Glaucoma
Retinal Detachment
Macular Degeneration
Infectious and Inflammatory Conditions
Hearing Loss
100
Which of the following is the overall aim of glaucoma treatment? a. optimize the patient's remaining vision b. reattach the retina c. reverse optic nerve damage d. prevent optic nerve damage
Prevent optic nerve damage. Rationale: the aim of all glaucoma treatment is to prevent optic nerve. The treatment can not reverse optic nerve damage, further damage can be controlled.
100
In patients with retinal detachment, fibrous scar tissue usually come from conditions such as: (Select all that apply) a. diabetic retinopathy b. diabetic neuropathy c. vitreous hemorrhage d. prematurity e. post menopause
diabetic retinopathy, vitreous hemorrhage, post menopause.
100
The risk factors for macular degeneration include: a. increasing age b. overweight c. wearing glasses d. smoking e. alcohol
The risk factors include age, smoking history, HTN, overweight, hyperopia, familial incidence, Wet AMD, use of thyroid hormones and hydrochlorthiazides, arthritis
100
A nurse prepares a teaching plan for a mother of a child diagnosed with bacterial conjunctivitis. Which of the following, if stated by the mother, indicates a need for further teaching? a. “I need to wash my hands frequently.” b. “I need to clean the eye as prescribed.” c. “It is okay to share towels and washcloths.” d. “I need to give the eye drops as prescribed.”
“It is okay to share towels and washcloths.” Rationale: Conjunctivitis is an inflammation of the conjunctiva. Bacterial conjunctivitis is highly contagious, and the nurse should teach infection control measures. These include good hand washing techniques and not sharing towels.
100
A 56 year old patient who is hearing impaired is scheduled for a colonoscopy. Which of the following nursing actions are most appropriate in performing patient education prior to the procedure? a. Face the patient directly, smile, and speak slowly. b. Continue to administer medications while educating the patient. c. Nod to make up for awkward silence, even if you don't know what is being said d. Use only gestures to communicate the highlights of content to be covered.
Face the patient directly, smile, and speak slowly.
200
Which ethnic groups are at most risk for glaucoma? a. Caucasians and African Americans b. Europeans and Asians c. African American and Asians d. Hispanics and Caucasians
African American and Asians
200
What are the highest priority nursing managements for the patient with retinal detachment? a. promoting comfort and teaching complications b. promoting orbital care and comfort c. teaching how to remove foreign bodies and manage splash injuries d. Teaching about self care and eye removal
Promoting comfort and teaching complications
200
What vision is most affected by macular degeneration? a. peripheral vision b. central vision c. hyperopia d. myopia
Central Vision is generally the most affected, with most patients retaining peripheral vision.
200
A woman was working in her garden. She accidentally sprayed insecticide into her right eye. She calls the emergency department frantic and screaming for help. The nurse should instruct the woman to take which immediate action? a. Call the physician b. irrigate the eyes with water c. come to the emergency room d. irrigate the eyes with diluted hydrogen peroxide
Irrigate the eyes with water Rationale: In this type of accident, the client is instructed to irrigate the eyes immediately with running water for at least 20 minutes, or until the emergency medical service personnel arrive. In the emergency department, the cleansing agent of choice is usually normal saline. Calling the physician and going to the emergency department delays necessary intervention. Hydrogen peroxide is never placed in the eyes.
200
How might a patient with tinnitus describe hearing sound to the nurse? a. sputtering b. muffled c. loud d. buzzing
D. buzzing Tinnitus is described as a roaring, buzzing, or hissing sound in one or both ears.
300
What should a patient using miotics and sympathomimetics be advised to do while taking medication? a. Do not take medication with food b. discontinue heavy lifting c. Be cautious in navigating surroundings d. Do not operate heavy machinery
Be cautious in navigating their surroundings because this medication results in altered focus.
300
Before visual acuity is determined, the patient must have a dilated fundus examination. True or False.
False. After visual acuity is determined, the patient must have a dilated fundus examination.
300
Drusen normally is described as: a. black spots that appear in the retina b. blue spots that appear in the retina c. yellow spots that appear in the retina d. green spots that appear in the retina
yellow spots that appear in the retina
300
What is Orbital Cellulitis? a. inflammation of the retina b. inflammation of the conjunctiva c. inflammation of the tissues surrounding the eye d. inflammation of the macula
inflammation of the tissues surrounding the eye.
300
What might a priority nursing diagnosis be for a patient who refuses to acknowledge their hearing impairment? a. safety b. ineffective coping c. loneliness d. suspiciousness
Safety
400
What is the visual acuity of a blind person? a. 20/70 b. 20/100 c. 10/100 d. 20/200
20/ 200
400
What are postoperative complications that can occur with retinal detachment? a. increase IOP b. decrease IOP c. endophthalmitis d. development of other retinal attachments e. development of cataracts f. increase turgor of the eye
Postoperative complications may include: Increase IOP, endophthalmitis, development of other retinal detachments, development of cataracts, and loss of turgor of the eye.
400
List some nursing interventions used for MAD (Select all that apply): a. educate b. use of bright lighting c. use of dim lighting d. magnification devices e. referral to a low vision center
Educate, use of bright lighting, magnification devices, referral to a low vision center
400
What are common treatments for orbital cellulitis? (select all that apply). a. corticosteroids b. high dose, broad spectrum, systemic antibiotics c. Sinusotomy d. antibiotic irrigation e. NSAIDs
b. high dose, broad spectrum, systemic antibiotics c. sinustomy d. antibiotic irrigation
400
Which hearing lost is caused by a single exposure to a extremely intense noise such as a explosion? a. otis medis trauma b. noise induce trauma c. auditory trauma d. acoustic trauma
Acoustic trauma Acoustic trauma refers to hearing loss caused by a single exposure to an extremely intense noise.
500
Family teaching about glaucoma should include: a. undergo examinations at least once every 6 months b. undergo examinations at least once every two years c. assume that each family member has glaucoma d. use proper hand hygiene because it's contagious
Undergo examinations at least once every two years for early detection because this disease has a familial tendency.
500
If the patient experiences excessive pain, swelling and bleeding the nurse should: a. administer analgesic medications b. cover the eye with an eye patch c. turn, cough deep breath d. notify the surgeon
Notify the surgeon
500
What should the patient be instructed to bring for photodynamic therapy (PDT)? (Select all that apply) a. dark sunglasses b. short sleeve shirt c. snacks d. slacks e. gloves
Dark sunglasses, slacks, gloves, a wide brimmed hat, and a long sleeved shirt should be brought to the PDT appointment.
500
What are two types of conjunctivitis that are contagious? a. allergic and toxic b. toxic and viral c. viral and bacteria d. viral and toxic
viral and bacteria
500
What should the nurse do for a patient who is hearing-impaired whose speech is difficult to understand? a. Speak very loudly so the patient can hear b. Devote full attention to what the patient is saying c. Assume that the patient would prefer writing as a means of communication d. Ignore the patient to avoid awkward encounters
Devote full attention to what the patient is saying. Rationale: The nurse should not try to attend to another task while listening to the patient.
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