143 Module 9 - Eye Problems
(PRACTICE QUESTION) with full
solutions
While providing home care instructions to the mother of a child diagnosed with allergic conjunctivitis,
the registered nurse (RN) anticipates the healthcare provider to prescribe which drug therapy? Select all
that apply.
A) Sulfacetamide
B) Fluoroquinolone
C) Erythromycin
D) Corticosteroid
E) Antihistamine - Correct Answer: D, E. Conjunctivitis is an inflammation or erythema of the conjunctiva
of the eye. The conjunctiva is a thin membrane covering of the inner eyelid and sclera of the eye. This is
a common eye infection because the conjunctiva is ongoingly exposed to environmental
microorganisms. This is a highly contagious infection that can affect one or both eyes. The selected drug
therapy will be dependent upon the type of conjunctivitis. In the presence of a bacterial infection, the
drug therapy can include sulfacetamide or fluoroquinolone. In the presence of an infection related to
allergies, the drug therapy can include steroids and antihistamines.
What explanation will the registered nurse (RN) implement to best explain conjunctivitis to the mother
of a 5 year old diagnosed with this infection?
A) Conjunctivitis is the inflammation of the conjunctiva of the eye.
B) Conjunctivitis is irritation of the sclera and conjunctiva of the eye.
C) Conjunctivitis is distortion of the covering of the eyelid and eyeball.
D) Conjunctivitis is swelling of the lining of the inner eyelid and eyeball. - Correct Answer: D. This answer
is correct because the explanation conjunctivitis is swelling of the lining of the inner eyelid and eyeball is
the best explanation for the RN to provide to the mother. Conjunctivitis is an inflammation or erythema
of the conjunctiva of the eye. The conjunctiva is a thin membrane covering of the inner eyelid and sclera
of the eye. This is a common eye infection because the conjunctiva is ongoingly exposed to
environmental microorganisms.
The registered nurse (RN) will educate the mother of a 5-year old son as to which issue can result in
conjunctivitis? Select all that apply.
,A) Excessive shampoo getting in his eyes during bathing
B) Excessive rubbing of the eyes in his sleep
C) Environmental allergies affecting the eye
D) Bacterial infection affecting the eye
E) Viral infection affecting the eye - Correct Answer: C, D, E. Conjunctivitis is an inflammation or
erythema of the conjunctiva of the eye. The conjunctiva is a thin membrane covering of the inner eyelid
and sclera of the eye. This is a common eye infection because the conjunctiva is ongoingly exposed to
environmental microorganisms. This is a highly contagious infection that can affect one or both eyes.
This infection can be related to viral or bacterial infection, as well as allergic agents, such as pollen.
Which intervention will the registered nurse (RN) educate the mother to implement in the care of her
child diagnosed with conjunctivitis? Select all that apply.
A) Clean the eye from the outer to inner canthus four times daily
B) Apply warm or cool compresses to the eye for comfort as needed
C) Correct technique for eye drop instillation and frequency
D) Importance of handwashing before and after instilling eye drops
E) Clean the eye from the inner to outer canthus four times daily - Correct Answer: B, C, D, E.
Conjunctivitis is an inflammation or erythema of the conjunctiva of the eye. The conjunctiva is a thin
membrane covering of the inner eyelid and sclera of the eye. This is a common eye infection because
the conjunctiva is ongoingly exposed to environmental microorganisms. This is a highly contagious
infection that can affect one or both eyes. For this reason it is imperative that strict hand washing be
implemented before and after instilling eye drops. It is equally important to avoid touching the eye drop
dispenser to the eye and implement the correct administration technique. Warm or cool compresses
applied frequently throughout the day can reduce discomfort. Cleansing the eye from clean to dirty
(inner to outer canthus) can help prevent the spread of the infection.
While providing care for a 12-year old child diagnosed with conjunctivitis, which clinical manifestation
will the registered nurse (RN) anticipate assessing? Select all that apply.
A) Report of excessive blinking of the affected eye
B) Redness of the conjunctiva of the affected eye
C) Report of itchiness of the affected eye
D) Purulent discharge from the affected eye
E) Report of crustiness of the affected eye after sleeping - Correct Answer: B, C, D, E. Conjunctivitis is an
inflammation or erythema of the conjunctiva of the eye. The conjunctiva is a thin membrane covering of
, the inner eyelid and sclera of the eye. This is a common eye infection because the conjunctiva is
ongoingly exposed to environmental microorganisms. This is a highly contagious infection that can affect
one or both eyes. The clinical manifestations may vary depending upon the cause of the infection. The
generalized presentation includes erythema, pruritus, edema, and purulent drainage from the affected
eye. There is also a development of cutaneous crust on the outer aspect of the eye after prolonged eye
closing.
Which question is most important for the nurse to ask the client before beginning timolol ophthalmic
drops?
A) Have you taken timolol before?
B) Do you have a history of heart problems?
C) Do you have a history of migraine headaches?
D) Did you receive the flu vaccine? - Correct Answer: B. Timolol is a beta-blocker that decreases the
pressure of the eyes. The nurse should inquire about the client's history of heart problems because
adverse side effects of timolol may include bradycardia, orthostatic hypotension, heart conduction
problems, and syncope. Timolol should be avoided in asthma and chronic obstructive pulmonary disease
clients due to timolol causing bronchospasms. Timolol is used to treat open-angle glaucoma. Severe
allergic reactions to timolol may include a rash, face/tongue/throat swelling, difficulty breathing, and
severe dizziness.
The client asks the nurse, Why is open-angle glaucoma considered the silent stealer of vision? Which
response by the nurse explains this condition correctly?
A) Open angle glaucoma causes gradual central vision loss. It often goes unnoticed until it becomes
severe.
B) Open angle glaucoma causes gradual peripheral vision loss. It often goes unnoticed until it is severe.
C) Open angle glaucoma causes a cloud blur, which is so insidious, the client often just attributes it to
dirty glasses.
D) Open angle glaucoma has no warning. Suddenly, there is vision loss with severe pain in the eye and
head. - Correct Answer: B. Open-angle glaucoma occurs when the pathway of drainage between the
cornea and the iris stays open, yet the trabecular network is partly blocked. Eye pressure builds up
causing damage to the client's optic nerve. The most common type of glaucoma is open-angle glaucoma.
Open-angle glaucoma causes gradual peripheral vision loss. It often goes unnoticed until it is severe.
Other symptoms may include mild eye pain and tunnel vision. The client gradually loses peripheral
vision. Gradual central vision loss is a symptom of cataracts.
Which of these client symptoms should the nurse report immediately to the health care provider (HCP)?
(PRACTICE QUESTION) with full
solutions
While providing home care instructions to the mother of a child diagnosed with allergic conjunctivitis,
the registered nurse (RN) anticipates the healthcare provider to prescribe which drug therapy? Select all
that apply.
A) Sulfacetamide
B) Fluoroquinolone
C) Erythromycin
D) Corticosteroid
E) Antihistamine - Correct Answer: D, E. Conjunctivitis is an inflammation or erythema of the conjunctiva
of the eye. The conjunctiva is a thin membrane covering of the inner eyelid and sclera of the eye. This is
a common eye infection because the conjunctiva is ongoingly exposed to environmental
microorganisms. This is a highly contagious infection that can affect one or both eyes. The selected drug
therapy will be dependent upon the type of conjunctivitis. In the presence of a bacterial infection, the
drug therapy can include sulfacetamide or fluoroquinolone. In the presence of an infection related to
allergies, the drug therapy can include steroids and antihistamines.
What explanation will the registered nurse (RN) implement to best explain conjunctivitis to the mother
of a 5 year old diagnosed with this infection?
A) Conjunctivitis is the inflammation of the conjunctiva of the eye.
B) Conjunctivitis is irritation of the sclera and conjunctiva of the eye.
C) Conjunctivitis is distortion of the covering of the eyelid and eyeball.
D) Conjunctivitis is swelling of the lining of the inner eyelid and eyeball. - Correct Answer: D. This answer
is correct because the explanation conjunctivitis is swelling of the lining of the inner eyelid and eyeball is
the best explanation for the RN to provide to the mother. Conjunctivitis is an inflammation or erythema
of the conjunctiva of the eye. The conjunctiva is a thin membrane covering of the inner eyelid and sclera
of the eye. This is a common eye infection because the conjunctiva is ongoingly exposed to
environmental microorganisms.
The registered nurse (RN) will educate the mother of a 5-year old son as to which issue can result in
conjunctivitis? Select all that apply.
,A) Excessive shampoo getting in his eyes during bathing
B) Excessive rubbing of the eyes in his sleep
C) Environmental allergies affecting the eye
D) Bacterial infection affecting the eye
E) Viral infection affecting the eye - Correct Answer: C, D, E. Conjunctivitis is an inflammation or
erythema of the conjunctiva of the eye. The conjunctiva is a thin membrane covering of the inner eyelid
and sclera of the eye. This is a common eye infection because the conjunctiva is ongoingly exposed to
environmental microorganisms. This is a highly contagious infection that can affect one or both eyes.
This infection can be related to viral or bacterial infection, as well as allergic agents, such as pollen.
Which intervention will the registered nurse (RN) educate the mother to implement in the care of her
child diagnosed with conjunctivitis? Select all that apply.
A) Clean the eye from the outer to inner canthus four times daily
B) Apply warm or cool compresses to the eye for comfort as needed
C) Correct technique for eye drop instillation and frequency
D) Importance of handwashing before and after instilling eye drops
E) Clean the eye from the inner to outer canthus four times daily - Correct Answer: B, C, D, E.
Conjunctivitis is an inflammation or erythema of the conjunctiva of the eye. The conjunctiva is a thin
membrane covering of the inner eyelid and sclera of the eye. This is a common eye infection because
the conjunctiva is ongoingly exposed to environmental microorganisms. This is a highly contagious
infection that can affect one or both eyes. For this reason it is imperative that strict hand washing be
implemented before and after instilling eye drops. It is equally important to avoid touching the eye drop
dispenser to the eye and implement the correct administration technique. Warm or cool compresses
applied frequently throughout the day can reduce discomfort. Cleansing the eye from clean to dirty
(inner to outer canthus) can help prevent the spread of the infection.
While providing care for a 12-year old child diagnosed with conjunctivitis, which clinical manifestation
will the registered nurse (RN) anticipate assessing? Select all that apply.
A) Report of excessive blinking of the affected eye
B) Redness of the conjunctiva of the affected eye
C) Report of itchiness of the affected eye
D) Purulent discharge from the affected eye
E) Report of crustiness of the affected eye after sleeping - Correct Answer: B, C, D, E. Conjunctivitis is an
inflammation or erythema of the conjunctiva of the eye. The conjunctiva is a thin membrane covering of
, the inner eyelid and sclera of the eye. This is a common eye infection because the conjunctiva is
ongoingly exposed to environmental microorganisms. This is a highly contagious infection that can affect
one or both eyes. The clinical manifestations may vary depending upon the cause of the infection. The
generalized presentation includes erythema, pruritus, edema, and purulent drainage from the affected
eye. There is also a development of cutaneous crust on the outer aspect of the eye after prolonged eye
closing.
Which question is most important for the nurse to ask the client before beginning timolol ophthalmic
drops?
A) Have you taken timolol before?
B) Do you have a history of heart problems?
C) Do you have a history of migraine headaches?
D) Did you receive the flu vaccine? - Correct Answer: B. Timolol is a beta-blocker that decreases the
pressure of the eyes. The nurse should inquire about the client's history of heart problems because
adverse side effects of timolol may include bradycardia, orthostatic hypotension, heart conduction
problems, and syncope. Timolol should be avoided in asthma and chronic obstructive pulmonary disease
clients due to timolol causing bronchospasms. Timolol is used to treat open-angle glaucoma. Severe
allergic reactions to timolol may include a rash, face/tongue/throat swelling, difficulty breathing, and
severe dizziness.
The client asks the nurse, Why is open-angle glaucoma considered the silent stealer of vision? Which
response by the nurse explains this condition correctly?
A) Open angle glaucoma causes gradual central vision loss. It often goes unnoticed until it becomes
severe.
B) Open angle glaucoma causes gradual peripheral vision loss. It often goes unnoticed until it is severe.
C) Open angle glaucoma causes a cloud blur, which is so insidious, the client often just attributes it to
dirty glasses.
D) Open angle glaucoma has no warning. Suddenly, there is vision loss with severe pain in the eye and
head. - Correct Answer: B. Open-angle glaucoma occurs when the pathway of drainage between the
cornea and the iris stays open, yet the trabecular network is partly blocked. Eye pressure builds up
causing damage to the client's optic nerve. The most common type of glaucoma is open-angle glaucoma.
Open-angle glaucoma causes gradual peripheral vision loss. It often goes unnoticed until it is severe.
Other symptoms may include mild eye pain and tunnel vision. The client gradually loses peripheral
vision. Gradual central vision loss is a symptom of cataracts.
Which of these client symptoms should the nurse report immediately to the health care provider (HCP)?
