Chapter 59: Eye and Vision Disorders
Linton: Medical-Surgical Nursing, 7th Edition
MULTIPLE CHOICE
1. How does closed-angle glaucoma differ from open-angle glaucoma?
a. The onset is acute:
b. Trabeculectomy is the initial treatment:
c. Treatment can be conservative:
d. Intraocular pressure drops suddenly:
ANS: A
Closed-angle glaucoma has an acute onset with eye pain and other systemic
symptoms, such as nausea and vomiting: Reducing the intraocular pressure is an
ocular emergency:
DIF: Cognitive Level: Knowledge REF: p: 1178 OBJ: 2
TOP: Open-Angle versus Closed-Angle Glaucoma
KEY: Nursing Process Step: Implementation
MSC: NCLEX: Physiological Integrity: Physiological Adaptation
2. What is the cause of glaucoma?
a. Cloudiness in the lens
b. Increase in intraocular pressure
c. Failed eye surgery
d. Retinal tears
ANS: B
Glaucoma is caused by an increase in intraocular pressure:
DIF: Cognitive Level: Knowledge REF: p: 1178 OBJ: 2
TOP: Glaucoma KEY: Nursing Process Step: Planning
MSC: NCLEX: Physiological Integrity: Physiological Adaptation
, 3. A patient in the emergency department complains of severe pain in his eye and is seeing
halos around lights and feeling nauseous: Which diagnosis should the nurse suspect?
a. Open-angle glaucoma
b. Angle-closure glaucoma
c. Cataracts
d. Retinal detachment
ANS: B
Sudden onset of acute eye pain with nausea and vomiting and halos around lights are
all symptoms of angle-closure glaucoma: the acute pain is caused by sudden blockage
of the fluid channels in the eye:
DIF: Cognitive Level: Comprehension REF: p: 1178 OBJ: 2
TOP: Glaucoma KEY: Nursing Process Step: Assessment
MSC: NCLEX: Physiological Integrity: Physiological Adaptation
4. A 60-year-old patient who has had an enucleation asks when he can get his prosthesis
fitted: In approximately how many weeks should this patient expect to be fitted?
a. 2
b. 4
c. 8
d. 12
ANS: B
After an enucleation, the patient is fitted with a prosthesis in 1 month:
DIF: Cognitive Level: Knowledge REF: p: 1183 OBJ: 2
TOP: Enucleation KEY: Nursing Process Step: Implementation 3
MSC: NCLEX: Psychosocial Integrity: Basic Care and Comfort
5. Which surgical implementation is most effective with retinal detachment?
a. Removing the lens
b. Macular bonding
c. Lasik surgery
d. Scleral buckling
Linton: Medical-Surgical Nursing, 7th Edition
MULTIPLE CHOICE
1. How does closed-angle glaucoma differ from open-angle glaucoma?
a. The onset is acute:
b. Trabeculectomy is the initial treatment:
c. Treatment can be conservative:
d. Intraocular pressure drops suddenly:
ANS: A
Closed-angle glaucoma has an acute onset with eye pain and other systemic
symptoms, such as nausea and vomiting: Reducing the intraocular pressure is an
ocular emergency:
DIF: Cognitive Level: Knowledge REF: p: 1178 OBJ: 2
TOP: Open-Angle versus Closed-Angle Glaucoma
KEY: Nursing Process Step: Implementation
MSC: NCLEX: Physiological Integrity: Physiological Adaptation
2. What is the cause of glaucoma?
a. Cloudiness in the lens
b. Increase in intraocular pressure
c. Failed eye surgery
d. Retinal tears
ANS: B
Glaucoma is caused by an increase in intraocular pressure:
DIF: Cognitive Level: Knowledge REF: p: 1178 OBJ: 2
TOP: Glaucoma KEY: Nursing Process Step: Planning
MSC: NCLEX: Physiological Integrity: Physiological Adaptation
, 3. A patient in the emergency department complains of severe pain in his eye and is seeing
halos around lights and feeling nauseous: Which diagnosis should the nurse suspect?
a. Open-angle glaucoma
b. Angle-closure glaucoma
c. Cataracts
d. Retinal detachment
ANS: B
Sudden onset of acute eye pain with nausea and vomiting and halos around lights are
all symptoms of angle-closure glaucoma: the acute pain is caused by sudden blockage
of the fluid channels in the eye:
DIF: Cognitive Level: Comprehension REF: p: 1178 OBJ: 2
TOP: Glaucoma KEY: Nursing Process Step: Assessment
MSC: NCLEX: Physiological Integrity: Physiological Adaptation
4. A 60-year-old patient who has had an enucleation asks when he can get his prosthesis
fitted: In approximately how many weeks should this patient expect to be fitted?
a. 2
b. 4
c. 8
d. 12
ANS: B
After an enucleation, the patient is fitted with a prosthesis in 1 month:
DIF: Cognitive Level: Knowledge REF: p: 1183 OBJ: 2
TOP: Enucleation KEY: Nursing Process Step: Implementation 3
MSC: NCLEX: Psychosocial Integrity: Basic Care and Comfort
5. Which surgical implementation is most effective with retinal detachment?
a. Removing the lens
b. Macular bonding
c. Lasik surgery
d. Scleral buckling
