The nurse is reviewing medications that have been prescribed for several clients who have
disorders of the eye. Which medication prescription is the most important to discuss with the
health care provider? - ANSAtropine for acute angle-closure glaucoma
The nurse is working in an ambulatory care clinic. A client calls to report redness of the sclera,
itching of the eyes, and increased lacrimation for several hours. What should the nurse direct
the caller to do first? - ANS"If you are wearing contact lenses, remove them."
At a community health clinic, the nurse is teaching a community group about the prevention of
accidental eye injuries. What is the most important thing to stress? - ANSProtective eyewear
should be worn during sports or hazardous work.
A nursing student is assisting an older client who is alert, conversant, and cognitively intact. The
client has decreased vision related to macular degeneration. When would the supervising nurse
intervene? - ANSStudent closes the curtains and turns off all of the lights at the end of the shift
to encourage rest and sleep.
Which clients would be best to assign to the most experienced nurse in an ambulatory care
center that specializes in vision problems and eye surgery? Select all that apply. - ANS1. Client
who requires postoperative instructions after cataract surgery
3. Client who requests a home health referral for dressing changes and eyedrop instillation
5. Client who requires an assessment for recent and sudden loss of sight
6. Client who requires preoperative teaching for laser trabeculoplasty
Which tasks are appropriate to assign to an LPN/LVN who is functioning under the supervision
of an RN? Select all that apply. - ANS1. Administering sulfacetamide sodium 10% to a child with
conjunctivitis
2. Reviewing hand-washing and hygiene practices with clients who have eye infections
3. Showing clients how to gently cleanse eyelid margins to remove crusting
6. Performing a routine check of a client's visual acuity using the Snellen eye chart
The nurse is on a camping trip. A man is chopping wood and gets struck in the eye with a piece
of debris. On examination, a wood splinter is protruding from his eyeball. What should the nurse
do first? - ANSStabilize the area by carefully resting a plastic cup on the orbital rim and taping it
in place.
The nurse is interviewing an older woman and discovers that she has been taking her glaucoma
eyedrops by mouth for the past week. What should the nurse do first? - ANSTry to determine
how frequently and how much she has been ingesting.
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