Nur 234 Final Exam questions with
complete solutions
When is primary prevention to maintain eye health most important? - VERIFIED ANSWER-In the womb
or prior to pregnancy ask if they have a history of rubella or if they have received their vaccinations
Why is it important that a woman receives her rubella vaccination before pregnancy? - VERIFIED
ANSWER-If the woman contracts rubella while pregnant the virus can pass through the placenta and
cause congenital diseases such as deafness and blindness
What are patient teachings regarding the rubella vaccine? - VERIFIED ANSWER-get the vaccine before
becoming pregnant if it was not giving as a child
wait three months to get pregnant after receiving the vaccine.(because the placenta is completed at
three months and offers more protection to the fetus against any reminence of the vaccine.)
What is an example of prophylactic antibiotic therapy used for primary prevention of eye health? -
VERIFIED ANSWER-Use of an eye prophylaxis (erythromycin) which protects the newborn baby from
gonorrhea and chlamydia as it passes through the mothers vaginal canal, this prevents blindness.
What is a key concept when performing general eye care? - VERIFIED ANSWER-Always clean from
inner canthus to outer canthus to prevent dirt from being pushing into the inner canthus.
Way to prevent everyday eye damage ? (primary prevention) - VERIFIED ANSWER-Limit eye strain
( allow rest periods between reading or looking at screens)
Have UVA/UVB filters on our screen to minimize the UVA/UVB exposure
When you are reading have adequate lighting
Where sunshades with UVA/UVB protection to protect eyes when outside.(Side note: Prolonged or
excessive UVA/UVB exposure is a common cause for the development of cataracts.)
Avoid rubbing eyes try to allow them to tear up instead
What is secondary prevention of eye health? - VERIFIED ANSWER-Screening such as your annual eye
exam
,Snellen's: test for visual acuity
Ishihara :test for color blindness
Tonometry : Measures intraocular pressure ( Normal value is 12-21 mmhg)
Slit lamp exam: use of drop slit causing the pupil to dilate to view the inner structures of the eyes
Gonnometerty: Measurement of the angel of opening in the eye (helps determine either open or close
angle glaucoma )
Acute treatment (could be secondary or tertiary): Applying medications and general post operative
care
What are some nursing considerations when treating a visually impaired patient? - VERIFIED ANSWER-
Always apply drops before ointments
Avoid increase in intraocular pressure and use and eye shield and eye patches
Avoid non verbal communication
Talk before touch, announce your presents when you enter a room
Orient the client to their new surroundings and provide a kinesthetically identifiable call bell.
Use mobility aids, stand on the imparied side
Walk slightly ahead of them, allow them to hold you but don't grab them so that they feel incontrol
Describe where you are going and your surroundings.
Describe their plates and where things are located using whatever method of direction they are most
comfortable with.
Nursing considerations regarding tertiary care (long term care) of a visually impaired patient? -
VERIFIED ANSWER-Encourage the patient to train on the braille method of reading
Train brail before they are fully blind if possible
Attach bells to pets to prevent falls or tripping
Nursing considerations when dealing with a visually impaired post op patient? - VERIFIED ANSWER-
Avoid any kind of bearing down to prevent increase intraocular pressure
Utilize measure to prevent constipation such as(Increase fluids,Ambulation,Fiber,PRN stool softeners)
Protective eye gear: eye patches or eyes shield
Infection control; wash hands and dont touch eyes
, Report: drainage, puss, pain pressure.
What is the difference between an eye shield and eye patch? - VERIFIED ANSWER-Eye Patches are
occlusive , pt cannot see
Eyeshield if the disorder can be corrected especially when sleeping. Prevents rubbing eyes.
What are cataracts? - VERIFIED ANSWER-Gradual and painless opacification of the crystalline lens of
the eye
What are the types of cataracts? - VERIFIED ANSWER-Congenital,senile,toxic exposure/chemical, and
traumatic
What is a congenital cataract? - VERIFIED ANSWER-Secondary to infectious diseases such as rubella
and measles passing through the placenta causing congenital cataracts
What is a senile cataract? - VERIFIED ANSWER-Non modifible, most common and highest risk.
Exposure to heat or UVA/UVB causing opacity over time
What is a toxic exposure or chemical cataract - VERIFIED ANSWER-UVA/UVB exposure,chemical,or
radiation
Related to work such as construction or farm workers( being outside often).
Other forms of radiation from machinery.
Chemicals from certain drugs regimens such as steroids, phenothiazines or chemotherapy drugs.
(Take baseline acuity assessment and split lamp exams to determine a baseline for chemo patients.)
What is a traumatic cataract? - VERIFIED ANSWER-caused by surgery, foreign bodies, or impalement
causing scar tissue resulting in the opacity of the lens
What is another risk factor of cataracts not previously discussed? - VERIFIED ANSWER-Uncontrolled
diabetes secondary to decreased oxygen supply to minute blood vessels resulting in cataracts.
Diagnostic procedures for cataracts? - VERIFIED ANSWER-Ophthalmoscope
complete solutions
When is primary prevention to maintain eye health most important? - VERIFIED ANSWER-In the womb
or prior to pregnancy ask if they have a history of rubella or if they have received their vaccinations
Why is it important that a woman receives her rubella vaccination before pregnancy? - VERIFIED
ANSWER-If the woman contracts rubella while pregnant the virus can pass through the placenta and
cause congenital diseases such as deafness and blindness
What are patient teachings regarding the rubella vaccine? - VERIFIED ANSWER-get the vaccine before
becoming pregnant if it was not giving as a child
wait three months to get pregnant after receiving the vaccine.(because the placenta is completed at
three months and offers more protection to the fetus against any reminence of the vaccine.)
What is an example of prophylactic antibiotic therapy used for primary prevention of eye health? -
VERIFIED ANSWER-Use of an eye prophylaxis (erythromycin) which protects the newborn baby from
gonorrhea and chlamydia as it passes through the mothers vaginal canal, this prevents blindness.
What is a key concept when performing general eye care? - VERIFIED ANSWER-Always clean from
inner canthus to outer canthus to prevent dirt from being pushing into the inner canthus.
Way to prevent everyday eye damage ? (primary prevention) - VERIFIED ANSWER-Limit eye strain
( allow rest periods between reading or looking at screens)
Have UVA/UVB filters on our screen to minimize the UVA/UVB exposure
When you are reading have adequate lighting
Where sunshades with UVA/UVB protection to protect eyes when outside.(Side note: Prolonged or
excessive UVA/UVB exposure is a common cause for the development of cataracts.)
Avoid rubbing eyes try to allow them to tear up instead
What is secondary prevention of eye health? - VERIFIED ANSWER-Screening such as your annual eye
exam
,Snellen's: test for visual acuity
Ishihara :test for color blindness
Tonometry : Measures intraocular pressure ( Normal value is 12-21 mmhg)
Slit lamp exam: use of drop slit causing the pupil to dilate to view the inner structures of the eyes
Gonnometerty: Measurement of the angel of opening in the eye (helps determine either open or close
angle glaucoma )
Acute treatment (could be secondary or tertiary): Applying medications and general post operative
care
What are some nursing considerations when treating a visually impaired patient? - VERIFIED ANSWER-
Always apply drops before ointments
Avoid increase in intraocular pressure and use and eye shield and eye patches
Avoid non verbal communication
Talk before touch, announce your presents when you enter a room
Orient the client to their new surroundings and provide a kinesthetically identifiable call bell.
Use mobility aids, stand on the imparied side
Walk slightly ahead of them, allow them to hold you but don't grab them so that they feel incontrol
Describe where you are going and your surroundings.
Describe their plates and where things are located using whatever method of direction they are most
comfortable with.
Nursing considerations regarding tertiary care (long term care) of a visually impaired patient? -
VERIFIED ANSWER-Encourage the patient to train on the braille method of reading
Train brail before they are fully blind if possible
Attach bells to pets to prevent falls or tripping
Nursing considerations when dealing with a visually impaired post op patient? - VERIFIED ANSWER-
Avoid any kind of bearing down to prevent increase intraocular pressure
Utilize measure to prevent constipation such as(Increase fluids,Ambulation,Fiber,PRN stool softeners)
Protective eye gear: eye patches or eyes shield
Infection control; wash hands and dont touch eyes
, Report: drainage, puss, pain pressure.
What is the difference between an eye shield and eye patch? - VERIFIED ANSWER-Eye Patches are
occlusive , pt cannot see
Eyeshield if the disorder can be corrected especially when sleeping. Prevents rubbing eyes.
What are cataracts? - VERIFIED ANSWER-Gradual and painless opacification of the crystalline lens of
the eye
What are the types of cataracts? - VERIFIED ANSWER-Congenital,senile,toxic exposure/chemical, and
traumatic
What is a congenital cataract? - VERIFIED ANSWER-Secondary to infectious diseases such as rubella
and measles passing through the placenta causing congenital cataracts
What is a senile cataract? - VERIFIED ANSWER-Non modifible, most common and highest risk.
Exposure to heat or UVA/UVB causing opacity over time
What is a toxic exposure or chemical cataract - VERIFIED ANSWER-UVA/UVB exposure,chemical,or
radiation
Related to work such as construction or farm workers( being outside often).
Other forms of radiation from machinery.
Chemicals from certain drugs regimens such as steroids, phenothiazines or chemotherapy drugs.
(Take baseline acuity assessment and split lamp exams to determine a baseline for chemo patients.)
What is a traumatic cataract? - VERIFIED ANSWER-caused by surgery, foreign bodies, or impalement
causing scar tissue resulting in the opacity of the lens
What is another risk factor of cataracts not previously discussed? - VERIFIED ANSWER-Uncontrolled
diabetes secondary to decreased oxygen supply to minute blood vessels resulting in cataracts.
Diagnostic procedures for cataracts? - VERIFIED ANSWER-Ophthalmoscope
