Deck 46: Coordinating Care for Patients With Visual Disorders

Question 1

A patient comes into the emergency department with manifestations of retinal detachment.What should the nurse do to minimize this patient's eye movements?

A) Provide a sedative
B) Loosely cover both eyes
C) Elevate the head of the bed 45 degrees
D) Apply an eye patch over the affected eye

Answer 1

Loosely cover both eyes

Question 2

The nurse suspects that a patient has undiagnosed hyperopia.What did the nurse assess to come to this conclusion?

A) Squints,has headaches,and blurred vision
B) Sees distance objects better than those near
C) Sees near objects better than those at a distance
D) Unable to focus on objects held close to the face

Answer 2

Sees distance objects better than those near

Question 3

The nurse is caring for a patient recovering from cataract removal surgery.Which action should the nurse take to reduce intraocular pressure (IOP)?

A) Restrict fluids
B) Position on the operative side
C) Administer mydriatic eye drops
D) Elevate the head of the bed 45 degrees

Answer 3

Elevate the head of the bed 45 degrees

Question 4

During a vision test,the nurse notes that a patient has decreased peripheral vision of both eyes.Which health problem should the nurse suspect that this patient is experiencing?

A) Secondary glaucoma
B) Acute angle glaucoma
C) Normal-tension glaucoma
D) Primary open-angle glaucoma

Question 5

It is documented in the medical record that a patient has a rhegmatogenous detached retina.How should this diagnosis be explained to the patient?

A) Eye trauma causes the retinal to detach from the retinal pigment epithelium (RPE).
B) Eye inflammation causes vitreous fluid leaks into the area under the retina.
C) Vitreous fluid moves under the retina and separates the retina from the pigmented cell layer.
D) Scar tissue on the retina causes the retina to separate from the retinal pigment epithelium (RPE)
.

Question 6

The nurse notes that a patient is diagnosed with primary open-angle glaucoma.What diagnostic test would have been used to diagnose this health problem?

A) MRI
B) CT scan
C) Tonometry
D) Ultrasound

Question 7

The nurse is planning care for a patient with an astigmatism.What action should the nurse take to reduce this patient's headaches and blurred vision?

A) Encourage to wear corrective lenses while awake
B) Apply cool compresses to the eyes every four to six hours
C) Recommend removing corrective lenses every few hours
D) Instruct to gently massage out eye canthus several times a day

Question 8

A patient with macular degeneration is being treated with verteporfin (Visudyne).What should the nurse emphasize in the patient teaching in order to reduce the risk of complications from this treatment?

A) Apply lotion to the skin for two weeks after the treatment
B) Increase the intake of water for three days after the treatment
C) Avoid indoor and outdoor light for five days after treatment
D) Wear sunglasses when going out of doors for one week after treatment

Question 9

A patient contemplating cataract surgery asks if there are any risk factors.How should the nurse respond?

A) Blindness
B) Detached retina
C) Corneal abrasion
D) Macular degeneration

Question 10

A patient is demonstrating signs of a detached retina.What is the reason this occurred?

A) Blood vessels in the eye spasm
B) Inner layers of the retina separate
C) Overgrowth of vessels damages vision
D) Drainage of vitreous humor is blocked

Question 11

The nurse is evaluating teaching provided to a patient with bacterial conjunctivitis.Which patient statement indicates that additional teaching is required?

A) "I should place my towel in the bathroom."
B) "I should wash my hands frequently during the day."
C) "I should complete all of my prescribed medications."
D) "I should make a follow-up appointment as directed."

Question 12

While reviewing collected data the nurse notes that a patient has been newly diagnosed with myopia.What information in the patient's history might have contributed to this refractive error?

A) Has 3 children
B) Smokes 1 PPD of cigarettes
C) Raises homegrown tomatoes
D) Worked for 30 years as a tailor

Question 13

The nurse notes that a patient known to the community clinic was unable to recognize the health-care provider.What health problem should the nurse suspect is occurring with this patient?

A) Cataracts
B) Glaucoma
C) Corneal abrasions
D) Macular degeneration

Question 14

A patient seeks treatment for a corneal abrasion that occurred the previous week.What should the nurse expect to be prescribed to reduce this patient's risk of developing a complication?

A) Tetanus vaccination
B) Topical steroid drops
C) Systemic pain medication
D) Topical antihistamine drops

Question 15

The nurse suspects that a patient is developing a cataract.What finding did the nurse use to make this clinical decision?

A) Itching of both eyes
B) Tearing of both eyes
C) Redness of the sclera
D) Double vision in one eye

Question 16

The nurse is visiting the home of a patient recovering from laser trabeculoplasty.Which observation made by the nurse increases this patient's risk of developing a postoperative complication?

A) Takes a daily laxative
B) Picks up a 3-year-old grandchild
C) Washes hands before applying eye drops
D) Applies pressure to the lacrimal duct after applying eye drops

Question 17

A patient has been experiencing a gradual loss of central vision.Which tool should the nurse use when assessing this patient?

A) Jaeger card
B) Amsler grid
C) Snellen chart
D) Ishihara chart

Question 18

The nurse is reviewing teaching provided to a patient with glaucoma.Which patient statement indicates that teaching has been effective?

A) "I should consider surgery to cure this disorder."
B) "I should use the eye drops when my vision blurs."
C) "I should cut down on eating salty and high-fat foods."
D) "I should call my doctor before taking any over-the-counter medications."

Question 19

A patient is diagnosed with a corneal abrasion.Which diagnostic test was used to confirm this diagnosis?

A) MRI
B) CT scan
C) Ultrasound
D) Fluorescein stain

Question 20

A patient has watery eye discharge affecting both eyes.Which health problem should the nurse suspect this patient is experiencing?

A) Cataracts
B) Eye trauma
C) Conjunctivitis
D) Corneal abrasions

Question 21

During a softball game a child was hit in the eye with a bat.What common manifestation should the nurse expect when assessing this patient?

A) Edema
B) Blood-tinged tears
C) Loss of central vision
D) Loss of peripheral vision

Question 22

The nurse is evaluating teaching provided to a patient recovering from eye trauma.Which statement indicates that additional teaching is required?

A) "I have to wear the eye patch."
B) "I can play ball again this weekend."
C) "I need to see the doctor in a few days."
D) "I should call the doctor if my sight changes."