ATI LPN
Brunner & Suddarth's Textbook of Medical-Surgical Nursing 14e (Hinkle 2017)
Chapter 63 : Assessment and Management of Patients with Eye and Vision Disorders Questions
Question 1 of 5
A hospitalized patient with impaired vision must get a picture in his or her mind of the hospital room and its contents in order to mobilize independently and safely. What must the nurse monitor in the patients room?
Correct Answer: B
Rationale: Consistent furniture placement reduces fall risk for visually impaired patients. Commodes, bedside table items, and slipper placement are secondary concerns.
Question 2 of 5
A patient has just arrived to the floor after an enucleation procedure following a workplace accident in which his left eye was irreparably damaged. Which of the following should the nurse prioritize during the patients immediate postoperative recovery?
Correct Answer: C
Rationale: Emotional support is critical after unexpected enucleation due to trauma. Teaching about prostheses, depth perception, or medications is important but secondary in the immediate postoperative period.
Question 3 of 5
A patient with a diagnosis of retinal detachment has undergone a vitreoretinal procedure on an outpatient basis. What subject should the nurse prioritize during discharge education?
Correct Answer: D
Rationale: Educating about signs of increased intraocular pressure and infection is critical post-vitreoretinal surgery to prevent complications. CMV, vision loss, and pain are less urgent concerns.
Question 4 of 5
A patient is ready to be discharged home after a cataract extraction with intraocular lens implant and the nurse is reviewing signs and symptoms that need to be reported to the ophthalmologist immediately. Which of the patients statements best demonstrates an adequate understanding?
Correct Answer: D
Rationale: Flashing lights may signal retinal detachment, requiring immediate reporting post-cataract surgery. Nausea, mild discharge, and scratchiness are less concerning.
Question 5 of 5
A patient has lost most of her vision as a result of macular degeneration. When attempting to meet this patients psychosocial needs, what nursing action is most appropriate?
Correct Answer: B
Rationale: Promoting coping skills supports psychosocial adjustment to vision loss from macular degeneration. Focusing on other senses or promising unchanged lifestyle may minimize the loss, and recovery is unlikely.