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 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 2 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.
Question 3 of 5
The registered nurse taking shift report learns that an assigned patient is blind. How should the nurse best communicate with this patient?
Correct Answer: D
Rationale: Stating name and role first identifies the nurse without startling the blind patient. Simplifying instructions or using a loud voice is unnecessary, and touching before introducing may cause discomfort.
Question 4 of 5
The nurse has taken shift report on her patients and has been told that one patient has an ocular condition that has primarily affected the rods in his eyes. Considering this information, what should the nurse do while caring for the patient?
Correct Answer: A
Rationale: Rods are responsible for low-light vision, so adequate lighting compensates for rod impairment. Dim lighting worsens vision, and rods do not affect color or fine detail perception.
Question 5 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.