Nur 242 exam 5
A client with type 2 diabetes is admitted to the ambulatory surgery unit for elective cataract
surgery. Before surgery the client asks the nurse, "How will my diabetes be managed while I am
here?" Which is the best response by the nurse? - I'm not quite certain I understand what you
are asking."
Which explanation would the nurse provide a client who asks what a cataract is? - An opacity of
the lens
A client reports feeling nauseated immediately after cataract surgery. Which action would the
nurse take? - Administer the prescribed antiemetic
Which information would the nurse include in postoperative teaching for a client who had
cataract surgery? Select all that apply. One, some, or all responses may be correct. - Don't blow
your nose, avoid bending from the waist
Which client statement indicates that the discharge teaching after a cataract extraction and an
intraocular lens implant is effective? - I should call the clinic if my eye begins to hurt.
Which instruction is important for the nurse to provide to the client after cataract surgery? -
Avoid bending from the waist
Which condition can cause a client severe pain after a cataract extraction? - Hemorrhage into
the eye
After cataract surgery, the nurse teaches a client how to self-administer eyedrops. The nurse
would reinforce the use of which technique? - Holding the dropper tip above the conjunctival sac
After cataract surgery, a client reports feeling nauseated. How can the nurse prevent vomiting? -
Administer the prescribed antiemetic medication
Exposure to which element would be the reason for cataracts in a 36-year-old client who is a
glass worker? Select all that apply. One, some, or all responses may be correct. - Heat, metal
powder
Which rationale would the nurse include in teaching a client with glaucoma about the need for
treatment? - Lost vision cannot be restored
Which treatment goal would the nurse emphasize when teaching a client with a diagnosis of
open-angle glaucoma? - Control intraocular pressure
,Which information would the nurse include in explaining glaucoma to a client? - An increase in
the pressure within the eyeball
Which goal is the nurse trying to achieve by reinforcing to the client that it is important to seek
treatment for primary open-angle glaucoma (POAG)? - Prevent blindness
While assessing the eyes of a client, a health care provider notices there is an obstruction to the
outflow of aqueous humor. Which additional finding would be noted to support a diagnosis of
glaucoma? - Elevated intraocular pressure
Which medication worsens uncontrolled angle-closure glaucoma when used for the treatment of
generalized anxiety disorder? - Duloxetine
The nurse understands that which second-generation antidepressant can worsen uncontrolled
angle-closure glaucoma? - Duloxetine
A client has primary open-angle glaucoma. Which ophthalmic preparation is indicated to
manage this condition? - Timolol maleate
The nurse concludes that a client with glaucoma needs education when the client makes which
statement? - "Sedatives may increase the pressure in my eye."
Which medication would the nurse anticipate may be prescribed to produce diuresis and inhibit
formation of aqueous humor for a client with glaucoma? - Acetazolamide
Which clinical indicator is the nurse most likely to identify when exploring the history of a client
with open-angle glaucoma? - Impairment of peripheral vision
Which beta-adrenergic blocker is prescribed to clients with glaucoma? - betaxolol
Which medication used in the treatment of clients with glaucoma is a prostaglandin agonist? -
Bimatoprost
Which information would the nurse include about future treatment and precautions when
teaching a client who has glaucoma? - Continuation of therapy for life
A debilitated older client who has glaucoma places great value on independence. What would
the nurse encourage the client to do after discharge from the hospital? - Self-administer eye
medications using appropriate technique
Which finding would the nurse anticipate in the health history of a client who has open-angle
(chronic) glaucoma? - Loss of peripheral vision
, Which symptom would the nurse expect the client who has primary open-angle glaucoma to
report? - decreased peripheral vision
The nurse is providing instructions to a client who has glaucoma. Which statements by the client
indicate that the nurse needs to intervene? Select all that apply. One, some, or all responses
may be correct. - I can lift objects than weight more than 10lbs, I should keep my head in
dependent position
A client with glaucoma is receiving a carbonic anhydrase inhibitor. Which statement made by
the client will require the nurse to notify the primary health care provider? - "I am allergic to
sulfonamides."
Which ophthalmic solution is contraindicated for clients with glaucoma? - Atropine
Which technique used by the nurse demonstrates medication safety and effectiveness when
assisting an older client to instill prescribed eyedrops for glaucoma? Select all that apply. One,
some, or all responses may be correct. - Pressing the inner canthus for 1 to 2 minutes after
instillation
An infant exhibits purulent conjunctivitis on the fourth day of life and is brought to the emergency
department. Which is the priority nursing action? - Assessing the infant for signs of pneumonia
macular degeneration - loss of central vision
Which ocular symptom would the nurse expect a client with a diagnosis of dry age-related
macular degeneration to report? - Loss of central vision
Which response reported by an older adult client would the nurse identify as consistent with the
diagnosis of macular degeneration? - I can't see objects in the center of my vision field.
Which instruction would the nurse give to a client with reduced sensory perception? - Use a
bath thermometer
A client on antidepressant therapy develops hyperthermia, seizures, and a heart rate of 200
beats per minute. Which medication would the nurse suspect is responsible for the condition? -
Sertraline
A 7-year-old child who is taking medication to prevent seizures has been seizure free for 2
years. The child's parents ask the nurse, "How much longer will my child need to take the
medication?" Which answer will the nurse provide? - "This is usually attempted after 2 years, but
medications must be gradually decreased."
A client with type 2 diabetes is admitted to the ambulatory surgery unit for elective cataract
surgery. Before surgery the client asks the nurse, "How will my diabetes be managed while I am
here?" Which is the best response by the nurse? - I'm not quite certain I understand what you
are asking."
Which explanation would the nurse provide a client who asks what a cataract is? - An opacity of
the lens
A client reports feeling nauseated immediately after cataract surgery. Which action would the
nurse take? - Administer the prescribed antiemetic
Which information would the nurse include in postoperative teaching for a client who had
cataract surgery? Select all that apply. One, some, or all responses may be correct. - Don't blow
your nose, avoid bending from the waist
Which client statement indicates that the discharge teaching after a cataract extraction and an
intraocular lens implant is effective? - I should call the clinic if my eye begins to hurt.
Which instruction is important for the nurse to provide to the client after cataract surgery? -
Avoid bending from the waist
Which condition can cause a client severe pain after a cataract extraction? - Hemorrhage into
the eye
After cataract surgery, the nurse teaches a client how to self-administer eyedrops. The nurse
would reinforce the use of which technique? - Holding the dropper tip above the conjunctival sac
After cataract surgery, a client reports feeling nauseated. How can the nurse prevent vomiting? -
Administer the prescribed antiemetic medication
Exposure to which element would be the reason for cataracts in a 36-year-old client who is a
glass worker? Select all that apply. One, some, or all responses may be correct. - Heat, metal
powder
Which rationale would the nurse include in teaching a client with glaucoma about the need for
treatment? - Lost vision cannot be restored
Which treatment goal would the nurse emphasize when teaching a client with a diagnosis of
open-angle glaucoma? - Control intraocular pressure
,Which information would the nurse include in explaining glaucoma to a client? - An increase in
the pressure within the eyeball
Which goal is the nurse trying to achieve by reinforcing to the client that it is important to seek
treatment for primary open-angle glaucoma (POAG)? - Prevent blindness
While assessing the eyes of a client, a health care provider notices there is an obstruction to the
outflow of aqueous humor. Which additional finding would be noted to support a diagnosis of
glaucoma? - Elevated intraocular pressure
Which medication worsens uncontrolled angle-closure glaucoma when used for the treatment of
generalized anxiety disorder? - Duloxetine
The nurse understands that which second-generation antidepressant can worsen uncontrolled
angle-closure glaucoma? - Duloxetine
A client has primary open-angle glaucoma. Which ophthalmic preparation is indicated to
manage this condition? - Timolol maleate
The nurse concludes that a client with glaucoma needs education when the client makes which
statement? - "Sedatives may increase the pressure in my eye."
Which medication would the nurse anticipate may be prescribed to produce diuresis and inhibit
formation of aqueous humor for a client with glaucoma? - Acetazolamide
Which clinical indicator is the nurse most likely to identify when exploring the history of a client
with open-angle glaucoma? - Impairment of peripheral vision
Which beta-adrenergic blocker is prescribed to clients with glaucoma? - betaxolol
Which medication used in the treatment of clients with glaucoma is a prostaglandin agonist? -
Bimatoprost
Which information would the nurse include about future treatment and precautions when
teaching a client who has glaucoma? - Continuation of therapy for life
A debilitated older client who has glaucoma places great value on independence. What would
the nurse encourage the client to do after discharge from the hospital? - Self-administer eye
medications using appropriate technique
Which finding would the nurse anticipate in the health history of a client who has open-angle
(chronic) glaucoma? - Loss of peripheral vision
, Which symptom would the nurse expect the client who has primary open-angle glaucoma to
report? - decreased peripheral vision
The nurse is providing instructions to a client who has glaucoma. Which statements by the client
indicate that the nurse needs to intervene? Select all that apply. One, some, or all responses
may be correct. - I can lift objects than weight more than 10lbs, I should keep my head in
dependent position
A client with glaucoma is receiving a carbonic anhydrase inhibitor. Which statement made by
the client will require the nurse to notify the primary health care provider? - "I am allergic to
sulfonamides."
Which ophthalmic solution is contraindicated for clients with glaucoma? - Atropine
Which technique used by the nurse demonstrates medication safety and effectiveness when
assisting an older client to instill prescribed eyedrops for glaucoma? Select all that apply. One,
some, or all responses may be correct. - Pressing the inner canthus for 1 to 2 minutes after
instillation
An infant exhibits purulent conjunctivitis on the fourth day of life and is brought to the emergency
department. Which is the priority nursing action? - Assessing the infant for signs of pneumonia
macular degeneration - loss of central vision
Which ocular symptom would the nurse expect a client with a diagnosis of dry age-related
macular degeneration to report? - Loss of central vision
Which response reported by an older adult client would the nurse identify as consistent with the
diagnosis of macular degeneration? - I can't see objects in the center of my vision field.
Which instruction would the nurse give to a client with reduced sensory perception? - Use a
bath thermometer
A client on antidepressant therapy develops hyperthermia, seizures, and a heart rate of 200
beats per minute. Which medication would the nurse suspect is responsible for the condition? -
Sertraline
A 7-year-old child who is taking medication to prevent seizures has been seizure free for 2
years. The child's parents ask the nurse, "How much longer will my child need to take the
medication?" Which answer will the nurse provide? - "This is usually attempted after 2 years, but
medications must be gradually decreased."
