ATI LPN
Test Bank for Medical Surgical Nursing: Concepts for Interprofessional Collaborative Care 10th Edition
Chapter 47 : Care of Patients with Eye and Vision Problems Questions
Question 1 of 5
A client had a retinal detachment and has undergone surgical correction. What discharge instruction is most important?
Correct Answer: A
Rationale: After surgery for retinal detachment, the client is advised to avoid reading, writing, and close work because they cause rapid eye movements that could disrupt healing. Dim lights are not indicated, keeping postoperative appointments is important but not specific to retinal detachment, and the eye patch is not removed for eyedrops.
Question 2 of 5
A client has been taught about retinitis pigmentosa (RP). What statement by the client indicates a need for further teaching?
Correct Answer: C
Rationale: Retinal transplants are not a current or near-future treatment for retinitis pigmentosa. Sunglasses help protect against cataracts, and supplements like beta carotene, lutein, zeaxanthin, and vitamin A may slow RP progression.
Question 3 of 5
A client has a foreign body in the eye. What action by the nurse takes priority?
Correct Answer: A
Rationale:
To prevent infection, antibiotics are provided. Visual acuity in the affected eye cannot be assessed with a foreign body present. Enucleation is not typically required, and only an ophthalmologist should remove the foreign body.
Question 4 of 5
A client is taking timolol (Timoptic) eyedrops. The nurse assesses the clients pulse at 50 beats/min. What action by the nurse is best?
Correct Answer: D
Rationale: Timolol is a beta blocker that can slow the heart rate. A pulse of 50 beats/min warrants holding the eyedrops and notifying the provider. Excessive salivation and shortness of breath are not typically related to timolol.
Question 5 of 5
A client has been prescribed brinzolamide (Azopt). What assessment by the nurse requires consultation with the provider?
Correct Answer: B
Rationale: Brinzolamide is similar to sulfonamides, and an allergic reaction could occur in clients with a sulfonamide allergy. The other findings are not directly related to brinzolamide.