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 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.
Question 2 of 5
A client is brought to the emergency department after a car crash. The client has a large piece of glass in the left eye. What action by the nurse takes priority?
Correct Answer: B
Rationale: Airway always comes first in emergency care. After ensuring a patent airway and providing cervical spine precautions, other care such as administering a tetanus booster shot may be considered. The eye should not be irrigated with a foreign body present.
Question 3 of 5
A nurse is seeing clients in the ophthalmology clinic. Which client should the nurse see first?
Correct Answer: B
Rationale: Worsening vision after cataract surgery indicates a potential infection or other complication, which requires urgent attention. An intraocular pressure of 24 mm Hg is slightly elevated, an absent red reflex may indicate cataracts, and a tearing eye may suggest an infection but is less urgent.
Question 4 of 5
The nurse working in the ophthalmology clinic sees clients with eyelid and eye problems. What information should the nurse understand about these disorders? (Select all that apply.)
Correct Answer: A,D,E
Rationale: A chalazion is an inflammation of one of the sebaceous glands in the eyelid. A hordeolum is an infection of a sweat gland in the eyelid. Keratoconjunctivitis sicca can be caused by drugs or diseases. An ectropion is an outward turning and sagging eyelid, while an entropion is an inward turning of the eyelid.
Question 5 of 5
A client is seen in the ophthalmology clinic with bacterial conjunctivitis. Which statements by the client indicate correct understanding? (Select all that apply.)
Correct Answer: C,D
Rationale: Bacterial conjunctivitis is very contagious, and re-infection or cross-contamination must be avoided. Not touching the eyedrop bottle tip to the eye and using prescribed antibiotics are correct actions. Sharing towels, improper irrigation, or premature contact lens use can worsen or spread the infection.