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 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 2 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.
Question 3 of 5
When administering a patients eye drops, the nurse recognizes the need to prevent absorption by the nasolacrimal duct. How can the nurse best achieve this goal?
Correct Answer: C
Rationale: Occluding the puncta prevents nasolacrimal duct absorption, reducing systemic side effects. Hydration, self-administration, and supine positioning do not address this issue.
Question 4 of 5
A patient with glaucoma has presented for a scheduled clinic visit and tells the nurse that she has begun taking an herbal remedy for her condition that was recommended by a work colleague. What instruction should the nurse provide to the patient?
Correct Answer: A
Rationale: Herbal remedies may interact with glaucoma treatment, so prompt discussion with the ophthalmologist is essential. Self-monitoring IOP is not feasible, and research or pharmacist reporting is secondary.
Question 5 of 5
A patient is scheduled for enucleation and the nurse is providing anticipatory guidance about postoperative care. What aspects of care should the nurse describe to the patient? Select all that apply.
Correct Answer: A,E
Rationale: Post-enucleation care includes topical antibiotic ointment and an ocular pressure dressing to prevent infection and support healing. Supine positioning, fluid restriction, and diuretics are not indicated.