ATI LPN
Timby's Introductory Medical-Surgical Nursing Thirteenth, North American Edition
Chapter 42 : Caring for Clients With Eye Disorders Questions
Question 1 of 5
A nurse is caring for a client who has undergone enucleation. What complication of enucleation should be addressed by the nurse?
Correct Answer: C
Rationale: The nurse should take measures to prevent hemorrhage, a complication of enucleation, by applying a pressure dressing. Nausea and vomiting are common side effects of surgery. Enucleation does not increase risk of developing hypotension or pneumonia.
Question 2 of 5
An eighth-grade client visits the school nurse and reports having been to an eye doctor who identified an astigmatism and described it as a condition in which the eyeball is not shaped correctly. The client asks the nurse why both eyes look alike in the mirror if this is the case. What is the nurse's best response?
Correct Answer: A
Rationale: Astigmatism is visual distortion caused by an irregularly shaped cornea. When the overall shape of the eye is like an olive, or more oblong, it results in myopia, not astigmatism, although both conditions may be present at once. The inside of the eye is not shaped differently in the client with an astigmatism. The overall shape of the eye being shorter results in hyperopia, not astigmatism.
Question 3 of 5
The nurse is teaching a parent how to instill drops in a 12-year-old child's eyes. Which action would the nurse instruct the parent to perform first?
Correct Answer: B
Rationale:
To instill eye drops, tilt the head slightly backward and toward the eye in which the medication is to be instilled. Do not allow the tip of the container to touch the eye. Instill the prescribed number of drops into the conjunctival pocket or apply a thin ribbon of ointment directly into the conjunctival pocket, beginning at the inner comer and moving outward. Close the eye gently.
Question 4 of 5
A nurse is caring for a client who has just been diagnosed with glaucoma. What teaching should the nurse include with this client?
Correct Answer: B
Rationale: Instructions for the client with glaucoma include the following: Obtain assistance from a family member, relative, or friend if having trouble instilling eye drops. Avoid all drugs that contain atropine. Check with physician or pharmacist before using any nonprescription drug. preparations for cold or allergy symptoms may contain an atropine-like drug. Maintain regular bowel habits; straining at stool can raise intraocular pressure (IOP). Avoid heavy lifting and emotional upsets (especially crying) because they increase IOP. Patients do not have to wear dark glasses. Vegetable consumption is not restricted. Reading does not increase IOP.
Question 5 of 5
Following an ophthalmologic exam, an anxious client asks the nurse, 'How serious is a refraction error?' Which is the best response from the nurse?
Correct Answer: B
Rationale: Refractive errors can be corrected with glasses or contact lenses. Telling a client that 'nothing is serious' does not provide the necessary information to help alleviate fears. The word surgery can increase fears. If the refractive error is associated with aging, this is a normal finding but does not provide information about the condition.