General Eye Diseases
The client’s vision is tested with a Snellen’s chart. The results of the tests are documented as 20/60. The nurse interprets this as:
A. The client can read at a distance of 60 feet what a client with normal vision can read at 20 feet.
B. The client is legally blind.
C. The client’s vision is normal
D. The client can read only at a distance of 20 feet what a client with normal vision can read at 60 feet.
D. The client can read only at a distance of 20 feet what a client with normal vision can read at 60 feet.
When developing a teaching session on glaucoma for the community, which of the following statements would the nurse stress?
A. Glaucoma is easily corrected with eyeglasses
B. White and Asian individuals are at the highest risk for glaucoma.
C. Yearly screening for people ages 20-40 years is recommended.
D. Glaucoma can be painless and vision may be lost before the person is aware of a problem.
D. Glaucoma can be painless and vision may be lost before the person is aware of a problem.
Which of the following symptoms would occur in a client with a detached retina?
A. Flashing lights and floaters
B. Homonymous hemianopia
C. Loss of central vision
D. Ptosis
A. Flashing lights and floaters
Which assessment data should the nurse assess in the client diagnosed with Guillain-Barré syndrome?
A. An exaggerated startle reflex and memory changes.
B. Cogwheel rigidity and inability to initiate voluntary movement.
C. Sudden severe unilateral facial pain and inability to chew.
D. Progressive ascending paralysis of the lower extremities and numbness.
D. Progressive ascending paralysis of the lower extremities and numbness.
1. During a hearing assessment, the nurse notes that the sound lateralizes to the clients left ear with the Weber test. The nurse analyzes this result as:
A. A normal finding
B. A conductive hearing loss in the right ear
C. A sensorineural or conductive loss
D. The presence of nystagmus
C. A sensorineural or conductive loss
During the early postoperative period, the client who had a cataract extraction complains of nausea and severe eye pain over the operative site. The initial nursing action is to:
A. Call the physician
B. Administer the ordered main medication and antiemetic
C. Reassure the client that this is normal.
D. Turn the client on his or her operative side
A. Call the physician
The nurse is developing a teaching plan for the client with glaucoma. Which of the following instructions would the nurse include in the plan of care?
A. Decrease fluid intake to control the intraocular pressure
B. Avoid overuse of the eyes
C. Decrease the amount of salt in the diet
D. Eye medications will need to be administered lifelong.
D. Eye medications will need to be administered lifelong.
The client arrives in the emergency room with a penetrating eye injury from wood chips while cutting wood. The nurse assesses the eye and notes a piece of wood protruding from the eye, what is the initial nursing action?
A. Remove the piece of wood using a sterile eye clamp
B. Apply an eye patch
C. Perform visual acuity tests
D. Irrigate the eye with sterile saline
C. Perform visual acuity tests
Which of the following statements about diabetic peripheral neuropathy is correct? Select all that apply.
A. Symptoms are often worse at night
B. Patients may have no symptoms
C. Treatment focuses on surgery
D. Only type two diabetics are at risk
E. Peripheral neuropathy can lead to numbness and sometimes pain and weakness in the arms and legs
A. Symptoms are often worse at night
B. Patients may have no symptoms
E. Peripheral neuropathy can lead to numbness and sometimes pain and weakness in the arms and legs
The nurse has notes that the physician has a diagnosis of presbycusis on the client's chart. The nurse plans care knowing the condition is:
A. sensorineural hearing loss that occurs with aging
B. conductive hearing loss that occurs with aging
C. Tinnitus that occurs with aging
D. Nystagmus that occurs with aging
A. sensorineural hearing loss that occurs with aging
Which of the following is true of astigmatism? Select all that apply.
A. It results in distorted images, as light rays are prevented from meeting at a common focus.
B. It is another term for “cross-eyed”.
C. Patients with astigmatism may have a corrected visual acuity of 20/20.
D. The eye is circular in shape rather than the normal oval shape.
A. It results in distorted images, as light rays are prevented from meeting at a common focus.
C. Patients with astigmatism may have a corrected visual acuity of 20/20.
Tonometry is performed on the client with a suspected diagnosis of glaucoma. The nurse analyzes the test results as documented in the client’s chart and understands that normal intraocular pressure is:
A. 2-7 mmHg
B. 10-21 mmHg
C. 22-30 mmHg
D. 31-35 mmHg
B. 10-21 mmHg
The client sustains a contusion of the eyeball following a traumatic injury with a blunt object. Which intervention is initiated immediately?
A. Notify the physician
B. Irrigate the eye with cold water
C. Apply ice to the affected eye
D. Accompany the client to the emergency room
C. Apply ice to the affected eye
Which of the following are symptoms of CMT (Charcot Marie Tooth):
A. Weakness in legs, ankles and feet.
B. Hypertrophy of calf muscles
C. Hammertoes
D. Foot Drop
E. Awkward or higher than normal gait
F. Increased sensation in lower extremities
A. Weakness in legs, ankles and feet.
C. Hammertoes
D. Foot Drop
E. Awkward or higher than normal gait
A 32-year old-patient with conductive hearing loss asks the nurse if it is possible to obtain a cochlear implant to help improve her hearing. As the nurse what is your best response?
A. “The physician will talk to you about your options.”
B. “Cochlear implants are only an option for people with sensorineural hearing loss.”
C. “Cochlear implants are only an option for people with conductive hearing loss.”
D. “Cochlear implants are only for children with hearing loss from birth.”
B. “Cochlear implants are only an option for people with sensorineural hearing loss.”
The nurse is caring for an older adult client that requires a visual aid for reading. Based on the client's need, which visual change has the client experienced?
A.Hyperopia
B.Presbyopia
C.Nearsightedness
D.Myopia
A.Hyperopia
The client with glaucoma asks the nurse when complete vision will return. The most appropriate response is:
A. “Although some vision has been lost and cannot be restored, further loss may be prevented by adhering to the treatment plan.”
B. “Your vision will return as soon as the medications begin to work.”
C. “Your vision will never return to normal.”
D. “Your vision loss is temporary and will return in about 3-4 weeks.”
A. “Although some vision has been lost and cannot be restored, further loss may be prevented by adhering to the treatment plan.”
The client arrives in the emergency room after sustaining a chemical eye injury from a splash of battery acid. The initial nursing action is to:
A. Begin visual acuity testing
B. Irrigate the eye with sterile normal saline
C. Swab the eye with antibiotic ointment
D. Cover the eye with a pressure patch.
B. Irrigate the eye with sterile normal saline
Which of the following patients is at greatest risk for neuropathy?
A. Type 1 diabetic diagnosed 1 year ago with an A1C of 11.0%
B. Type 2 diabetic diagnosed 20 years ago with A1C of 5.2%
C. Type 2 diabetic diagnosed 18 years ago with A1C of 10%
D. Type 1 diabetic diagnosed 25 years ago with A1C of 7.0%
C. Type 2 diabetic diagnosed 18 years ago with A1C of 10%
The nurse is performing a voice test to assess hearing. Which of the following describes the accurate procedure for performing this test?
A. Stand 4 feet away from the client to ensure that the client can hear at this distance.
B. Whisper a statement and ask the client to repeat it.
C. Whisper a statement with the examiners back facing the client.
D. Whisper a statement while the client blocks one ear at a time.
D. Whisper a statement while the client blocks one ear at a time.
The nurse is reviewing the chart of a client diagnosed with strabismus. Which most accurately describes the nurse's understanding of the diagnosis?
A.Change in distant vision
B.Pupils' inability to constrict
C.Misalignment of the eyes
D.Eyes turned inward toward each other
C.Misalignment of the eyes
For a client having an episode of acute narrow-angle glaucoma, a nurse expects to give which of the following medications?
A. Acetazolamide (Diamox)
B. Atropine
C. Furosemide (Lasix)
D. Urokinase (Abbokinase)
A. Acetazolamide (Diamox)
The nurse is performing an admission assessment on a client with a diagnosis of detached retina. Which of the following is associated with this eye disorder?
A. Pain in the affected eye
B. Total loss of vision
C. A sense of a curtain falling across the field of vision
D. A yellow discoloration of the sclera.
C. A sense of a curtain falling across the field of vision
A nurse is providing care for a client diagnosed with diabetes mellitus and peripheral neuropathy. Which nonpharmacologic treatment is appropriate for this client?
A. Daily foot care
B. Neurontin (gabapentin)
C. Electromyography (EMG)
D. Nerve biopsy
A. Daily foot care
When addressing a client with hearing loss the nurse knows it is best to: (SATA)
A. Use short, descriptive phrases
B. Change topics at a slower rate
C. Address the person directly
D. talk to the patient during rounds with multiple other people in the room
B. Change topics at a slower rate
C. Address the person directly