A patient present to triage complaining of a sudden, complete loss of vision in his left eye. He denies any injury and rates his pain as 0 on a scale of 0 to 10. Which ocular emergency should you suspect?
A. Acute angle
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A patient present to triage complaining of a sudden, complete loss of vision in his left eye. He denies any injury and rates his pain as 0 on a scale of 0 to 10. Which ocular emergency should you suspect?
A. Acute angle-closure glaucoma
B. Central retinal artery occlusion
C. Retinal detachment
D. Hyphemia Correct Answers B. Central retinal artery occlusion
A patient present with blunt trauma from being struck in the right eye by a baseball. The nurse notes a vitreous hemorrhage. Which intervention is most appropriate?
A. Administer analgesic eye drops.
B. Maintain the patient in a supine position.
C. Assist with intraocular pressure measurement.
D. Place a protective shield over the affected eye and patch the unaffected eye. Correct Answers D. Place a protective shield over the affected eye and patch the unaffected eye.
In a patient with an ocular chemical burn, visual acuity should be assessed after which activity has been performed?
A. Evaluation by an ophthalmologist
B. Copious irrigation
C. Application of bilateral eye patches
D. Administration of ophthalmic antibiotic ointment Correct Answers B. Copious irrigation
Which assessment finding differentiates orbital cellulitis from periorbital cellulitis?
A. Fever
B. Pain
C. Impaired extraocular movement
D. Decreased vision Correct Answers C. Impaired extraocular movement
Which ocular emergency requires the most emergent management?
A. Radiation burn
B. Chemical burn
C. Acute angle-closure glaucoma
D. Central retinal artery occlusion Correct Answers B. Chemical burn
In a patient who presents with an orbital fracture and entrapment, which assessment finding is expected?
A. Pupil constriction in the affected eye
B. Hearing loss and tinnitus
C. Facial spasms
D. Limited upward gaze in the affected eye Correct Answers D. Limited upward gaze in the affected eye
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