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 has been diagnosed with glaucoma and the nurse is preparing health education regarding the patients medication regimen. The patient states that she is eager to beat this disease and looks forward to the time that she will no longer require medication. How should the nurse best respond?
Correct Answer: B
Rationale: Glaucoma typically requires lifelong medication to manage intraocular pressure. Normal pressure is 10-21 mm Hg, and treatment duration is not limited to 6 months.
Question 2 of 5
An older adult patient has been diagnosed with macular degeneration and the nurse is assessing him for changes in visual acuity since his last clinic visit. When assessing the patient for recent changes in visual acuity, the patient states that he sees the lines on an Amsler grid as being distorted. What is the nurses most appropriate response?
Correct Answer: C
Rationale: Amsler grid distortions in macular degeneration warrant immediate ophthalmologic evaluation. Vasoconstrictors, repeating tests, or drug adherence are not appropriate responses.
Question 3 of 5
A public health nurse is teaching a health promotion workshop that focuses on vision and eye health. What should this nurse cite as the most common causes of blindness and visual impairment among adults over the age of 40? Select all that apply.
Correct Answer: A,C,E
Rationale: Diabetic retinopathy, macular degeneration, glaucoma, and cataracts are leading causes of blindness in adults over 40. Trauma and cytomegalovirus are less common.
Question 4 of 5
The nurse is providing discharge education to an adult patient who will begin a regimen of ocular medications for the treatment of glaucoma. How can the nurse best determine if the patient is able to self-administer these medications safely and effectively?
Correct Answer: B
Rationale: Demonstrating eye drop instillation confirms the patient's ability to self-administer safely. Descriptions, past management, or functional status are less direct assessments.
Question 5 of 5
A patient with low vision has called the clinic and asked the nurse for help with acquiring some low-vision aids. What else can the nurse offer to help this patient manage his low vision?
Correct Answer: C
Rationale: Diabetes is a risk factor for glaucoma, which can worsen low vision. The nurse can offer education on managing diabetes to protect vision. NSAIDs, stroke, and Asian ancestry are not directly relevant.