Question 1 of 9
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Which information about preventing blindness would the nurse provide to a patient with an increased risk for glaucoma?
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- Wear sunglasses anytime there is bright light to protect the eyes.Wearing sunglasses is protective for the eyes but will not prevent glaucoma in patients at an increased risk for the disorder.
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- Use over-the-counter eye drops to manage any eye symptoms.Using over-the-counter drops for all eye symptoms may delay important assessments.
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- Contact the health care provider with any vision or eye changes.Blindness is preventable if glaucoma is assessed and treated early.
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- Keep prescription eyeglasses updated.Wearing eyeglasses to correct vision will not prevent blindness from glaucoma.
Question 2 of 9
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Which nursing action is appropriate when a patient’s intraocular pressure (IOP) is 24 mm Hg?
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- Schedule the patient for an eye examination in 6 months.Normal eye pressure ranges from 12 to 22 mm Hg. An IOP of 24 mm Hg is higher than normal and requires an immediate thorough evaluation.
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- Raise the head of the bead.Raising the head of the bead does not address the elevated IOP.
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- Contact the health care provider.An IOP greater than 22 mm Hg requires thorough evaluation. Increased IOP restricts the blood flow to the optic nerve and the retina.
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- Use normal saline for eye washes.Eye washes are not indicated as treatment for increased IOP.
Question 3 of 9
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Which response would the nurse provide to a patient who is scheduled for air tonometer testing for glaucoma who asks about pain during the procedure?
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- “We will control the pain with opioid analgesics.”Opioid analgesics are not necessary for an air tonometer test.
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- “You will be given medications so you will not remember the procedure.”Amnesic medications are not necessary for an air tonometer test.
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- “The probe used causes very brief discomfort when it touches the eye.”Nothing but air touches the eye during an air tonometer test.
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- “The test is painless, and nothing but the air touches the eye.”No pain is expected, but patients will experience a puff of air in the eye.
Question 4 of 9
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Which information about vision correction would the nurse provide to a patient who receives a prescription for a pilocarpine disk?
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- “You may still wear your contact lenses with the pilocarpine treatment.”Use of the pilocarpine disk does not prevent the wearing of contact lenses.
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- “For vision correction, you must wear prescribed eyeglasses during pilocarpine treatment.”Eyeglasses are not always necessary with pilocarpine treatment.
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- “The pilocarpine disk will provide vision correction.”The pilocarpine disk does not provide vision correction.
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- “Use medicated eye drops to correct vision with the pilocarpine disk.”Medicated eye drops are not indicated for vision correction with use of the pilocarpine disk.
Question 5 of 9
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Which nursing response is appropriate when a patient with glaucoma asks about using marijuana to decrease intraocular pressure (IOP)?
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- “Using marijuana is never indicated and could result in treatment delays.”Some evidence indicates that marijuana may assist in decreasing IOP.
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- “Marijuana has been proven to successfully reduce IOP.”Marijuana is not necessarily the recommended treatment for elevated IOP.
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- “You should address this question with your ophthalmologist.”It is not appropriate to defer the patient’s questions to the ophthalmologist. The nurse should discuss treatment options with the patient.
- Correct
- “Marijuana may have no more benefit than prescribed medications for IOP.”Current recommendations suggest that marijuana is no more effective than other medical treatments for IOP.
Question 6 of 9
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Which information about vision loss would the nurse emphasize when discussing drug therapy with a patient who is being treated for glaucoma?
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- “Vision acuity will improve within 2 weeks.”Medication will not improve visual acuity in 2 weeks.
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- “You will continue to experience some vision loss even with medication.”Medications can stop the progressive of vision loss.
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- “The medications can prevent further vision loss, but they cannot restore vision.”Teaching should emphasize that glaucoma medications prevent further vision loss, but medications cannot restore vision.
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- “Your vision will improve over the course of 6 to 12 months with the use of medications.”Medications cannot correct previous vision loss.
Question 7 of 9
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Which action would the nurse take when a patient experiences nausea and vomiting and reports seeing halos around lights?
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- Report the findings to the health care provider for immediate intervention.The findings are indicative of acute narrow-angle glaucoma and should be addressed immediately.
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- Document the findings in the patient’s medical record and continue to monitor.Documenting the findings without further intervention may cause delays in needed care.
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- Immediately apply eye patches.Eye patches are not indicated.
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- Irrigate the eyes with normal saline.Irrigating the eyes with normal saline is not indicated.
Question 8 of 9
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Which preoperative information would the nurse provide to a patient who is scheduled for laser surgery for treatment of retinal detachment?
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- “You will be admitted to the hospital for 2 days postoperatively for monitoring and intravenous (IV) antibiotics.”Laser therapy is performed as an outpatient procedure.
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- “You will be admitted to the hospital 1 day before the procedure for extensive testing.”Extensive preoperative testing is not necessary for laser therapy.
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- “The procedure will be performed in an outpatient setting.”Retinal holes and tears sometimes can be repaired on an outpatient basis with laser therapy that creates an inflammatory reaction, causing the layers to adhere during healing.
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- “You will receive treatment at a rehabilitation setting after the procedure.”Rehabilitation after laser therapy is not necessary.
Question 9 of 9
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Which response would the nurse provide to a patient who asks, “After my eye surgery for retinal detachment, is it okay for me to move a few large rocks in my front yard”?
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- “Activity is important after surgery to prevent blood clots.”Heavy lifting is too strenuous after eye surgery.
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- “Avoid heavy lifting because it may cause increased intraocular pressure (IOP).”Heavy lifting may increase IOP after eye surgery.
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- “Be sure to use proper body mechanics when moving rocks.”Even when using proper body mechanics, moving rocks is not a safe activity after eye surgery.
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- “Take frequent rests between lifting rocks to prevent bleeding.”Taking frequent rests will not necessarily prevent complications such as increased IOP.
