NUR 170 M3 Eye Disorders Practice
Exam with Complete Solutions
2. The client is scheduled for right-eye cataract removal surgery in 5 days. Which prep
instruction should be discussed with the client?
a. Administer dilating drops to both eyes for 72 hours prior to surgery.
b. Prior to surgery do not lift or push any objects heavier than 15 pounds.
c. Make arrangements for being in the hospital for at least 3 days.
d. Avoid taking any type of medication which may cause bleeding, such as aspirin. -
ANSWER-d. Avoid taking any type of medication which may cause bleeding, such as
aspirin.
Rationale: To reduce retrobulbar hemorrhage, any anticoagulant therapy is withheld,
including aspirin, NSAIDs, and warfarin (Coumadin).
3. The client is post op retinal detachment surgery, and gas tamponade was used to
flatten the retina. Which intervention should the nurse implement first?
a. Teach the signs of increased intraocular pressure.
b. Position the client as prescribed by the surgeon.
c. Assess the eye for signs or symptoms of complications
d. Explain the importance of follow-ups visits - ANSWER-c. Assess the eye for signs or
symptoms of complications
Rationale: The nurse's priority must be assessment of complications, which include
increased intraocular pressure, endophthalmitis, development of another retinal
detachment, or loss of turgor in the eye.
4. The 65 yr old client is diagnosed with macular degeneration. Which statement by the
client indicates the client needs more discharge teaching?
a. "I should use magnification devices as much as possible".
b. "I will look at my Amsler grid at least twice a week".
c. "I need to use low-watt light bulbs in my house".
d. I am going to contact a low-vision center to evaluate my home". - ANSWER-c. "I need
to use low-watt light bulbs in my house".
Rationale: Macular degeneration is the most common cause of visual loss in people
older than age 60 years. Any intervention which helps increase vision should be
included in the teaching, such as bright lightning, not decreased lightning.
The 65 yr old male client who is complaining of blurred vision reports he thinks his
glasses need to be cleaned all the time, and he denies any type of eye pain. Which eye
disorder should the nurse suspect the client has?
a. Corneal dystrophy
b. Conjunctivitis
, c. Diabetic retinopathy
d. Cataracts - ANSWER-d. Cataracts
Rationale: A cataract is a lens opacity or cloudiness, resulting in the s/s discussed in the
stem of the question
The client comes to the clinic and is diagnosed with otitis media. Which intervention
should the clinic nurse include in the discharge teaching?
a. Instruct the client not to take any over-the-counter pain medication
b. Encourage the client to apply cold packs to the affected ear
c. Tell the client to call the HCP if an abrupt relief of ear pain occurs
d. Wear a protective ear plug in the affected ear. - ANSWER-c. Tell the client to call the
HCP if an abrupt relief of ear pain occurs
Rationale: Pain subsiding abruptly may indicate spontaneous perforation of the
tympanic membrane within the middle ear and should be reported to the HCP
The client comes to the emergency department after splashing chemicals into the eye.
Which intervention should the nurse implement first?
a. Have the client move the eyes in all directions
b. Administer a broad-spectrum antibiotic
c. Irrigate the eyes with normal saline solution
d. Determine when the client had a tetanus shot. - ANSWER-c. Irrigate the eyes with
normal saline solution
Rationale: Before any further evaluation or treatment, the eyes must be thoroughly
flushed with sterile normal saline solution
The client diagnosed with chronic otitis media is scheduled for a mastoidectomy. Which
discharge teaching should the nurse discuss with the client?
a. Instruct the client to blow the nose with the mouth closed
b. Explain the client will never be able to hear from the ear
c. Instill ophthalmic drops in both ears and then insert a cotton ball.
d. Do not allow water to enter the ear for 6 weeks. - ANSWER-d. Do not allow water to
enter the ear for 6 weeks.
Rationale:Water should be prevented from entering the external auditory canal because
it may irritate the surgical incision and is a medium for bacterial growth
The client diagnosed with glaucoma is prescribed a biotic cholinergic medication. Which
data indicate the medication has been effective?
a. No redness or irritation of the eyes
b. A decrease in intraocular pressure
c. The pupil reacts briskly to light
d. The client denies any type of floaters - ANSWER-b. A decrease in intraocular
pressure
Exam with Complete Solutions
2. The client is scheduled for right-eye cataract removal surgery in 5 days. Which prep
instruction should be discussed with the client?
a. Administer dilating drops to both eyes for 72 hours prior to surgery.
b. Prior to surgery do not lift or push any objects heavier than 15 pounds.
c. Make arrangements for being in the hospital for at least 3 days.
d. Avoid taking any type of medication which may cause bleeding, such as aspirin. -
ANSWER-d. Avoid taking any type of medication which may cause bleeding, such as
aspirin.
Rationale: To reduce retrobulbar hemorrhage, any anticoagulant therapy is withheld,
including aspirin, NSAIDs, and warfarin (Coumadin).
3. The client is post op retinal detachment surgery, and gas tamponade was used to
flatten the retina. Which intervention should the nurse implement first?
a. Teach the signs of increased intraocular pressure.
b. Position the client as prescribed by the surgeon.
c. Assess the eye for signs or symptoms of complications
d. Explain the importance of follow-ups visits - ANSWER-c. Assess the eye for signs or
symptoms of complications
Rationale: The nurse's priority must be assessment of complications, which include
increased intraocular pressure, endophthalmitis, development of another retinal
detachment, or loss of turgor in the eye.
4. The 65 yr old client is diagnosed with macular degeneration. Which statement by the
client indicates the client needs more discharge teaching?
a. "I should use magnification devices as much as possible".
b. "I will look at my Amsler grid at least twice a week".
c. "I need to use low-watt light bulbs in my house".
d. I am going to contact a low-vision center to evaluate my home". - ANSWER-c. "I need
to use low-watt light bulbs in my house".
Rationale: Macular degeneration is the most common cause of visual loss in people
older than age 60 years. Any intervention which helps increase vision should be
included in the teaching, such as bright lightning, not decreased lightning.
The 65 yr old male client who is complaining of blurred vision reports he thinks his
glasses need to be cleaned all the time, and he denies any type of eye pain. Which eye
disorder should the nurse suspect the client has?
a. Corneal dystrophy
b. Conjunctivitis
, c. Diabetic retinopathy
d. Cataracts - ANSWER-d. Cataracts
Rationale: A cataract is a lens opacity or cloudiness, resulting in the s/s discussed in the
stem of the question
The client comes to the clinic and is diagnosed with otitis media. Which intervention
should the clinic nurse include in the discharge teaching?
a. Instruct the client not to take any over-the-counter pain medication
b. Encourage the client to apply cold packs to the affected ear
c. Tell the client to call the HCP if an abrupt relief of ear pain occurs
d. Wear a protective ear plug in the affected ear. - ANSWER-c. Tell the client to call the
HCP if an abrupt relief of ear pain occurs
Rationale: Pain subsiding abruptly may indicate spontaneous perforation of the
tympanic membrane within the middle ear and should be reported to the HCP
The client comes to the emergency department after splashing chemicals into the eye.
Which intervention should the nurse implement first?
a. Have the client move the eyes in all directions
b. Administer a broad-spectrum antibiotic
c. Irrigate the eyes with normal saline solution
d. Determine when the client had a tetanus shot. - ANSWER-c. Irrigate the eyes with
normal saline solution
Rationale: Before any further evaluation or treatment, the eyes must be thoroughly
flushed with sterile normal saline solution
The client diagnosed with chronic otitis media is scheduled for a mastoidectomy. Which
discharge teaching should the nurse discuss with the client?
a. Instruct the client to blow the nose with the mouth closed
b. Explain the client will never be able to hear from the ear
c. Instill ophthalmic drops in both ears and then insert a cotton ball.
d. Do not allow water to enter the ear for 6 weeks. - ANSWER-d. Do not allow water to
enter the ear for 6 weeks.
Rationale:Water should be prevented from entering the external auditory canal because
it may irritate the surgical incision and is a medium for bacterial growth
The client diagnosed with glaucoma is prescribed a biotic cholinergic medication. Which
data indicate the medication has been effective?
a. No redness or irritation of the eyes
b. A decrease in intraocular pressure
c. The pupil reacts briskly to light
d. The client denies any type of floaters - ANSWER-b. A decrease in intraocular
pressure
