MDC 1 - Exam 2 Study Guide
Questions with 100% Verified Correct
Answers
What are some nursing interventions for visual impairment? - Correct Answer - Always knock or
announce your entrance into the patient's room or area and introduce yourself.
- Orient the patient to the environment, counting steps with him or her to the bathroom
- Help the patient place objects on the bedside table or in the bed and around the bed and room and
do not move them without the patient's permission
- Remove all objects and clutter between the patient's bed and the bathroom.
- Use a normal tone of voice.
a condition in which the pupils are unequal in size - Correct Answer anisocoria
protrusion of the eyeballs, as seen in Graves disease - Correct Answer exophthalmos
sunken eyes, eyeballs are recessed - Correct Answer enophthalmos
prolapse, downward displacement, dropping - Correct Answer ptosis
Patient education for instilling eye drops - Correct Answer - Put in lower conjunctival sac
- Do not drop in center of eye
- Stabilize hands on facial structures (bony prominences)
- Hold the inner eye to avoid systemic effects (punctal occlusion)
- Do not let dropper touch their eye
- Wash hands before
Drainage of topical drops from the eye and their systemic absorption can be prevented by _________
_________? - Correct Answer punctal occlusion
Signs and symptoms of cataracts - Correct Answer · Blurred vision
· Clouded vision
,· Decreased color perception
· May think that glasses are smudged
· Double vision
· Halos around objects
· Problems with ADL'S
· Affects reading and driving
· Impaired night vision
· Frequents changes in eyeglass prescription
· Without surgical intervention blindness follows
Patient Education for post-op cataract surgery - Correct Answer · Wear dark glasses and avoid bright
sunlight
· Do not drive
· Develop a schedule for the administration of post-op eye drops. Be sure client or family can
demonstrate the correct technique for administering the drops.
· Report Worsening Vision
· Observe for increasing eye redness
· Decrease in vision
· Floaters
· Sharp, or sudden pain in eye
· Green or yellow drainage on the lids and lashes
***avoid anything that increases IOP like...
· Do no bend at the waist
· Lift more than 10 pounds
· Sneeze or cough
· Blow your nose
· Strain to move bowels
· Have sexual intercourse
· Vomit
· Keep head in a dependent position
· Wear tight shirt collars
, When the intraocular pressure increases it leads to compression of the retinal blood vessels and
photoreceptors and their nerve fibers resulting in hypoxemia and death of the tissue and permanent
loss of vision - Correct Answer glaucoma
Signs and symptoms of glaucoma - Correct Answer - Sudden severe pain around the eyes radiating
over the face
- Headache or brow pain
- Nausea and vomiting
- Seeing colored halos around lights
- Sudden blurred vision
- Reddened sclera
- Foggy cornea
- Moderately dilated pupil that does not react to light
- Cupping and atrophy of the optic disc
What is the normal intraocular range pressure? - Correct Answer 10 mm Hg - 21 mm Hg
What is the goal of treatment for glaucoma? - Correct Answer reduce intraocular pressure
How do you test for glaucoma? - Correct Answer tonometry - measures IOP
ultrasonic imaging of the retina and optic nerve - creates a three-dimensional view of the back of the
eye; tells us the TYPE of glaucoma
dye outlines irregularities of corneal surface (used for corneal trauma, problems caused by contacts,
or presence of foreign bodies, abrasions, ulcers, or other corneal disorders). - Correct Answer corneal
staining
Before administering eye drops, what must the nurse assess and why? - Correct Answer Assess vital
signs (specifically BP and P)
These drugs (like timolol) potentiate the effects of systemic beta blockers and can cause an unsafe
drop-in heart rate and blood pressure
Questions with 100% Verified Correct
Answers
What are some nursing interventions for visual impairment? - Correct Answer - Always knock or
announce your entrance into the patient's room or area and introduce yourself.
- Orient the patient to the environment, counting steps with him or her to the bathroom
- Help the patient place objects on the bedside table or in the bed and around the bed and room and
do not move them without the patient's permission
- Remove all objects and clutter between the patient's bed and the bathroom.
- Use a normal tone of voice.
a condition in which the pupils are unequal in size - Correct Answer anisocoria
protrusion of the eyeballs, as seen in Graves disease - Correct Answer exophthalmos
sunken eyes, eyeballs are recessed - Correct Answer enophthalmos
prolapse, downward displacement, dropping - Correct Answer ptosis
Patient education for instilling eye drops - Correct Answer - Put in lower conjunctival sac
- Do not drop in center of eye
- Stabilize hands on facial structures (bony prominences)
- Hold the inner eye to avoid systemic effects (punctal occlusion)
- Do not let dropper touch their eye
- Wash hands before
Drainage of topical drops from the eye and their systemic absorption can be prevented by _________
_________? - Correct Answer punctal occlusion
Signs and symptoms of cataracts - Correct Answer · Blurred vision
· Clouded vision
,· Decreased color perception
· May think that glasses are smudged
· Double vision
· Halos around objects
· Problems with ADL'S
· Affects reading and driving
· Impaired night vision
· Frequents changes in eyeglass prescription
· Without surgical intervention blindness follows
Patient Education for post-op cataract surgery - Correct Answer · Wear dark glasses and avoid bright
sunlight
· Do not drive
· Develop a schedule for the administration of post-op eye drops. Be sure client or family can
demonstrate the correct technique for administering the drops.
· Report Worsening Vision
· Observe for increasing eye redness
· Decrease in vision
· Floaters
· Sharp, or sudden pain in eye
· Green or yellow drainage on the lids and lashes
***avoid anything that increases IOP like...
· Do no bend at the waist
· Lift more than 10 pounds
· Sneeze or cough
· Blow your nose
· Strain to move bowels
· Have sexual intercourse
· Vomit
· Keep head in a dependent position
· Wear tight shirt collars
, When the intraocular pressure increases it leads to compression of the retinal blood vessels and
photoreceptors and their nerve fibers resulting in hypoxemia and death of the tissue and permanent
loss of vision - Correct Answer glaucoma
Signs and symptoms of glaucoma - Correct Answer - Sudden severe pain around the eyes radiating
over the face
- Headache or brow pain
- Nausea and vomiting
- Seeing colored halos around lights
- Sudden blurred vision
- Reddened sclera
- Foggy cornea
- Moderately dilated pupil that does not react to light
- Cupping and atrophy of the optic disc
What is the normal intraocular range pressure? - Correct Answer 10 mm Hg - 21 mm Hg
What is the goal of treatment for glaucoma? - Correct Answer reduce intraocular pressure
How do you test for glaucoma? - Correct Answer tonometry - measures IOP
ultrasonic imaging of the retina and optic nerve - creates a three-dimensional view of the back of the
eye; tells us the TYPE of glaucoma
dye outlines irregularities of corneal surface (used for corneal trauma, problems caused by contacts,
or presence of foreign bodies, abrasions, ulcers, or other corneal disorders). - Correct Answer corneal
staining
Before administering eye drops, what must the nurse assess and why? - Correct Answer Assess vital
signs (specifically BP and P)
These drugs (like timolol) potentiate the effects of systemic beta blockers and can cause an unsafe
drop-in heart rate and blood pressure
