Question 1

A nurse is assisting a healthcare provider during a refractive error examination. Which intervention should the nurse implement during the procedure?

Accepted Answer

The correct intervention during a refractive error examination is to place the phoropter in front of the client's eyes. This allows the healthcare provider to change lenses and determine which ones correct the client's vision most effectively.

Question 2

The nurse is assisting an ophthalmologist with a test to measure the pressure in the eyes of a client to detect glaucoma. Which test is being performed?

Accepted Answer

Tonometry is the test used to measure the pressure inside the eye, which is crucial for detecting glaucoma.

Question 3

The nurse is preparing a client for an electroretinogram (ERG) to confirm a diagnosis of retinitis pigmentosa. Which explanation should be included in the preparation of this client?

Accepted Answer

An electroretinogram (ERG) involves placing a contact lens containing an electrode on the eye to measure the electrical response of the rods and cones (photoreceptors) in the retina, which is crucial for diagnosing conditions like retinitis pigmentosa.

Question 4

The nurse is assisting with a caloric test to determine if an alteration exists in the vestibular origin of the acoustic nerve. Which intervention will the nurse implement during this procedure to support the desired results?

Accepted Answer

Instilling cold and/or warm water into the external ear canal is part of the caloric test procedure, which stimulates the vestibular component of the cranial nerve VIII (acoustic nerve) to assess its function.

Question 5

A client has an eye patch to allow the eye to rest following an injury playing soccer. Which teaching point should the nurse provide the client?

Accepted Answer

Wearing an eye patch can affect depth perception and peripheral vision, making activities like driving unsafe.

Question 6

A nurse is irrigating the ear of a client to clear an external auditory canal obstruction. Which measure should the nurse employ when caring for this client?

Accepted Answer

Warming the irrigating solution to body temperature helps prevent the client from experiencing dizziness or discomfort during the procedure, as cold or hot solutions can stimulate the vestibular apparatus in the ear, leading to vertigo or dizziness.

Question 7

Which teaching points should be included in post-surgery education for a client scheduled for eye surgery? Select all that apply.

Accepted Answer

The answer of Which teaching points should be included in...

Question 8

The nurse is caring for a client with a prosthetic eye. Which information should be included in discharge education?

Accepted Answer

The answer of The nurse is caring for a client...

Question 9

The nurse caring for a client following eye surgery reports to the surgeon that the client is showing signs of ptosis (drooping eyelid). What might this finding indicate?

Accepted Answer

Edema, or swelling, can occur after eye surgery due to inflammation or fluid accumulation, leading to ptosis (drooping eyelid).

Question 10

The nurse is providing discharge teaching for a client following ear surgery. Which information would the nurse include in the teaching plan for this client?

Accepted Answer

Reporting any fever, headache, vertigo, or ear pain immediately is crucial as these symptoms could indicate complications such as infection or issues with the surgical site. The other options could potentially harm the patient or impede recovery.

Question 11

The nurse is caring for a client in the hospital who is visually impaired. Which nursing considerations would be appropriate for this client? Select all that apply.

Accepted Answer

A) Letting the client know when you are leaving the room helps maintain orientation and reduces anxiety.D) Identifying oneself when entering the room helps the client recognize who is present and maintains communication.E) Placing food in a "clock position" and identifying it helps the client understand the layout of their meal, promoting independence.

Question 12

The nurse is entering the hospital room of a client who has a severe hearing deficit. Which nursing considerations would be appropriate for this client? Select all that apply.

Accepted Answer

These options are appropriate because they facilitate communication with a client who has a severe hearing deficit. Getting the client's attention before speaking ensures they are ready to listen, facing the client on the same level and speaking slowly and clearly helps with lip-reading, using hand motions can aid in understanding, and verifying that the person understood the conversation ensures accurate communication. Repeating specific words rather than entire phrases (D) is not mentioned as a general strategy for communicating with individuals with hearing deficits.

Question 13

Several specialists are involved in the treatment of the eye. Who would be licensed to perform cataract surgery?

Accepted Answer

Ophthalmologists are medical doctors who specialize in eye and vision care, including performing surgeries such as cataract surgery. Optometrists provide primary vision care but do not perform surgery. Opticians are technicians who design, verify, and fit eyeglass lenses and frames, contact lenses, and other devices to correct eyesight. Ophthalmic technicians assist ophthalmologists in clinical tasks but do not perform surgery.

Question 14

Which statement describes astigmatism?

Accepted Answer

Astigmatism is characterized by an unequal curvature in the shape of the lens or cornea, leading to distorted or blurred vision.

Question 15

An older adult diagnosed with presbyopia is experiencing errors in far and near vision. Which is the most common treatment option for this client?

Accepted Answer

Bifocals are the most common treatment option for presbyopia, as they contain two different lens powers to correct both near and far vision issues.

Question 16

A hospitalized client wakes up in the morning with his eyelids sticking together from a thick and copious discharge. After the nurse applies warm soaks to help remove the crusts, the client then reports pain, redness, and itching of the eyes. What inflammatory disorder would the nurse suspect?

Accepted Answer

The symptoms described, including eyelids sticking together from a thick and copious discharge, pain, redness, and itching of the eyes, are characteristic of conjunctivitis, an inflammation of the conjunctiva.

Question 17

The nurse performing a physical assessment of an 80-year-old client documents the structural disorder known as entropion. What occurs in this condition?

Accepted Answer

Entropion is a condition where the eyelid margin turns inward. This is common in older adults and can cause discomfort as the eyelashes rub against the cornea.

Question 18

An elderly client is diagnosed with cataracts. The client reports double vision and says he sees halos around lights. What should the nurse expect to find in the client's eyes during the nursing assessment?

Accepted Answer

Cataracts involve the clouding of the lens in the eye, which can lead to symptoms such as double vision and seeing halos around lights, as described by the client.

Question 19

A nurse is caring for a client with a sty on his left upper eyelid. Which measure should the nurse employ when caring for this client?

Accepted Answer

Warm, moist compresses help in reducing the discomfort and promoting drainage of the sty, which is an infection of the oil glands in the eyelid.

Question 20

A client who was in a motor vehicle accident has a "black eye." What nursing intervention is appropriate for this client?

Accepted Answer

The answer of A client who was in a motor...

Quiz 80: Cardiovascular Disorders