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 patient comes to the ophthalmology clinic for an eye examination. The patient tells the nurse that he often sees floaters in his vision. How should the nurse best interpret this subjective assessment finding?
Correct Answer: A
Rationale: Floaters are common with aging due to vitreous humor changes casting shadows. They are not linked to glaucoma, ciliary muscle weakness, or correctable by glasses.
Question 2 of 5
A patients ocular tumor has necessitated enucleation and the patient will be fitted with a prosthesis. The nurse should address what nursing diagnosis when planning the patients discharge education?
Correct Answer: A
Rationale: Enucleation and prosthesis use significantly impact body image. Chronic pain, ineffective protection, and unilateral neglect are not typically associated with this procedure.
Question 3 of 5
The nurses assessment of a patient with significant visual losses reveals that the patient cannot count fingers. How should the nurse proceed with assessment of the patients visual acuity?
Correct Answer: B
Rationale: If the patient cannot count fingers, testing hand motion detection is the next step to assess visual acuity. Snellen charts require better vision, and external exams or palpation do not measure acuity.
Question 4 of 5
The nurse on the medicalsurgical unit is reviewing discharge instructions with a patient who has a history of glaucoma. The nurse should anticipate the use of what medications?
Correct Answer: B
Rationale: Cholinergics, like pilocarpine, increase aqueous outflow in glaucoma treatment. Diuretics and antibiotics are not used for glaucoma management.
Question 5 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.