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1. The nurse has instructed a patient prescribed The inner lining of the eye is pink
antibiotics for conjunctivitis to follow up in 1 and moist.
week. Which assessment finding at the fol-
low-up visit indicates improvement? Rationale: A pink and moist con-
junctiva following antibiotic thera-
py for conjunctivitis is an expect-
ed finding and indicates improve-
ment.
2. Which description defines ptosis? Drooping eye
Rationale: Ptosis is drooping of the
eye.
3. Which condition in the patient's health history Hyperglycemia
increases the patient's risk of becoming blind?
Rationale: High blood glucose lev-
els can lead to retinal damage and
cause blindness.
4. Which test would the nurse perform when as- Ishihara test
sessing the patient's color perception?
Rationale: The Ishihara test deter-
mines ability to distinguish colors.
5. Which visual assessment finding is most con- Sudden flashes of light
cerning when caring for a patient who is 75
years old? Rationale: Sudden flashes of light
are a clinical manifestation of reti-
nal detachment. This is a medical
emergency that the nurse would
immediately report to the provider.
6.
, Adult Health WGU D444
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Match the visual diagnostic test to its descrip- Monitors macular problems - Am-
tion. sler Grid test
Measures refractive error - Refrac-
tometry
Provides information about flow of
blood through retinal vessels - Flu-
orescein angiography
Detects changes in central and pe-
ripheral vision - Perimetry testing
7. Which response from the nurse would be im- "Discard all opened or used lens
portant to include when providing discharge in- care products."
structions to a patient with a bacterial conjunc-
tivitis who uses contact lenses?
8. Which action would the nurse take when prepar- Take note of the furniture place-
ing to admit a visually impaired patient to the ment in the room.
hospital after abdominal surgery?
9. Which information would the nurse ensure the - Details of the treatment regimen
patient understands when educating a patient - Long-term effects of the disease
with a chronic visual sensory perception prob- process
lem? Select all that apply. One, some, or all re- - How to recognize emergency care
sponses may be correct. needs
- How food preferences and nutri-
tional habits can affect eyesight
10. Which action would the nurse take when pro- Begin eye irrigation immediately.
viding initial care to a patient who got bleach in
their eye at work?
11. Which information would the nurse include in - How to perform proper hand hy-
discharge teaching for a patient with viral con- giene
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junctivitis? Select all that apply. One, some, or all - Applying ice packs, artificial tears,
responses may be correct. and dark glasses may provide com-
fort
- How to instill topical corticos-
teroids, if prescribed
Rationale:
- Careful hand washing is essential
to prevent spread of infection from
one eye to the other eye or trans-
mission to others.
- For serious ocular viral conjunc-
tivitis palliative treatment includes
ice packs, artificial tears, and dark
glasses. Mild cases are typically
self-limiting.
- Severe cases of viral conjunctivi-
tis may include treatment with mild
topical corticosteroids.
12. Which eye safety measure would the nurse rec- - Wear protective eyewear
ommend to the woodshop worker during a rou-
tine occupational health visit? Rationale: Wearing appropriate
eyewear can prevent many eye in-
juries that can occur in this work
environment such as blunt or pen-
etrating trauma.
13. Which education would the nurse provide to the - Notify the provider if symptoms
patient newly diagnosed with Acanthamoeba do not improve or worsen.
keratitis? Select all that apply. One, some, or all - Discard any opened and used
responses may be correct. contact lens solutions and lens
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case.
- Avoid homemade contact lens so-
lutions.
Rationales:
-Treatment is difficult and if the
therapy fails the patient may need
a corneal transplant. It is important
to ensure therapy is effective.
-Discard any opened and used
contact lens solutions and lens
case.
It is important to discard any po-
tentially contaminated contact lens
solutions and lens case.
- Homemade contact lens solutions
can easily become contaminated
with the parasite and should be
avoided.
14. Which action would the nurse take when caring Establish a schedule of giving 1
for a patient requiring the instillation of 2 eye drop on the hour and 1 drop on the
drops hourly? half hour
Rationale: Proper spacing of the
eye drop installation ensures max-
imum absorption.
15. Which response would the nurse initially give Why are you worried?
to a patient expressing anxiety over having a
corneal transplant? Rationale: Assessment is the first
part of the nursing process. It is
important for the nurse to find out