Arcus senilis - Answer-Opaque, bluish white ring within the outer edge of the cornea, caused by fat deposits
What are eye changes associated with aging? - Answer-"dry-eye", arcus senilis, less ability for the iris to dialate (AEB trouble seeing in the dark), lens lose elasticity (AEB reduced acc...
NUR 202 Final Exam Questions with
Correct Answers
Arcus senilis - Answer-Opaque, bluish white ring within the outer edge of the cornea,
caused by fat deposits
What are eye changes associated with aging? - Answer-"dry-eye", arcus senilis, less
ability for the iris to dialate (AEB trouble seeing in the dark), lens lose elasticity (AEB
reduced accommodation), narrow visual field, lower perception of colors
Intraocular pressure is slightly higher in older adults
The older adult client asks whether the white ring in the iris of both eyes is a cataract
that can be removed to improve her vision. What is the nurse's best response?
A. "A cataract forms inside the eye, not on the surface. This growth should be assessed
for cancer."
B. "This type of ring in the eye gets worse as intraocular pressure increases, leading to
glaucoma."
C. "The ring is a cataract, and it cannot be removed until it reaches and covers over the
pupil."
D. "The ring is just a buildup of deposits, not a cataract, and never interferes with
vision." - Answer-D. "The ring is just a buildup of deposits, not a cataract, and never
interferes with vision."`
Which client assessment finding does the nurse report to the health care provider
immediately?
A. The left pupil is slightly smaller than the right pupil.
B. Both eyes twitch when the client looks to the far lateral gaze position.
C. The right pupil does not change size when a light is shined directly at it.
D. The lowest line the client can read clearly at 20 feet on the Snellen chart is marked
50 feet. - Answer-C. The right pupil does not change size when a light is shined directly
at it.
Which precaution is most important for the nurse to teach a client who is prescribed to
use an ophthalmic ointment?
A. "Keep the tube in the refrigerator to make the ointment easier to control when you
squeeze the tube."
B. "Wear gloves when you apple the ointment to prevent absorbing the drug through
your skin."
C. "Patch your eye at night to prevent ointment from getting on your bedding or in your
hair."
, D. "Do not drive with ointment in your eyes." - Answer-D. "Do not drive with ointment in
your eyes."
What activities increase intraocular pressure? - Answer-Bending from the waist, lifting
objects weighing more than 10 lbs, sneezing, coughing, blowing the nose, straining to
have a BM, vomiting, having sexual intercourse, keeping the head in a dependent
position, wearing tight shirt collars
Cataract - Answer-Lens opacity that distorts the image projected onto the retina
"painless" "no eye redness"
What are manifestations of cataracts? - Answer-Blurred vision
decreased color perception
What is the drug used with dilated pupil exams? - Answer-Atropine
Phacoemulsification - Answer-the use of ultrasonic vibration to shatter and remove the
lens clouded by a cataract
Extracapsular - Answer-Removal of a clouded eye lens, in one piece, through an
incision
When should a post-op cataract surgery patient contact their MD? - Answer-- Sharp,
sudden pain in the eye
- bleeding or increased discharge
- green or yellow, thick drainage
- lid swelling
- re-appearance of a bloodshot sclera after the initial appearance has cleared
- decreased vision
- flashes of light or floating shapes
A client who had cataract removal with placement of an intraocular implant 1 week ago
now calls in and reports that her eye is more bloodshot than it was yesterday and that a
small amount of greenish drainage is present. What is the priority nursing action?
A. Reassure the client that these symptoms are normal for this stage of recovery after
cataract surgery.
B. Explain how to apply a wet compress to the affected eye for 15 minutes four times
daily.
C. Instruct the client to come to the office immediately to be seen by the
ophthalmologist.
D. Instruct the client to use the antibiotic eyedrops four times daily instead of twice daily.
- Answer-C. Instruct the client to come to the office immediately to be seen by the
ophthalmologist.
The benefits of buying summaries with Stuvia:
Guaranteed quality through customer reviews
Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.
Quick and easy check-out
You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.
Focus on what matters
Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!
Frequently asked questions
What do I get when I buy this document?
You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.
Satisfaction guarantee: how does it work?
Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.
Who am I buying these notes from?
Stuvia is a marketplace, so you are not buying this document from us, but from seller lectknancy. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $12.49. You're not tied to anything after your purchase.
