Chapter 39--Visual Dysfunction: Nursing Management

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Chapter 39--Visual Dysfunction: Nursing Management MULTIPLE CHOICE 1. A client is diagnosed with strabismus. Which of the following will the client most likely experience with this disorder? ... 1. Nystagmus 2. Diplopia 3. Aphakic vision 4. Ptosis PTS: 1 DIF: Analyze REF: Ocular Movement Disorders: Strabismus 2. A client is experiencing a gradual blurring of vision in both eyes not associated with any pain. The nurse suspects the client is experiencing: 1. glaucoma. 2. cataracts. 3. macular degeneration. 4. retinal detachment. PTS: 1 DIF: Analyze REF: Cataracts: Pathophysiology 3. The nurse should instruct a client, diagnosed with glaucoma, that the purpose of medication is to: 1. help dry up excess secretions. 2. lower the intraocular pressure. 3. strengthen the muscles of the eye. 4. improve the vision in the eye. PTS: 1 DIF: Apply REF: Glaucoma: Pharmacology 4. After surgery to remove a cataract, which of the following should the nurse instruct the client? 1. “Be sure to follow the schedule for the prescribed eyedrop medication.” 2. “Sleep on the right side to promote drainage.” 3. “It is okay to rub the eye because the surgery was on the inside.” 4. This is an outpatient procedure, and there are no instructions for the patient. PTS: 1 DIF: Apply REF: Cataracts: Planning and Implementation 5. A tonometry test has been performed with a client and the results are 25 mmHg. The nurse know that: 1. the reading is low and there is no problem. 2. the reading is normal and nothing needs to be done at this time. 3. the results are high and follow-up readings and tests are needed. 4. the results are high and there is no cure to bring the pressure down. PTS: 1 DIF: Analyze REF: Glaucoma: Assessment with Clinical Manifestations and Diagnostic Tests 6. A client has been diagnosed with cataracts. The nurse realizes that the only treatment for this disorder is? 1. Medical management with eyedrops 2. Surgical removal of the lens 3. Cryopexy 4. Phototherapy PTS: 1 DIF: Analyze REF: Cataracts: Surgery 7. Which of the following should the nurse assess in a client diagnosed with open-angle glaucoma? 1. Degree of lost vision 2. Severity of headaches 3. Amount of blurred vision 4. Date of onset PTS: 1 DIF: Apply REF: Glaucoma: Pathophysiology 8. A client is experiencing little flashes of lights and things floating in the visual field. The nurse suspects: 1. cataracts. 2. glaucoma. 3. conjunctivitis. 4. retinal detachment. PTS: 1 DIF: Analyze REF: Retinal Detachment: Assessment with Clinical Manifestations 9. A client tells the nurse that she sees a shadow that is slowing getting worse in her left eye. Which of the following should the nurse do? 1. Instruct the client to return home to rest in bed. 2. Encourage the client to continue with normal daily activities. 3. Notify an ophthalmologist. 4. Encourage fluids and normal saline eyedrops. PTS: 1 DIF: Apply REF: Retinal Detachment: Assessment with Clinical Manifestations 10. A client is experiencing a loss of central vision but not a loss of peripheral vision. The nurse realizes the client should be evaluated for: 1. detached retina syndrome. 2. nystagmus. 3. macular degeneration. 4. conjunctivitis. PTS: 1 DIF: Analyze REF: Macular Degeneration: Pathophysiology 11. A client is experiencing redness, burning, itching, and pain of the eyes. The nurse suspects the client is experiencing: 1. blepharitis. 2. conjunctivitis. 3. keratitis. 4. iritis. PTS: 1 DIF: Analyze REF: Inflammatory and Infectious Eye Conditions 12. A client has been diagnosed as being legally blind. The nurse realizes this client’s vision is: 1. 20/200 or less in the better eye with correction. 2. 20/200 or less in the worse eye without correction. 3. 20/100 or less in the better eye without correction. 4. 20/100 or less in the worse eye with correction. PTS: 1 DIF: Analyze REF: Low Vision and Blindness 13. The nurse realizes that the best medication treatment for open-angle glaucoma would be: 1. timolol (Timoptic) eyedrops. 2. latanoprost (Xalatan) eyedrops. 3. timolol (Timoptic) and Latanoprost (Xalatan) eyedrops. 4. metoprolol oral medication. PTS: 1 DIF: Analyze REF: Glaucoma: Pharmacology MULTIPLE RESPONSE 1. A client tells the nurse that he does not want to develop macular degeneration like his mother. Which of the following should the nurse instruct the client as being risk factors for the development of this disorder? (Select all that apply.) 1. There is greater risk as people age. 2. Women are at greater risk than men. 3. African Americans are at greater risk than Caucasians. 4. Family history of macular degeneration increases risk. 5. Smoking does not increase risk. 6. Alcohol prevents the onset of this disorder. PTS: 1 DIF: Apply REF: Macular Degeneration 2. A client is receiving tests to diagnose glaucoma. Which of the following diagnostic tests will be used to identify this disorder in the client? (Select all that apply.) 1. Visual acuity 2. Visual field test 3. Tonometry 4. Weber test 5. Rinne test 6. Electroencephalogram ANS: 1, 2, 3 PTS: 1 DIF: Analyze REF: Glaucoma: Assessment with Clinical Manifestations and Diagnostic Tests 3. A client is diagnosed with ocular cancer. The nurse realizes this client could be treated with: (Select all that apply.) 1. Enucleation 2. Laser surgery 3. Plaque brachytherapy 4. Block incision 5. Trabeculoplasty 6. Trabeculectomy PTS: 1 DIF: Analyze REF: Ocular Cancer: Surgery 4. A client, diagnosed with keratoconus, asks the nurse what caused the disorder to develop. The nurse should instruct the client on which of the following as risk factors for the development of this disorder? (Select all that apply.) 1. Sun exposure 2. Ocular allergies 3. Wearing rigid contact lenses 4. Vigorous eye rubbing 5. Herpes simplex virus 6. Dry eyes PTS: 1 DIF: Apply REF: Corneal Disorders: Keratoconus 5. The nurse is planning instruction for a client experiencing dry eyes. Which of the following should be included in these instructions? (Select all that apply.) 1. Drink 8 to 10 glasses of water each day. 2. Apply petroleum jelly to the eyelids. 3. Blink more frequently. 4. Avoid sun exposure. 5. Avoid rubbing the eyes. 6. Avoid dry air. PTS: 1 DIF: Apply REF: Patient Playbook: Treatment of "Dry Eyes" 6. Which of the following should the nurse instruct a client diagnosed with type 2 diabetes mellitus regarding vision care? (Select all that apply.) 1. Maintain good glucose control. 2. Stop smoking. 3. Limit exercise. 4. Reduce reading. 5. Frequently rest the eyes. 6. Rub eyes daily. PTS: 1 DIF: Apply REF: Diabetic Retinopathy: Planning and Implementation [Show More]

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