CHAPTER 47 CARE FOR PATIENTS WITH EYE AND VISION PROBLEMS

CHAPTER 47 CARE FOR PATIENTS WITH EYE AND
VISION PROBLEMS


AvfpatientvfhasvfsustainedvfdamagevftovfcranialvfnervevfIIvfaftervfavftraumaticvfinjury.vfWhichvfinterventionvfdoesvfthevfnurse
nticipatevftovfaccommodatevfforvfthisvfinjury?vf-vfanswer--
Identifyingvffoodvfonvfthevfpatient'svfplatevfusingvfthevfclockvfmethod

Thevfnursevfreviewsvfavfpatient'svfunderstandingvfofvfavfkeratoplastyvfprocedure.vfWhatvfstatementvfmadevfbyvfthevfpatien
ndicatesvfavfneedvfforvffurthervfeducation?vf-vfanswer--"Ivfwillvfbevfdischargedvfhomevfthevfnextvfday."

Whichvfstatementsvfaboutvfrefractivevferrorsvfarevfaccurate?vfSelectvfallvfthatvfapply.vf-vfanswer--
Eyeglassesvfcanvfcorrectvfrefractivevferrors
Contactvflensesvfcanvfcorrectvfrefractivevferrors.
Problemsvfinvfeyevflengthvfcausevfrefractivevferrors.

Thevfhealthvfcarevfprovidervfprescribesvfocularvfirrigationvfforvfavfpatientvftovfremovevfcementvfdustvffromvfthevfeyes.vfHow
houldvfthevfnursevfperformvfthevfprocedure?vf-vfanswer--
Keepvfthevfpatientvfinvfavfsupinevfpositionvfwithvfthevfheadvfturnedvftowardvfthevfaffectedvfeye.

Avfpatientvfhasvfavfbilateralvfcornealvfdisordervfandvfmustvfinstillvfanti-
infectivevfeyedropsvfeveryvfhourvfforvfthevffirstvf24vfhours.vfWhichvfcommentvfbyvfthevfpatientvfindicatesvfavfneedvfforvffurthe
instructionvfbyvfthevfnurse?vf-vfanswer--"IvfhavevftwovfbottlesvfofvfeyedropsvfbecausevfIvfwillvfrequirevfavflotvfofvfmedication.

Whichvfdrugvfisvfappropriatevfforvfavfpatientvfwithvfglaucoma?vf-vfanswer--Latanoprost

Avfpatientvfhasvfavfcornealvfabrasionvfinvfthevfrightvfeye.vfWhatvfdoesvfthevfnursevfinstructvfthevfpatientvfaboutvfeyevfcare?vf-
vfanswer--"Avoidvfthevfusevfofvfcontactvflensesvfduringvfthevftherapy."



Whichvfdisordervfofvfthevfeyevfisvfgeneticallyvfinherited?vf-vfanswer--Keratoconus

Whichvfinstructionvfshouldvfthevfnursevfprovidevftovfavfpatientvfforvfwhomvfavftopicalvfanestheticvfmedicationvfisvfprescribed
ovfreducevfeyevfinflammation?vf-vfanswer--Dovfnotvfrubvfthevfeyevfaftervfadministrationvfofvfthevfmedication."

Avfpatientvfhasvfbeenvfprescribedvfgentamicinvfeyedropsvfforvfavfbacterialvfeyevfinfection.vfWhatvfdoesvfthevfnursevfteachvf
evfpatientvfaboutvfthevfappropriatevfusevfofvfthisvfmedication?vfSelectvfallvfthatvfapply.vf-vfanswer--
Completevfthevfprescribedvfdrugvfregimen.
Applyvfexactlyvfatvfthevftimevfintervalvfprescribed.
Cleanvfexudatevffromvfthevfeyesvfbeforevfusingvfthevfmedication.

Whichvfpatientvfisvfmostvfinvfneedvfofvfimmediatevfexaminationvfbyvfanvfophthalmologist?vf-vfanswer--40-year-
oldvfwithvfglassesvfandvfavfreddenedvfscleravfwhovfreportsvfbrowvfpain,vfheadache,vfandvfseeingvfcoloredvfhalosvfaroundvfl
hts

Whichvffactorsvfarevfpossiblevfcausesvfofvfcornealvfabrasions?vfSelectvfallvfthatvfapply.vf-vfanswer--Foreignvfbody
Contactvflenses


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,Whichvfclinicalvfmanifestationvfisvfanvfindicationvfofvfgraftvfrejectionvfinvfavfpatientvfwhovfhasvfhadvfavfcornealvftransplantvf-
vfanswer--Cloudyvfcornea



Avfpatientvfisvfprescribedvfdorzolamide.vfWhatvfshouldvfthevfnursevfteachvfthevfpatientvftovfensurevfeffectivevfactionvfofvfthe
rug?vf-vfanswer--"Shakevfthevfbottlevfvigorouslyvfbeforevfuse."

Avfpatientvfisvfscheduledvftovfundergovfcornealvfimplantvfsurgeryvfduevftovfkeratoconus.vfWhatvfdoesvfthevfnursevfincludevf
thevfpreoperativevfinstructions?vfSelectvfallvfthatvfapply.vf-vfanswer--Thevfriskvfforvfcornealvfcloudingvforvfscarringvfisvflow.
Overcorrectionvforvfundercorrectionvfofvfrefractionvfisvfpossible.
Avfflexiblevfcornealvfringvfwillvfbevfplacedvfinvfthevfoutervfedgesvfofvfthevfcornea.

Whichvfstatementsvfaboutvfretinitisvfpigmentosavfarevfcorrect?vfSelectvfallvfthatvfapply.vf-vfanswer--
Itvfcausesvfdegenerationvfofvfretinalvfnervevfcells.
Itvfisvfinheritedvfasvfanvfautosomalvfdominantvf(AD)vftrait
Itvfisvfinheritedvfasvfanvfautosomalvfrecessivevf(AR)vftrait

Thevfnursevfisvfcaringvfforvfavfpatientvfwhovfhasvfundergonevfavfkeratoplasty.vfWhatvfpostoperativevfinstructionsvfdoesvfthe
ursevfprovide?vfSelectvfallvfthatvfapply.vf-vfanswer--"Lievfonvfthevfnonoperativevfside."
Avoidvfjoggingvfandvfdancingvfforvfseveralvfweeks
Reportvfanyvfbleedingvforvfleakagevffromvfthevfeye.

Avfpatientvfhasvfundergonevfavfkeratoplasty.vfWhatvfpostoperativevfcarevfdoesvfthevfnursevfteachvfthevfpatient?vf-vfanswer
Wearvfavfshieldvfatvfnightvfforvfthevffirstvfmonthvfaftervfsurgery

Avfpatientvfwithvf"pinkvfeye"vfhasvfthickvfdischargevfwithvfshredsvfofvfmucusvfandvfisvfprescribedvfavftopicalvfantibiotic.vfWha
doesvfthevfnursevfteachvfthevfpatient?vf-vfanswer--"Avoidvfusingvfanyvfmakeupvfnearvfthevfeye."

Whatvfshouldvfthevfnursevfteachvfavfpatientvfaboutvfusingvfantibioticvfeyedropsvftovfpreventvfre-infection?vf-vfanswer--
Thevfimportancevfofvfnotvfwearingvfcontactvflensesvfduringvfthevfperiodvfofvfdrugvfusage

Thevfnursevfisvfteachingvfavfpatientvfaboutvfthevfadministrationvfofvfophthalmicvfointment.vfWhatvfdoesvfthevfnursevfteachvf
evfpatient?vfSelectvfallvfthatvfapply.vf-vfanswer--"Avoidvfdrivingvfaftervfinstillationvfofvfthevfointment."
"Avoidvftouchingvfanyvfpartvfofvfthevfeyevforvflidvfwithvfthevftipvfofvfthevftube."
"Wipevfawayvfextravfointmentvfwithvfavftissuevfwithvfthevfeyesvfgentlyvfclosed."

AbovevfwhatvfagevfisvfthevfcostvfofvfcataractvfsurgeryvfofvfthevfpatientvfcoveredvfbyvfMedicare?
vfRecordvfyourvfanswervfusingvfavfwholevfnumber.vf_____vf-vfanswer--65



Whichvftermvfisvfusedvftovfdescribevfanvfeyevfwoundvfcausedvfbyvfsharpvfobjectsvfandvfprojectiles?vf-vfanswer--Laceration

Whichvfstatementsvfaboutvfretinalvfdetachmentvfarevfaccurate?vfSelectvfallvfthatvfapply.vf-vfanswer--
Retinalvfdetachmentsvfarevfclassifiedvfbyvfthevfcause.
Restrictingvfheadvfmovementvfcanvfpreventvffurthervfdetachment
Spontaneousvfreattachmentvfofvfavftotallyvfdetachedvfretinavfisvfrare

Whatvfrefractivevferrorvfoccursvfwhenvfthevfcurvevfofvfthevfcorneavfisvfuneven?vf-vfanswer--Astigmatism

Thevfnursevfisvfteachingvfthevfmothervfofvfavfteenagevfpatientvfwithvfconjunctivitisvfhowvftovfadministervfeyevfointment.vfWh
hvfstatementvfbyvfthevfmothervfindicatesvfavfcorrectvfunderstandingvfofvfthevfnurse'svfinstruction?vf-
vfanswer--"Ivfwillvfplacevfthevfointmentvfinvfthevflowervflid."



Avfpatientvfisvfprescribedvfanvfocularvfirrigationvffollowingvfanvfaccidentalvfsplashvfofvfavfchemicalvfinvfthevflaboratory.vfWha
actionvfshouldvfthevfnursevftake?vf-vfanswer--PlacevfavfstripvfofvfpHvfpapervfinvfthevfcul-de-sacvfofvfthevfaffectedvfeye.

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