Exam 13: Eye

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The nurse is assessing the eyes of an 82-year-old client.Which of the following findings are expected by the nurse based on the client's age?

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D

The nurse is assessing a client who is 34 weeks pregnant.Which of the following visual changes are usually normal in this stage in pregnancy and should disappear at some point after delivery?

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A,B,E

The nurse is assessing the client's eyes during a comprehensive health assessment.Which of the following pieces of information should the nurse also gather? A)The client is 62 years old. B)The client's parents were born in Spain. C)The client's annual income is below the poverty level. D)The client is a welder. E)The client recently attempted to commit suicide after his wife died in an automobile accident.

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A,B,C,D,E

The nurse notices that a client's pupils constrict when reading the consent form for medical treatment.This observation would lead the nurse to consider which of the following?

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During the assessment of a client's eyes,the nurse suspects the client has entropian.Which of the following did the nurse most likely find while assessing this client?

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The nurse is completing a focused interview with assessment of the eye.Which of the following is most helpful to the nurse during the focused interview?

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The nurse noted that the client was unable to control the amount of light that came into her eye.The dysfunction of which of the following structures is the most likely cause of this problem?

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The nurse is assessing the client's eyes.Which of the following findings is most consistent with glaucoma?

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The nurse is assessing an adult African American client who is experiencing visual changes.Which of the following questions would be the most important to ask this client?

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During an eye examination,the nurse requests that the client read letters located on the Snellen E chart.The client's vision is determined to be 20/200.Which of the following is true regarding these findings?

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The nurse taught the client how to self-administer eye drops and the client was performing a return demonstration.During this time,the client inadvertently touched the applicator to their cornea,which caused the client to blink and produce tears.The nurse may document this response as which of the following?

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The nurse is examining the eye.The client asks about the specific structures within the eye that are responsible for refraction of light rays.The nurse accurately states that the following structures are involved in this process:

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The nurse is assessing the client's retina.Draw an arrow pointing toward the location of the optic disc. The nurse is assessing the client's retina.Draw an arrow pointing toward the location of the optic disc.

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The nurse is performing a visual examination on a client due to the client's complaints of black dots appearing in the visual field.Which of the following statement is the nurse's best response to the client?

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The nurse is assessing a child previously diagnosed with fetal alcohol syndrome.Which of the following statements by the client's adoptive mother are consistent with the child's diagnosis?

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The nurse is assessing a client's visual fields by confrontation.Which of the following nursing actions indicates that the nurse requires further education regarding this test?

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The nurse is assessing the client's corneal reflex.Draw an arrow pointing to the area of the eye that the nurse should test for the presence of this reflex. The nurse is assessing the client's corneal reflex.Draw an arrow pointing to the area of the eye that the nurse should test for the presence of this reflex.

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The African American middle-aged client has been diagnosed with glaucoma.Which of the following statements by the client indicate that further education is required?

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During an eye assessment,a 24-year-old client reports difficulty seeing items well at close range.The nurse realizes this finding is consistent with:

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The nurse is assessing the fundus of the elderly client's eye with an ophthalmoscope.The nurse determines that there is a cyst within the macula.Which of the following client symptoms may be associated with this finding?

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