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
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 2 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 3 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 4 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 5 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.