Deck 46: Coordinating Care for Patients With Visual Disorders

Question 1

The nursing diagnosis "Impaired visual sensory perception related to abnormal blood vessel growth behind the retina" is most relevant to the patient with which eye disorder?
1)Cataracts
2)Dry macular degeneration
3)Glaucoma
4)Wet macular degeneration

Answer 1

4

Question 2

The nurse educates a group of patients who will have surgery to treat visual disorders. Which patient statement indicates a need for additional teaching?
1)"My myopia can be treated with an implantable lens."
2)"I will have refractive surgery to treat my hyperopia."
3)"My disorder, presbyopia, cannot be fixed with surgery."
4)"I will have a photorefractive keratectomy to treat my astigmatism."

Answer 2

3

Question 3

The nurse monitors for which clinical manifestation in the patient diagnosed with dry macular degeneration?
1)Blurred vision
2)Increased intraocular pressure
3)Loss of peripheral vision
4)Sudden onset of light flashes

Answer 3

1

Question 4

Which statement by the patient after laser trabeculoplasty indicates the need for follow-up by the nurse for additional teaching?
1)"I should take a daily laxative."
2)"I can't wait to be able to hold and play with my a 3-year-old grandchild."
3)"I should not bend at the waist."
4)"I need to apply pressure to the lacrimal duct after applying eye drops."

Question 5

A patient contemplating cataract surgery asks if there are any risk factors. What is the nurse's best response?
1)"Blindness is a risk factor of cataract surgery."
2)"Detached retina is a risk factor of cataract surgery."
3)"Corneal abrasion is a risk factor of cataract surgery."
4)"Macular degeneration is a risk factor of cataract surgery."

Question 6

The nurse is caring for a patient recovering from cataract removal surgery. Which action does the nurse take to reduce intraocular pressure (IOP)?
1)Restricting fluids
2)Positioning on the operative side
3)Administering mydriatic eye drops
4)Elevating the head of the bed 45 degrees

Question 7

The nurses uses which diagnostic tool to assess a patient experiencing a gradual loss of central vision?
1)Jaeger card
2)Amsler grid
3)Snellen chart
4)Ishihara chart

Question 8

The nurse monitors for which clinical manifestations in the patient being evaluated for hyperopia?
1)Squints, has headaches, and blurred vision
2)Sees distance objects better than those near
3)Sees near objects better than those at a distance
4)Unable to focus on objects held close to the face

Question 9

The nurse is planning care for a patient with astigmatism. The nurse recommends which action to reduce the patient's headaches and blurred vision?
1)Encouraging wearing corrective lenses while awake
2)Applying cool compresses to the eyes every 4 to 6 hours
3)Recommending removing corrective lenses every few hours
4)Instructing to gently massage the outer eye canthus several times a day

Question 10

Which patient statement indicates correct understanding of the medical treatment for astigmatism?
1)"I will need convex corrective lenses."
2)"I will need 'reading glasses' for magnification."
3)"I will need eyeglasses or contact lenses to treat this disorder."
4)"I will need the surgical procedure orthokeratology."

Question 11

In administering pilocarpine to a patient, the nurse correlates which mechanism of action to this medication?
1)Decreases production of aqueous humor
2)Suppresses the inflammatory response
3)Increases outflow of aqueous humor
4)Vasoconstricts blood vessels

Question 12

The nurse is evaluating teaching provided to a patient with bacterial conjunctivitis. Which patient statement indicates that additional teaching is required?
1)"I should place my towel in the bathroom."
2)"I should wash my hands frequently during the day."
3)"I should complete all of my prescribed medications."
4)"I should make a follow-up appointment as directed."

Question 13

It is documented in the health record that a patient has a rhegmatogenous detached retina. The nurse correlates which underlying pathophysiology to this diagnosis?
1)Eye trauma causes the retinal to detach from the retinal pigment epithelium (RPE).
2)Eye inflammation causes vitreous fluid leaks into the area under the retina.
3)Vitreous fluid moves under the retina and separates the retina from the pigmented cell layer.
4)Scar tissue on the retina causes the retina to separate from the retinal pigment epithelium (RPE).

Question 14

The nurse monitors for which clinical manifestation in the patient diagnosed with a cataract?
1)Itching of the right eye
2)Tearing of the right eye
3)Redness of the sclera of the right eye
4)Double vision in the right eye

Question 15

The nurse correlates which data from a patient's history as a risk factor to a patient newly diagnosed with myopia?
1)Drinks two alcoholic beverages per day
2)Smokes one pack per day of cigarettes
3)Consumes red meat at least three times per week.
4)Worked for 30 years as a tailor

Question 16

The nurse correlates decreased peripheral vision in both eyes to which eye disorder?
1)Secondary glaucoma
2)Acute angle glaucoma
3)Normal-tension glaucoma
4)Primary open-angle glaucoma

Question 17

The nurse recognizes which patient is at highest risk for the development of macular degeneration?
1)45-year-old woman with body mass index of 36
2)55-year-old man with hypertension
3)65-year-old woman with elevated cholesterol levels
4)70-year-old man with history of smoking for 50 years

Question 18

The nurse provides education to a patient who is prescribed latanoprost (Xalatan) for the treatment of glaucoma. Which patient statement indicates that the teaching was effective?
1)"I will take over-the-counter antihistamines for my allergies."
2)"It increases the outflow of aqueous humor, which decreases the pressure in my eye."
3)"It reduces the production of aqueous humor, which decreases the pressure in my eye."
4)"I will apply pressure to the corner of my eye for 10 sec to decrease systemic absorption."

Question 19

A patient with macular degeneration is being treated with verteporfin (Visudyne). The nurse emphasizes which information regarding actions to reduce the risk of complications from this treatment?
1)Apply lotion to the skin for 2 weeks after the treatment.
2)Increase the intake of water for 3 days after the treatment.
3)Avoid indoor and outdoor light for 5 days after treatment.
4)Wear sunglasses when outdoors for 1 week after treatment.

Question 20

The nurse provides education to a patient who is diagnosed with bacterial conjunctivitis. Which patient statement indicates correct understanding of the information presented?
1)"My partner will require antibiotic drops too."
2)"The antibiotic drops will block the release of histamine."
3)"I can continue to wear the same contact lenses after treatment."
4)"The ointment will be placed directly into my eye to treat the infection."

Question 21

The nurse is preparing a tool about macular degeneration that will be posted during a health fair. Which risk factors does the nurse include in this tool? Select all that apply.
1)Elevated cholesterol levels
2)Elevated serum glucose levels
3)Obesity
4)Opioid use
5)High blood pressure

Question 22

The nurse is reviewing prescriptions for a patient diagnosed with a traumatic corneal abrasion and correlates which orders as appropriate for this disorder? Select all that apply.
1)Antibiotics
2)Cycloplegic eye drops
3)Oral steroid
4)Tetanus vaccination
5)Topical antihistamine drops

Question 23

The nurse monitors for which clinical manifestations in the patient diagnosed with a corneal abrasion? Select all that apply.
1)Flashing light
2)Eye pain
3)Squinting
4)Photophobia
5)Purulent drainage

Question 24

The nurse is reviewing the treatment plan for a patient diagnosed with viral conjunctivitis. Which prescriptions are indicated for this disorder? Select all that apply.
1)Eye lubricants
2)Cold compresses
3)Topical steroid drops
4)Ocular decongestants
5)Topical antihistamine drops

Question 25

The nurse correlates which pathophysiological mechanism to the development of detached retina?
1)Blood vessels in the eye spasm
2)Inner layers of the retina separate
3)Overgrowth of vessels damages vision
4)Drainage of aqueous humor is blocked

Question 26

The nurse monitors for which clinical manifestations in the patient presenting to the emergency department after being hit in the eye by a bat during a softball game?
1)Edema
2)Crusty exudate
3)Loss of central vision
4)Loss of peripheral vision

Question 27

The nurse is preparing information about eye health for a community health fair and includes which information related to risk factors for cataracts? Select all that apply.
1)Exposure to UV light
2)Age older than 60
3)Family history
4)Alcohol intake
5)Diabetes mellitus

Question 28

The nurse monitors for which clinical manifestations in the patient diagnosed with endogenous endophthalmitis? Select all that apply.
1)Photophobia
2)Floaters
3)Painless red eyes
4)Corneal edema
5)Decreased visual acuity

Question 29

The nurse monitors for which clinical manifestations in the patient diagnosed with bacterial conjunctivitis? Select all that apply.
1)Feeling of sand in the eye
2)Decreased peripheral vision
3)Pale, white sclera
4)Purulent eye discharge
5)Matting of the eyelashes

Question 30

A patient comes into the emergency department with clinical manifestations of retinal detachment. What action by the nurse is the priority to minimize this patient's eye movements?
1)Provide a sedative
2)Loosely cover both eyes
3)Elevate the head of the bed 45 degrees
4)Apply an eye patch over the affected eye