Which patient does the nurse identify as being at risk for developing cataracts?
A newborn with an unsuccessful vision examination
A 45-year-old with blue eyes experiencing eye pain
A 30-year-old who irregularly takes vitamin supplements
A 20-year-old who sustained an injury to the right eye after a car accident -
Answer✅
A 20-year-old who sustained an injury to the right eye after a car accident
Eye injuries are a risk factor for the development of cataracts. This patient is at risk.
Rationale for Incorrect:
An unsuccessful newborn vision screening is not a risk factor for cataracts. There are
several causes of a failed vision examination not related to cataracts.
Eye color does not put a person at risk for cataracts. Moreover, age-related cataracts are
typically not associated with pain.
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, Regular intake of vitamin supplements is especially important in individuals with AMD.
However, irregularly taking vitamin supplements is not a risk factor for the development of
cataracts.
Quiz_________________?
While educating a patient with age-related macular degeneration (AMD), the nurse
discusses modifiable risk factors. Which modifiable risk factor should the nurse include in
the teaching?
Smoking
Alcohol use
Hypotension
White ethnicity -
Answer✅
Smoking
Smoking is a modifiable risk factor that is a predisposing factor for AMD. The patient should
be educated on the importance of smoking cessation.
Quiz_________________?
A nurse is caring for a patient newly diagnosed with open-angle glaucoma. The patient asks,
"How could I possibly have glaucoma? I haven't noticed a thing." What is an appropriate
response by the nurse?
"Glaucoma can be precipitated by exposure to bright lights."
"Glaucoma is usually caused by trauma. Have you been in an accident recently?"
"Let me start your assessment, and your provider will be able to tell you based on the
results."
"People with glaucoma often don't have symptoms right away, and are not aware of the
disease until they are evaluated by a health care provider." -
Answer✅
"People with glaucoma often don't have symptoms right away, and are not aware of the
disease until they are evaluated by a health care provider."
Glaucoma develops slowly and without symptoms of pain or pressure and may not be
noticed until there is visual field loss.
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, Quiz_________________?
The nurse is caring for a patient with cataracts. The health care provider informs the nurse
that the patient will be undergoing surgery to replace the affected lens. The nurse
anticipates preparing the patient for which procedure?
Gonioscopy
IV angiography
Indirect ophthalmoscopy
Keratometry and A-scan ultrasound -
Answer✅
Keratometry and A-scan ultrasound
If surgery is planned, keratometry may be performed to assess the curvature of the cornea,
and an A-scan ultrasound may be done to obtain measurements for an artificial replacement
lens.
Rationale for Incorrect:
Gonioscopy is an examination that is commonly used to assess the anterior chamber of the
eye(s) in patients with glaucoma, not prior to cataract surgery.
IV angiography would be performed for patients with AMD to assess the affected vessels
and surrounding vasculature. It is not a procedure performed prior to surgery to replace a
lens.
Ophthalmoscopy may be performed in patients with cataracts, but this is not a procedure
that would be expected once surgery has been indicated for the patient. This would be done
prior to this determination.
Quiz_________________?
The nurse is developing a nutritional plan for a patient at risk for age-related macular
degeneration (AMD). Which food item should the nurse encourage in the patient's diet?
Skim milk
Kale salad
Lean protein
Carrots and sweet potatoes -
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