Chapter 26: Care of Patients with
Disorders of the Eyes and Ears
DeWit: Medical- Surgical Nursing: Concepts & Practice, 3rd Edition
MULTIPLE CHOICE
1.The nurse notices that the patient must hold the newspaper at arm’s length and squint to read. The nurse understands that this finding is consistent with which eye problem? a.Myopia
b.Hyperopia
c.Presbyopia
d.Astigmatism
ANS: B
The person with hyperopia is farsighted; the patient cannot see things up close and must change the distance from the eyes in order to focus. The person with myopia cannot see things in the distance. Presbyopia refers to the hardening of the ciliary bodies of the eyes. Astigmatism refers to a visual defect resulting from a warped lens or an irregular curvature of the cornea.
PTS:1DIF: Cognitive Level: Comprehension REF:597
OBJ:1 (theory) TOP: Refraction Errors: Hyperopia
KEY: Nursing Process Step: Assessment
MSC: NCLEX: Physiological Integrity: Physiological Adaptation
2.The nurse explains that a photorefractive keratectomy (PRK) is a very brief surgery that corrects myopia. Which statement indicates that the nurse’s teaching about the procedure has been successful?
a.“This procedure uses a laser to remove a thin layer of the cornea.”
b.“This procedure uses a laser to reshape the cornea, then replace the outer layer.”
c.“This procedure makes tiny cuts in the cornea to flatten it.”
d.“This procedure uses a laser to reshape the fundus.”
ANS: A
A PRK uses a laser to remove a thin layer of the cornea. The LASIK procedure uses a
laser to reshape the cornea and replace the outer layer. Making tiny cuts in the cornea to flatten it refers to a radial keratotomy.
PTS: 1DIF: Cognitive Level: Comprehension REF: 598
OBJ: 4TOP: PRK: Technique
KEY: Nursing Process Step: Evaluation
MSC: NCLEX: Health Promotion and Maintenance 3.The nurse is caring for a patient who has developed keratitis. When planning care, the nurse should implement which action to improve the patient’s comfort?
a.Use eye shields.
b.Instill artificial tears.
c.Apply cold compresses.
d.Apply warm compresses.
ANS: B
Keratitis is an inflammation of the cornea caused by irritation or infection. Artificial tears will reduce the irritation. Antibiotics can be given in the event of a bacterial infection. Eye shields and compresses are not indicated in the management of this condition.
PTS:1DIF: Cognitive Level: Application REF: 599
OBJ:4TOP: Keratitis: Initial Remedy
KEY: Nursing Process Step: Planning
MSC: NCLEX: Physiological Integrity: Basic Care and Comfort
4.The patient with a corneal transplant asks how long he must wear the eye shield at night. The nurse instructs the patient that he should wear the shield for at least what period of time?
a.1 month
b.2 months
c.6 months
d.1 year
ANS: A
Nightly wearing of the eye shield following a corneal transplant is recommended for 1
month following surgery.
PTS:1DIF: Cognitive Level: Knowledge REF: 600, Box 26-1
OBJ:2TOP: Corneal Transplant: Eye Shield Use
KEY: Nursing Process Step: Implementation
MSC: NCLEX: Physiological Integrity: Reduction of Risk Potential
5.The nurse is discussing the postoperative period with a patient with a corneal transplant. Which statement indicates that the patient displays realistic expectations about vision improvement?
a.“I will have my full vision restored within 48 to 72 hours.”
b.“It will take about 24 hours before I see improvement in my vision.”
c.“My vision will show improvement in about 2 weeks.”
d.“It may take about a month before my vision shows improvement.”
ANS: C
Increasing visual acuity may take up to 2 weeks before improvement in vision is noted.
Disorders of the Eyes and Ears
DeWit: Medical- Surgical Nursing: Concepts & Practice, 3rd Edition
MULTIPLE CHOICE
1.The nurse notices that the patient must hold the newspaper at arm’s length and squint to read. The nurse understands that this finding is consistent with which eye problem? a.Myopia
b.Hyperopia
c.Presbyopia
d.Astigmatism
ANS: B
The person with hyperopia is farsighted; the patient cannot see things up close and must change the distance from the eyes in order to focus. The person with myopia cannot see things in the distance. Presbyopia refers to the hardening of the ciliary bodies of the eyes. Astigmatism refers to a visual defect resulting from a warped lens or an irregular curvature of the cornea.
PTS:1DIF: Cognitive Level: Comprehension REF:597
OBJ:1 (theory) TOP: Refraction Errors: Hyperopia
KEY: Nursing Process Step: Assessment
MSC: NCLEX: Physiological Integrity: Physiological Adaptation
2.The nurse explains that a photorefractive keratectomy (PRK) is a very brief surgery that corrects myopia. Which statement indicates that the nurse’s teaching about the procedure has been successful?
a.“This procedure uses a laser to remove a thin layer of the cornea.”
b.“This procedure uses a laser to reshape the cornea, then replace the outer layer.”
c.“This procedure makes tiny cuts in the cornea to flatten it.”
d.“This procedure uses a laser to reshape the fundus.”
ANS: A
A PRK uses a laser to remove a thin layer of the cornea. The LASIK procedure uses a
laser to reshape the cornea and replace the outer layer. Making tiny cuts in the cornea to flatten it refers to a radial keratotomy.
PTS: 1DIF: Cognitive Level: Comprehension REF: 598
OBJ: 4TOP: PRK: Technique
KEY: Nursing Process Step: Evaluation
MSC: NCLEX: Health Promotion and Maintenance 3.The nurse is caring for a patient who has developed keratitis. When planning care, the nurse should implement which action to improve the patient’s comfort?
a.Use eye shields.
b.Instill artificial tears.
c.Apply cold compresses.
d.Apply warm compresses.
ANS: B
Keratitis is an inflammation of the cornea caused by irritation or infection. Artificial tears will reduce the irritation. Antibiotics can be given in the event of a bacterial infection. Eye shields and compresses are not indicated in the management of this condition.
PTS:1DIF: Cognitive Level: Application REF: 599
OBJ:4TOP: Keratitis: Initial Remedy
KEY: Nursing Process Step: Planning
MSC: NCLEX: Physiological Integrity: Basic Care and Comfort
4.The patient with a corneal transplant asks how long he must wear the eye shield at night. The nurse instructs the patient that he should wear the shield for at least what period of time?
a.1 month
b.2 months
c.6 months
d.1 year
ANS: A
Nightly wearing of the eye shield following a corneal transplant is recommended for 1
month following surgery.
PTS:1DIF: Cognitive Level: Knowledge REF: 600, Box 26-1
OBJ:2TOP: Corneal Transplant: Eye Shield Use
KEY: Nursing Process Step: Implementation
MSC: NCLEX: Physiological Integrity: Reduction of Risk Potential
5.The nurse is discussing the postoperative period with a patient with a corneal transplant. Which statement indicates that the patient displays realistic expectations about vision improvement?
a.“I will have my full vision restored within 48 to 72 hours.”
b.“It will take about 24 hours before I see improvement in my vision.”
c.“My vision will show improvement in about 2 weeks.”
d.“It may take about a month before my vision shows improvement.”
ANS: C
Increasing visual acuity may take up to 2 weeks before improvement in vision is noted.
