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
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 2 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.
Question 3 of 5
Which actions by the unlicensed assistive personnel (UAP) warrant intervention by the nurse? (Select all that apply.)
Correct Answer: A,B
Rationale: The washcloth should be warmed under running warm water, as microwaving it can lead to burns. Gentle pressure is used to hold the compress in place, not an Ace wrap. The other actions are correct.
Question 4 of 5
A client use a corneal ulcer. What information provided by the client most indicates a potential barrier to home care?
Correct Answer: A
Rationale: Antibiotic eyedrops are often needed every hour for the first 24 hours for corneal ulceration. The client who uses sleeping pills may not wake up each hour or may awaken unable to perform this task. Impaired near vision and shaking hands can both make administration of eyedrops more difficult but are not the most likely barriers. Contact lenses should be discarded.
Question 5 of 5
An older client has decided to give up driving due to cataracts. What assessment information is most important to collect?
Correct Answer: B
Rationale: Cataracts can significantly impair vision, affecting the client's ability to perform daily activities safely. Assessing the impact on daily activities is critical to understanding the client's needs and planning appropriate interventions. Family history, falls, and transportation access are relevant but secondary to the immediate impact on daily functioning.