matching Place the steps of eye irrigation in appropriate sequence. -Step: 1

Arrange the steps of the pathophysiological process of open-angle glaucoma in the correct order. -Step: 5

Accommodation is accomplished through the interaction of the ciliary bodies and the _____.