ATI LPN
Test Bank for Medical Surgical Nursing: Concepts for Interprofessional Collaborative Care 10th Edition
Chapter 47 Questions
Question 1 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 2 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.
Question 3 of 5
A client asks why blindness occurred from glaucoma. What explanation by the nurse is best?
Correct Answer: A
Rationale: Glaucoma is caused when the intraocular pressure becomes too high and stays high long enough to cause tissue ischemia and death. At that point, vision loss is permanent. Glaucoma does not always cause blindness, trauma is not the most common cause, and glaucoma is not an infection.
Question 4 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 5 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.