m m m m
1.Amclientmismdiagnosedmwith mstrabismus.mWhichmof mthemfollowingmwillmthemclientmmostmlikel
ymexperiencemwith mthismdisorder?
1.mNystagmus
2.mDiplopia
3.mAphakicmvision
4.mPtosism-mmanswersmANS:m2
Diplopia,mormdoublemvision,mismthemprimarymsymptommof mstrabismus.mNystagmusmismamdiso
rdermthatmcausesminvoluntarilymrhythmicmmovementsminmthemeye.mAphakicmvisionmoccursmw
hen mthemlensmof mthemeyemismremoved.mPtosismismdroopingmof mthemeyelid.
m
2.Amclientmismexperiencingmamgradual mblurringmof mvisionminmbothmeyesmnotmassociatedmwithm
anympain.mThemnursemsuspectsmthemclientmismexperiencing:
1.mglaucoma.
2.mcataracts.
3.mmacularmdegeneration.
4.mretinal mdetachment.m-mmanswersmANS:m2
Cataractsmoccurmasmthemopacitymof mthemlensmbecomesmcloudy,mblurringmthemvision.mItmoccu
rsmin mboth meyesmbutmismusuallymworseminmonemeye.mGradual meyemblurringmismnotmassociated
mwith mglaucoma,mmacularmdegeneration,mormretinal mdetachment.
m
3.Themnursemshouldminstructmamclient,mdiagnosedmwith mglaucoma,mthatmthempurposemofmme
dication mismto:
1.mhelpmdrymupmexcessmsecretions.
2.mlowermthemintraocularmpressure.
3.mstrengthen mthemmusclesmof mthemeye.
4.mimprovemthemvision min mthemeye.m-mmanswersmANS:m2
Glaucomamismamdiseasemthatmrelatesmtomthemincreasemof mintraocularmpressure.mThemmedic
ation mgiven mwillmdecreasemthismintraocularmpressure.mMedicationmformglaucomamismnotmuse
dmtomhelpmdrymupmexcessmsecretions,mstrengthen mthemeyemmuscles,mormimprovemvision.
m
4.Aftermsurgerymtomremovemamcataract,mwhichmof mthemfollowingmshouldmthemnurseminstructmt
hemclient?
1.mBemsuremtomfollow mthemschedulemformthemprescribedmeyedropmmedication.
2.mSleepmon mthemrightmsidemtompromotemdrainage.
,3.mItmismokaymtomrubmthemeyembecausemthemsurgerymwasmon mtheminside.
4.mThismisman moutpatientmprocedure,mandmtheremaremnominstructionsmformthempatient.m-
mmanswersmANS:m1
Clientmeducationmismextremelymimportantminmthemaftercaremof mcataractmsurgery.mTheremismam
needmtomemphasizemthempostoperativemcaremof meyedropminstillation.mThemclientmshouldmnot
mplacemanympressure mnearmormonmthemeye.mPostoperative minstructionsmaremhighlymimportan
tmformthemclientmhavingman moutpatientmsurgical mprocedure.
m
5.Amtonometrymtestmhasmbeen mperformedmwithmamclientmandmthemresultsmarem25mmmHg.mTh
emnursemknow mthat:
1.mthemreadingmismlow mandmtheremismnomproblem.
2.mthemreadingmismnormal mandmnothingmneedsmtombemdonematmthismtime.
3.mthemresultsmaremhigh mandmfollow-upmreadingsmandmtestsmaremneeded.
4.mthemresultsmaremhigh mandmtheremismnomcuremtombringmthempressuremdown.m-
mmanswersmANS:m3
Several mreadingmneedmtombemtakenmthroughoutmthemdaymtomestablishmthemhighestmreadingmt
ombemthemtreatedmpressure.mNormal mintraocularmpressuremrangesmfromm12mtom16mmmHg.mT
hemreadingmof m25mmmHgmismnotmlowmormnormal.mMedicationmcanmbemprescribedmtomreducem
thempressure.
m
6.Amclientmhasmbeenmdiagnosedmwithmcataracts.mThemnursemrealizesmthatmthemonlymtreatme
ntmformthismdisordermis?
1.mMedical mmanagementmwith meyedrops
2.mSurgical mremoval mof mthemlens
3.mCryopexy
4.mPhototherapym-mmanswersmANS:m2
Surgical mtreatmentmformcataractsmbeginsmwhenmvisionmismsufficientlymimpaired.mThemlensmis
mremovedmandmthemreplacementmartificialmintraocularmlensmismputminmplace.mCataractsmcann
otmbemtreatedmwith mmedicationmalone.mCryopexymandmphototherapymaremnotmusedmtomtreatm
cataracts.
m
7.Which mof mthemfollowingmshouldmthemnursemassessmin mamclientmdiagnosedmwith mopen-
anglemglaucoma?
1.mDegreemof mlostmvision
2.mSeveritymof mheadaches
3.mAmountmof mblurredmvision
4.mDatemof monsetm-mmanswersmANS:m1
Open-
anglemglaucomamismcharacterizedmbymamgradual mincreaseminmpressuremandmamgradualmloss
mof mvision.mClosed-
anglemglaucomampresentsmwithmamsuddenmonsetmcausingmheadache,mblurredmvision,mandm
eyempain.
m
8.Amclientmismexperiencingmlittlemflashesmof mlightsmandmthingsmfloatingminmthemvisual mfield.mT
hemnursemsuspects:
1.mcataracts.
2.mglaucoma.
3.mconjunctivitis.
,4.mretinal mdetachment.m-mmanswersmANS:m4
Retinal mdetachmentmismclinicallymmanifestedmbymflashesmandmfloatersminmthemvisual mfield.mF
lashesmof mlightmandmfloatersmaremnotmassociatedmwithmcataracts,mglaucoma,mormconjunctivit
is.
m
9.Amclientmtellsmthemnursemthatmshemseesmamshadow mthatmismslowingmgettingmworseminmherml
eftmeye.mWhich mof mthemfollowingmshouldmthemnursemdo?
1.mInstructmthemclientmtomreturn mhomemtomrestmin mbed.
2.mEncouragemthemclientmtomcontinuemwith mnormal mdailymactivities.
3.mNotifyman mophthalmologist.
4.mEncouragemfluidsmandmnormal msalinemeyedrops.m-mmanswersmANS:m3
Themnursemshouldmnotifymanmophthalmologistmwith mthemclientsmsymptoms.mThemonsetmofmam
shadow minmthemfieldmof mvisionmthatmwillmnotmdissipatemismanmindicationmofmamdetachedmretina
.mRetinal mdetachmentsmrarelymself-
repair,mandmthemclientmwillmneedmsurgery.mThemnursemshouldmnotminstructmthemclientmtomretu
rn mhomemtomrestminmbed.mThemclientmshouldmnotmbemencouragedmtomcontinuemwith mnormalmd
ailymactivities.mFluidsmandmsalinemeyedropsmwillmnotmhelpmamdetachedmretina.
m
10.Amclientmismexperiencingmamlossmof mcentral mvisionmbutmnotmamlossmof mperipheral mvision.mT
hemnursemrealizesmthemclientmshouldmbemevaluatedmfor:
1.mdetachedmretinamsyndrome.
2.mnystagmus.
3.mmacularmdegeneration.
4.mconjunctivitis.m-mmanswersmANS:m3
Macularmdegenerationmismamdeteriorationmofmpartmof mthemretina,mcausingmlossmof mcentral mvis
ion mbutmnotmaffectingmperipheral mvision.mThemlossmof mcentral mvisionmismnotmtypicallymseenmin
mamdetached mretina,mnystagmus,mormconjunctivitis.
m
11.Amclientmismexperiencingmredness,mburning,mitching,mandmpainmof mthemeyes.mThemnursem
suspectsmthemclientmismexperiencing:
1.mblepharitis.
2.mconjunctivitis.
3.mkeratitis.
4.miritis.m-mmanswersmANS:m2
Clinical mmanifestationsmofmconjunctivitism(pinkmeye)mincludemwaterymeyes,mredness,mitching
,mandmburningmpain.mBlepharitismismassociatedmwithmamstickymexudate.mKeratitismismassociat
edmwith mphotophobia.mIritismismassociatedmwith mblurredmvision mandmphotophobia.
m
12.Amclientmhasmbeenmdiagnosedmasmbeingmlegallymblind.mThemnursemrealizesmthismclientsmv
ision mis:
1.m20/200mormlessmin mthembettermeyemwith mcorrection.
2.m20/200mormlessmin mthemworsemeyemwithoutmcorrection.
3.m20/100mormlessmin mthembettermeyemwithoutmcorrection.
4.m20/100mormlessmin mthemworsemeyemwith mcorrection.m-mmanswersmANS:m1
Legalmblindnessmismdefinedmasmvisionmofm20/200mormlessmonmamSnellenmchartminmthembetterm
eyemwith mcorrection.mThemeyemneedsmtomhavemcorrection minmordermtombemdiagnosedmasmleg
allymblind;mtherefore,mthemchoicemofm20/200minmthemworsemeyemwithoutmcorrection mwouldmbe
mincorrect.mThemvisionmmeasurementsmofmthemothermchoicesmcanmbemcorrected mwithmlenses
mandmwould mnotmbemcategorized masmlegal mblindness.
, m
13.Themnursemrealizesmthatmthembestmmedication mtreatmentmformopen-
anglemglaucomamwouldmbe:
1.mtimolol m(Timoptic)meyedrops.
2.mlatanoprostm(Xalatan)meyedrops.
3.mtimolol m(Timoptic)mandmLatanoprostm(Xalatan)meyedrops.
4.mmetoprolol moral mmedication.m-mmanswersmANS:m3
Formthembestmeffectmin mthemtreatmentmof mopen-
anglemglaucoma,mtimololm(Timoptic)mandmlatanoprostm(Xalatan)mshouldmbemprescribedmtog
ether.mMetoprolol mismnotmprescribedmformopen-anglemglaucoma.
m
1.Amclientmtellsmthemnursemthatmhemdoesmnotmwantmtomdevelopmmacularmdegenerationmlikemh
ismmother.mWhichmofmthemfollowingmshouldmthemnurseminstructmthemclientmasmbeingmriskmfact
orsmformthemdevelopmentmof mthismdisorder?m(Selectmallmthatmapply.)
1.mTheremismgreatermriskmasmpeoplemage.
2.mWomen marematmgreatermriskmthan mmen.
3.mAfrican mAmericansmarematmgreatermriskmthan mCaucasians.
4.mFamilymhistorymof mmacularmdegeneration mincreasesmrisk.
5.mSmokingmdoesmnotmincreasemrisk.
6.mAlcohol mpreventsmthemonsetmof mthismdisorder.m-mmanswersmANS:m1,m2,m4
Recentmstatisticsmshow mthatmmacularmdegenerationmismagemrelatedmandmthatmwomenmarema
tmgreatermriskmthan mmen.mFamilymhistorymandmsmokingmaremalsomsignificantmriskmfactors.mC
aucasiansmarematmgreatermriskmthanmAfricanmAmericans.mAlcoholmdoesmnotmpreventmthemon
setmof mthismdisorder.
m
2.Amclientmismreceivingmtestsmtomdiagnosemglaucoma.mWhichmof mthemfollowingmdiagnosticmte
stsmwillmbemusedmtomidentifymthismdisordermin mthemclient?m(Selectmall mthatmapply.)
1.mVisual macuity
2.mVisual mfieldmtest
3.mTonometry
4.mWebermtest
5.mRinnemtest
6.mElectroencephalogramm-mmanswersmANS:m1,m2,m3
Glaucomamismdeterminedmthroughmamcomprehensivemeyemexammincludingmamvisual macuitym
test,mvisual mfieldsmtest,mdilatedmeyemexam,mandmtonometry.mThemWebermandmRinnemtestsma
remusedmin manmearmassessment.mAnmelectroencephalogrammismnotmusedmtomdiagnosemglau
coma.
m
3.Amclientmismdiagnosedmwith mocularmcancer.mThemnursemrealizesmthismclientmcouldmbemtreat
edmwith:m(Selectmall mthatmapply.)
1.mEnucleation
2.mLasermsurgery
3.mPlaquembrachytherapy
4.mBlockmincision
5.mTrabeculoplasty
6.mTrabeculectomym-mmanswersmANS:m1,m3,m4
Surgical moptionsmformamclientmdiagnosedmwithmocularmcancermincludemenucleation,mplaquem
brachytherapy,mormblockmincision.mLasermsurgery,mtrabeculoplasty,mandmtrabeculectomymw
ouldmbemusedmtomtreatmglaucoma.