ATI LPN
Brunner & Suddarth's Textbook of Medical-Surgical Nursing 14e (Hinkle 2017)
Chapter 63 Questions
Question 1 of 5
The nurse is administering eye drops to a patient with glaucoma. After instilling the patients first medication, how long should the nurse wait before instilling the patients second medication into the same eye?
Correct Answer: D
Rationale: A 5-minute wait ensures adequate absorption of the first eye drop before administering the second, preventing dilution or reduced efficacy.
Question 2 of 5
A patient has been diagnosed with glaucoma and the nurse is preparing health education regarding the patients medication regimen. The patient states that she is eager to beat this disease and looks forward to the time that she will no longer require medication. How should the nurse best respond?
Correct Answer: B
Rationale: Glaucoma typically requires lifelong medication to manage intraocular pressure. Normal pressure is 10-21 mm Hg, and treatment duration is not limited to 6 months.
Question 3 of 5
A patient has informed the home health nurse that she has recently noticed distortions when she looks at the Amsler grid that she has mounted on her refrigerator. What is the nurses most appropriate action?
Correct Answer: C
Rationale: Amsler grid distortions suggest macular degeneration, requiring prompt ophthalmologic evaluation. They are not age-related, and visual acuity or tonometry tests are less relevant.
Question 4 of 5
A patient got a sliver of glass in his eye when a glass container at work fell and shattered. The glass had to be surgically removed and the patient is about to be discharged home. The patient asks the nurse for a topical anesthetic for the pain in his eye. What should the nurse respond?
Correct Answer: A
Rationale:
Topical anesthetics can soften the cornea with overuse, risking permanent damage. They are not controlled substances, and peripheral vision loss is not a primary concern.
Question 5 of 5
A public health nurse is teaching a health promotion workshop that focuses on vision and eye health. What should this nurse cite as the most common causes of blindness and visual impairment among adults over the age of 40? Select all that apply.
Correct Answer: A,C,E
Rationale: Diabetic retinopathy, macular degeneration, glaucoma, and cataracts are leading causes of blindness in adults over 40. Trauma and cytomegalovirus are less common.