NSC511
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1. The nurse is developing a plan of care for the client scheduled for cataract surgery. Which of the following is an appropriate nursing diagnosis in the plan of care?
Self-care deficit
Imbalanced nutrition
Disturbed sensory perception
Anxiety
2. 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?
Decrease fluid intake to control the intraocular pressure
Avoid overuse of the eyes
Decrease the amount of salt in the diet
Eye medications will need to be administered lifelong
3. Tonometry is performed on the client with a suspected diagnosis of glaucoma. The nurse analyses the test results as documented in the clients chart and understands that normal intraocular pressure is
2-7 mmHg
10-21 mmHg
22-30 mmHg
31-35 mmHg
4. When developing a teaching session on glaucoma for the community, which of the following statements would the nurse stress?
Glaucoma is easily corrected with eyeglasses
Glaucoma can be painless and vision may be lost before the person is aware of a problem
Yearly screening for people ages 20-40 years is recommended
White and Asian individuals are at the highest risk for glaucoma
5. The client with glaucoma asks the nurse whether his complete vision will return. The most appropriate response is
Although some vision has been lost and cannot be restored, further loss may be prevented by adhering to the treatment plan.
Your vision will return as soon as the medications begin to work.
Your vision will never return to normal
Your vision loss is temporary and will return in about 3-4 weeks
6. 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:
Call the physician
Administer the ordered main medication and antiemetic
Reassure the client that this is normal
Turn the client on his or her operative side
7. The nurse is caring for a client with a diagnosis of detached retina. Which assessment sign would indicate that bleeding has occurred as a result of the retinal detachment?
Complaints of a burst of black spots or floaters
A sudden sharp pain in the eye
Total loss of vision
A reddened conjunctiva
8. Which of the following instruments is used to record intraocular pressure?
Goniometer
Ophthalmoscope
Tonometer
Slit lamp
9. Which of the following procedures or assessments must the nurse perform when preparing a client for eye surgery?
Clipping the clients eyelashes
Verifying the affected eye has been patched 24 hours before surgery
Verifying the client has been NPO since midnight, or at least 8 hours before surgery
Obtaining informed consent with the clients signature and placing the forms on the chart
10. The clinic nurse notes that the following several eye examinations, the physician has documented a diagnosis of legal blindness in the clients chart. The nurse reviews the results of the Snellens chart test expecting to note which of the following?
20/20 vision
20/60 vision
20/200 vision
20/40 vision
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