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 who presents for an eye examination is diagnosed as having a visual acuity of 20/40. The patient asks the nurse what these numbers specifically mean. What is a correct response by the nurse?
Correct Answer: B
Rationale: 20/40 vision means the patient sees at 20 feet what a person with 20/20 vision sees at 40 feet, indicating reduced acuity. The measurement uses feet, not inches.
Question 2 of 5
During discharge teaching the nurse realizes that the patient is not able to read medication bottles accurately and has not been taking her medications consistently at home. How should the nurse intervene most appropriately in this situation?
Correct Answer: B
Rationale: Community support agencies provide low-vision aids and training for medication management. Housing changes or rehabilitation facilities are excessive, and surgical options may not be applicable.
Question 3 of 5
The nurse is providing health education to a patient newly diagnosed with glaucoma. The nurse teaches the patient that this disease has a familial tendency. The nurse should encourage the patients immediate family members to undergo clinical examinations how often?
Correct Answer: B
Rationale: Glaucoma's familial tendency warrants family screening every 2 years for early detection. Monthly exams are excessive, and 5- or 10-year intervals may miss early signs.
Question 4 of 5
A patient is exploring treatment options after being diagnosed with age-related cataracts that affect her vision. What treatment is most likely to be used in this patients care?
Correct Answer: D
Rationale: Surgical intervention is the definitive treatment for cataracts when vision is compromised. Antioxidants, eyeglasses, and corticosteroids do not cure or prevent age-related cataracts.
Question 5 of 5
A patient presents at the ED after receiving a chemical burn to the eye. What would be the nurses initial intervention for this patient?
Correct Answer: B
Rationale: Immediate irrigation with saline or water flushes chemicals from the eye, minimizing damage. Antibiotics, patching, or pressure are inappropriate initial actions.