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 nurse is teaching a patient with glaucoma how to administer eye drops to achieve maximum absorption. The nurse should teach the patient to perform what action?
Correct Answer: A
Rationale: Instilling eye drops in the conjunctival sac ensures optimal absorption. Supine positioning, eye closure, or scleral application are not necessary or effective.
Question 2 of 5
A patient with chronic open-angle glaucoma is being taught to self-administer pilocarpine. After the patient administers the pilocarpine, the patient states that her vision is blurred. Which nursing action is most appropriate?
Correct Answer: D
Rationale: Blurred vision is a common, temporary side effect of pilocarpine due to pupil constriction. It does not indicate an allergy, require glasses, or necessitate withholding the dose.
Question 3 of 5
The nurse should recognize the greatest risk for the development of blindness in which of the following patients?
Correct Answer: A
Rationale: Macular degeneration, prevalent in older adults, is a leading cause of blindness. Astigmatism, hyperopia, and myopia are refractive errors with lower blindness risk.
Question 4 of 5
A 6-year-old child is brought to the pediatric clinic for the assessment of redness and discharge from the eye and is diagnosed with viral conjunctivitis. What is the most important information to discuss with the parents and child?
Correct Answer: A
Rationale: Viral conjunctivitis is highly contagious, and handwashing prevents spread. Antibiotics are ineffective, meningitis is not a risk, and surgery is not indicated.
Question 5 of 5
Several residents of a long-term care facility have developed signs and symptoms of viral conjunctivitis. What is the most appropriate action of the nurse who oversees care in the facility?
Correct Answer: D
Rationale: Isolating affected residents prevents the spread of viral conjunctivitis. Antibiotics, saline flushes, and swabbing unaffected residents are ineffective or unnecessary.