ATI LPN
Test Bank for Medical Surgical Nursing: Concepts for Interprofessional Collaborative Care 10th Edition
Chapter 46 Questions
Question 1 of 5
A nurse who is applying eyedrops to a client holds pressure against the corner of the eye nearest the nose after instilling the drops. The client asks what the nurse is doing. What response by the nurse is best?
Correct Answer: C
Rationale: This technique, called punctal occlusion, prevents eyedrops from being absorbed systemically. The other answers are inaccurate.
Question 2 of 5
The student learning about vision should remember which facts related to the eyes? (Select all that apply.)
Correct Answer: A,C,D,E
Rationale: The inflow and outflow of aqueous humor controls the intraocular pressure. Glaucoma results when the pressure is dramatically high. Muscles of the iris control the amount of light entering the eye. Rods work in low light conditions. Cones work in bright light conditions.
Question 3 of 5
The nurse is administering eyedrops to a client with an infection in the right eye. The drops go in both eyes, and two different bottles are used to administer the drops. The nurse accidentally uses the left eye bottle for the right eye. What action by the nurse is best?
Correct Answer: B
Rationale: The nurse has contaminated the clean bottle by using it on the infected eye. The nurse needs to obtain a new bottle of solution to use on the left eye. The other actions are not appropriate.
Question 4 of 5
The nurse reads on a clients chart that the client has exophthalmone. What assessment finding is consistent with this diagnosis?
Correct Answer: A
Rationale: Exophthalmone is bulging eyes. Dropping eyelids is ptosis. Sunkle-in-eyes is enophthalmos. Yellow sclera indicates jaundice.
Question 5 of 5
A client presents to the emergency department reporting a foreign body in the eye. For what diagnostic testing should the nurse prepare the client?
Correct Answer: A
Rationale: Corneal staining is used when the possibility of eye trauma exists, including a foreign body. Fluorescein angiography is used to assess problems of retinal circulation. Ophthalmoscopy looks at both internal and external eye structures.
Tonometry tests the intraocular pressure.