Deck 11: Vision

Question 1

A 77-year-old client being treated for glaucoma asks the nurse what causes glaucoma. The nurse's response is:

A) the exact etiology of glaucoma is variable and often unknown.
B) spasms of the orbicular muscle.
C) changes to the suspensory ligaments, ciliary muscles, and parasympathetic nerves.
D) bits of broken coalesced vitreous from the peripheral or central part of the retina.

Answer 1

the exact etiology of glaucoma is variable and often unknown.

Question 2

A nurse is performing preoperative teaching for an older adult who is scheduled to have a cataract extraction and lens implant. The nurse includes which of the following in the teaching plan? (Select all that apply.)

A) Avoid lifting heavy objects after the surgery
B) Avoid bending from the waist after the surgery
C) Take stool softeners as needed
D) Maintain strict control of your blood sugar and blood pressure
E) Maintain a dry sterile dressing over the eye for 10 days

Answer 2

Avoid lifting heavy objects after the surgery
Avoid bending from the waist after the surgery
Take stool softeners as needed

Question 3

You have four rooms to choose from for your older client to be admitted this afternoon. Which room would you choose?

A) A brightly lit, blue room with cozy throw rugs
B) An orange-carpeted room with soft lighting and yellow walls
C) A brightly lit, blue room with an EZ-Glide wax floor
D) A fluorescent-lighted room with green walls and a glossy, tiled floor

Answer 3

An orange-carpeted room with soft lighting and yellow walls

Question 4

An older patient reports the following symptoms to a nurse during a routine visit to the geriatric clinic: blurry vision, the need for more light when reading, and blind spots in the middle of his visual field. He also states, "Strangely enough my peripheral vision continues to be pretty good." The nurse suspects that the patient has which of the following?

A) Glaucoma
B) Age related macular degeneration
C) Diabetic retinopathy
D) Cataracts

Question 5

A nurse is providing glaucoma education for a group of older adults in a senior center. The nurse knows that the following groups are most likely to develop glaucoma. (Select all that apply.)

A) African Americans
B) Mexican Americans
C) Individuals with a family history of glaucoma
D) Individuals with diabetes
E) Asian Americans

Question 6

An older resident in a long-term care facility reports to the nurse that she has been noticing changes in her vision, including the appearance of halos around objects and a yellow tint to most objects. The nurse knows that these complaints are most often associated with:

A) cataracts.
B) glaucoma.
C) diabetic retinopathy.
D) age-related macular degeneration.

Question 7

An older patient is diagnosed with diabetic retinopathy. The patient asks a nurse: "Is there anything that I can do to prevent progression of this disease and blindness?" The nurse includes which of the following into the response? (Select all that apply.)

A) Strict control of blood glucose levels is important in slowing disease progression
B) Laser photocoagulation treatments can stop progression of the disease
C) Control of blood pressure and cholesterol levels are important steps slowing disease progression
D) Wearing sunglasses to protect the eyes from ultraviolet light can stop disease progression
E) Eating a diet high in beta-carotene can stop disease progression

Question 8

A nurse is conducting an assessment of an older patient's eyes. The nurse expects to see which of the following normal age-related changes of the external eye? (Select all that apply.)

A) The eyelids are less elastic and droopy
B) The eyes are very dry
C) The eyelids may not close completely
D) There is a loss of eyelashes
E) The lower lid may be turned outward

Question 9

An older adult client shares with the nurse that, "I don't know what it is but it seems that I need more light for reading or even watching television as I get older." The nurse explains that aging may cause this change due to the:

A) slower ability of the pupil to adjust to changes in lighting.
B) impact arcus senilis has on visual acuity
C) flattening and thinning of the cornea.
D) retinal changes that begin to occur with aging.

Question 10

An older man tells a nurse, "The doctor says I have something wrong with my eyes, something called presbyopia. Can you explain why I have this? I was always fortunate to have good eyesight." The nurse formulates a response based on the knowledge that:

A) the lens of the eye loses elasticity causing a loss of focus for near objects.
B) the cornea of the eye becomes thicker and less curved causing an increase in astigmatism.
C) the lens of the eye increases in opacity causing a decrease in light refraction.
D) the cornea of the eye forms a gray ring at the edges.