Med Surg Final Exam Bank.
Chapter 20 Visual problems
1. The client is diagnosed with glaucoma. Which symptom should the nurse expect the client to
report?
1. Loss of peripheral vision.
2. Floating spots in the vision.
3. A yellow haze around everything.
4. A curtain coming across vision.
...
1. The client is diagnosed with glaucoma. Which symptom should the nurse expect the client to
report?
1. Loss of peripheral vision.
2. Floating spots in the vision.
3. A yellow haze around everything.
4. A curtain coming across vision.
Answer 1
2. The client is scheduled for right-eye cataract removal surgery in five (5) days. Which preoperative
instruction should be discussed with the client?
1. Administer dilating drops to both eyes for 72 hours prior to surgery.
2. Prior to surgery do not lift or push any objects heavier than 15 pounds.
3. Make arrangements for being in the hospital for at least three (3) days.
4. Avoid taking any type of medication which may cause bleeding, such as aspirin.
Answer 4
3. The client is postoperative retinal detachment surgery, and gas tamponade was used to flatten
the retina. Which intervention should the nurse implement first?
1. Teach the signs of increased intraocular pressure.
2. Position the client as prescribed by the surgeon.
3. Assess the eye for signs/symptoms of complications.
4. Explain the importance of follow-up visits.
Answer 3
4. The 65-year-old client is diagnosed with macular degeneration. Which statement by the client
indicates the client needs more discharge teaching?
,1. “I should use magnification devices as much as possible.”
2. “I will look at my Amsler grid at least twice a week.”
3. “I need to use low-watt light bulbs in my house.”
4. “I am going to contact a low-vision center to evaluate my home.”
Answer 3
5. The nurse who is at a local park sees a young man on the ground who has fallen and has a stick
lodged in his eye. Which intervention should the nurse implement at the scene?
1. Carefully remove the stick from the eye.
2. Stabilize the stick as best as possible.
3. Flush the eye with water if available.
4. Place the young man in a high-Fowler’s position.
Answer 2
6. The employee health nurse is teaching a class on “Preventing Eye Injury.” Which information
should be discussed in the class?
1. Read instructions thoroughly before using tools and working with chemicals.
2. Wear some type of glasses when working around flying fragments.
3. Always wear a protective helmet with eye shield around dust particles.
4. Pay close attention to the surroundings so eye injuries will be prevented.
Answer 1
7. The 65-year-old male client who is complaining of blurred vision reports he thinks his glasses
need to be cleaned all the time, and he denies any type of eye pain. Which eye disorder should
the nurse suspect the client has?
1. Corneal dystrophy.
2. Conjunctivitis.
3. Diabetic retinopathy.
4. Cataracts.
,Answer 4
8. The nurse is administering eyedrops to the client. Which guidelines should the nurse adhere to when
instilling the drops into the eye? Select all that apply.
1. Do not touch the tip of the medication container to the eye.
2. Apply gentle pressure on the outer canthus of the eye.
3. Apply sterile gloves prior to instilling eyedrops.
4. Hold the lower lid down and instill drops into the conjunctiva.
5. Gently pat the skin to absorb excess eyedrops on the cheek.
Answer 1, 4, 5
9. The client has had an enucleation of the left eye. Which intervention should the nurse
implement?
1. Discuss the need for special eyeglasses.
2. Refer the client for an ocular prosthesis.
3. Help the client obtain a seeing-eye dog.
4. Teach the client how to instill eyedrops.
Answer 2
10. The client diagnosed with glaucoma is prescribed a miotic cholinergic medication.
Which data indicate the medication has been effective?
1. No redness or irritation of the eyes.
2. A decrease in intraocular pressure.
3. The pupil reacts briskly to light.
4. The client denies any type of floaters.
Answer 2
11. The client is scheduled for laser-assisted in situ keratomileusis (LASIK) surgery for severe myopia.
Which instruction should the nurse discuss prior to the client’s discharge from day surgery?
, 1. Wear bilateral eye patches for three (3) days.
2. Wear corrective lenses until the follow-up visit.
3. Do not read any material for at least one (1) week.
4. Teach the client how to instill corticosteroid ophthalmic drops.
Answer 4
12. The client comes to the emergency department after splashing chemicals into the eyes. Which
intervention should the nurse implement first?
1. Have the client move the eyes in all directions.
2. Administer a broad-spectrum antibiotic.
3. Irrigate the eyes with normal saline solution.
4. Determine when the client had a tetanus shot.
Answer 3
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