Deck 42: Caring for Clients With Eye Disorders

Question 1

A client, in for an eye exam, asks the nurse what they can do to help prevent cataracts. What dietary recommendations should a nurse give to a client to prevent cataracts?

A) Calcium with vitamin D
B) Foods rich in purine
C) Fat-free foods
D) Vitamins A and C

Answer 1

Vitamins A and C

Question 2

The nurse is caring for a client who underwent surgery for a retinal detachment. The surgery included the injection of an air bubble to promote contact between the retina and choroids. What position should the nurse keep the client in?

A) With the face parallel to the floor
B) With the client's head slightly elevated
C) With the client lying on the same side as the eye in which the air bubble is to be instilled
D) With the client in an upright position

Answer 2

With the face parallel to the floor

Question 3

The nurse at the eye clinic is caring for a client who has just been diagnosed with macular degeneration. The client has been told that this type of macular degeneration does not have any treatment of cure. The nurse knows the client has what type of macular degeneration?

A) Wet type
B) Blurry type
C) Dry type
D) Degenerative type

Answer 3

Dry type

Question 4

The nurse admits a client to the Emergency Department who has been referred by the eye clinic. Which condition is an emergency where the nurse should refer the client for medical treatment immediately?

A) Chalazion
B) Acute angle-closure glaucoma
C) Hordeolum
D) Blepharitis

Question 5

An 8th grade boy comes to the school nurse and tells the nurse that he had an eye exam the day before. He says the eye doctor told him he had astigmatism and that meant his eyeball wasn't shaped right. The boy is concerned because he says he went home and looked in the mirror and both eyes looked just alike. What is the school nurse's best response?

A) "Astigmatism means that the cornea of the eye is shaped differently than the cornea in most eyes."
B) "Astigmatism means that the eye is shaped more like an olive than most eyes."
C) "Astigmatism means that the inside of the eye is shaped differently than the inside of most eyes."
D) "Astigmatism means that the lens of the eye is more of an oval shape than the lens in most eyes."

Question 6

A client who is legally blind comes to the eye clinic for a routine examination. What is a parameter of assessment that the nurse should cover in this client?

A) Assess how the client is coping with their visual problems.
B) Assess how well the client walks with a cane.
C) Assess if the client needs referral to a school for the blind.
D) Assess how the client's relationships are.

Question 7

The nurse is caring for four clients who have come to the clinic for eye exams. The nurse would know that which client is visually impaired?

A) Client A - eyes test at 20/40 and 20/100
B) Client B - eyes test at 20/100 and 20/200
C) Client C - eyes test at 20/30 and 20/50
D) Client D- eyes test at 20/40 and 20/60

Question 8

A client with glaucoma has been given a prescription for a mydriatic drug. What is a priority action of the nurse?

A) Tell the physician.
B) Nothing.
C) Have the client fill the prescription.
D) Have the client ask the physician for another drug.

Question 9

A client is diagnosed with keratitis. What advice should the nurse give this client?

A) Use warm soaks frequently.
B) Use dark glasses.
C) Frequently wash the face and hair.
D) Massage the surrounding area.

Question 10

You are teaching a parent how to instill drops in their 12-year-old sons' eyes. Which action would you teach the parent is accomplished first?

A) Close the eye gently.
B) Tilt the head slightly backward.
C) Instill the prescribed number of drops into the conjunctival pocket.
D) Do not allow the tip of the container to touch the eye.

Question 11

A client has just been diagnosed with glaucoma. What teaching should the nurse include with this client?

A) How long they have to wear dark glasses.
B) Maintain regular bowel habits.
C) What vegetables to eat.
D) When they can read again.

Question 12

What are the signs and symptoms of a retinal detachment? Select all that apply.

A) Blind spots
B) Color blindness
C) Floaters
D) Curtain drawn over visual field
E) Pain

Question 13

A client, who has had an enucleation, is receiving post-operative teaching about cleaning of their prosthesis. What part of the prosthesis would the nurse teach the client to remove for cleaning?

A) The ball
B) The whole thing
C) The shell
D) The bridge

Question 14

Pilocarpine (Pilocar) is used in the treatment of glaucoma. What is this drugs mechanism of action?

A) It slows the production of aqueous fluid.
B) It clears the debris from the Canal of Schlemm.
C) It decreases the edema in the cornea.
D) It pulls the iris away from the drainage channels so that the aqueous fluid can escape.

Question 15

A nurse is assessing a client for a fracture to the bony orbit. What would the nurse document if their assessment for fracture was positive?

A) There is excessive tearing.
B) The client's vision is blurred.
C) A rust ring is seen around the pupil.
D) The client has diplopia.

Question 16

A client has undergone enucleation. What complication of enucleation should be addressed by the nurse?

A) Hypotension
B) Nausea and vomiting
C) Hemorrhage
D) Pneumonia

Question 17

A client comes to the clinic complaining of reddened and itchy eyes. The nurse suspects conjunctivitis. What symptom should a nurse monitor for to determine whether the condition of a client with conjunctivitis is severe?

A) Excessive tearing
B) Swelling and pain
C) Burning or itching
D) Enlarged lymph nodes in the neck or throat area

Question 18

A nurse is doing pre- and post operative teaching with a client who is undergoing cataract surgery. What is an important parameter the nurse should teach the client about?

A) Feelings of depression
B) Increased urine output
C) Eat soft, easily chewed food until healing is complete
D) Development of a "black" eye

Question 19

A client who is blind comes to the clinic for a routine check-up. The nurse notes the client is exhibiting signs and symptoms of depression. What nursing action is recommended when helping a blind client who is depressed?

A) Cheer up the client.
B) Acknowledge the client's grief.
C) Agree with the client that it is impossible to deal with the adversity.
D) Ignore the client's grief and adopt a strict attitude.

Question 20

A client is diagnosed with blepharitis. What symptoms should a nurse monitor in this client?

A) Patchy flakes clinging to the eyelashes
B) A red pustule in the internal tissue of the eyelid
C) Redness
D) A halo around the pupil

Question 21

A mother brings her 8-year-old daughter to the walk in clinic because the girl was hit in the eye with a baseball while on the playground. The child will not allow anyone to look at her eye. What is the priority action of the nurse?

A) Loosely patch both eyes.
B) Call the emergency department and tell them a child is being referred.
C) Tightly patch the injured eye.
D) Place ice on the injury.

Question 22

A client asks the nurse what they can do to improve their vision after having their cataract removed. What is the nurse's best response?

A) "There is nothing you can do to improve your vision."
B) "Having an intraocular lens implanted at the time of surgery is the best thing you can do."
C) "To improve your vision, you need to eat more beta carotene."
D) "To improve your vision, you need to rest more."

Question 23

You are doing postoperative teaching with a client being discharged home after cataract surgery. What instructions would you give the client? Select all that apply.

A) Avoid bending and stooping
B) Avoid heavy lifting
C) Avoid going outside
D) Avoid dusting
E) Avoid immersing the eyes in water

Question 24

A client comes to the eye clinic for an examination. The client tells the nurse that their vision is like a target with the bull's eye area of the image missing. What would the nurse suspect?

A) Retinal detachment
B) Fractured orbit
C) Conjunctivitis
D) Macular degeneration

Question 25

You are caring for a client with open-angle glaucoma. You know that this disease causes what? Select all that apply.

A) Atrophy of nerve fibers in the central area of the retina
B) Edema of the lens
C) Degeneration of the optic nerve
D) Edema of the cornea
E) Atrophy of nerve fibers in the peripheral areas of the retina