Chapter 42, Caring for Clients With Eye Disorders.

1.A client is diagnosed with blepharitis. What symptoms should a nurse monitor in this client? A) Patchy flakes clinging to the eyelashes B) A red pustule in the internal tissue of the eyelid C) Redness surrounding the conjunctival sac D) A halo around the pupil Ans: A Feedback: Blepharitis is an inflammation of the lid margins. The nurse monitors visible patchy flakes clinging to the eyelashes and about the lids. The condition does not cause redness or a halo around the pupil. In case of a sty, the nurse would observe a red pustule in the internal tissue of the eyelid. 2.A nurse is assessing a client for a fracture to the bony orbit. What would the nurse document if her assessment for fracture was positive? A) There is excessive tearing. B) The client's vision is blurred. C) A rust ring is seen around the pupil. D) The client has diplopia. Ans: D Feedback: If the bony orbit is fractured, the eyes may appear asymmetric, and the client has diplopia or double vision. Excessive tearing, presence of rust rings, or blurry vision does not indicate a fractured bony orbit.