In preparation for cataract surgery, the nurse is to administer prescribed eye drops

10 Questions  |  By Santepro | Last updated: Mar 22, 2022 | Total Attempts: 8597

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• 1. 

  The clinic nurse is preparing to test the visual acuity of a client using a Snellen chart. Which of the following identifies the accurate procedure for this visual acuity test?

  • A. 

    Both eyes are assessed together. followed by the assessment of the right and then the left eye.

  • B. 

    The right eye is tested followed by the left eye. and then both eyes are tested.

  • C. 

    The client is asked to stand at a distance of 40ft. from the chart and is asked to read the largest line on the chart.

  • D. 

    The client is asked to stand at a distance of 40ft from the chart and to read the line than can be read 200 ft away by an individual with unimpaired vision.

• 2. 

  The clinic nurse notes that the following several eye examinations. the physician has documented a diagnosis of legal blindness in the client’s chart. The nurse reviews the results of the Snellen’s chart test expecting to note which of the following?

  • A. 

    20/20 vision

  • B. 

    20/40 vision

  • C. 

    20/60 vision

  • D. 

    20/200 vision

• 3. 

  The client’s vision is tested with a Snellen’s chart. The results of the tests are documented as 20/60. The nurse interprets this as:

  • A. 

    The client can read at a distance of 60 feet what a client with normal vision can read at 20 feet.

  • B. 

    The client is legally blind.

  • C. 

    The client’s vision is normal

  • D. 

    The client can read only at a distance of 20 feet what a client with normal vision can read at 60 feet.

• 4. 

  Tonometry is performed on the client with a suspected diagnosis of glaucoma. The nurse analyzes the test results as documented in the client’s chart and understands that normal intraocular pressure is:

  • A. 

    2-7 mmHg

  • B. 

    10-21 mmHg

  • C. 

    22-30 mmHg

  • D. 

    31-35 mmHg

• 5. 

  The nurse is developing a plan of care for the client scheduled for cataract surgery. The nurse documents which more appropriate nursing diagnosis in the plan of care?

  • A. 

    Self-care deficit

  • B. 

    Imbalanced nutrition

  • C. 

    Disturbed sensory perception

  • D. 

    Anxiety

• 6. 

  The nurse is performing an assessment in a client with a suspected diagnosis of cataract. The chief clinical manifestation that the nurse would expect to note in the early stages of cataract formation is:

  • A. 

    Eye pain

  • B. 

    Floating spots

  • C. 

    Blurred vision

  • D. 

    Diplopia

• 7. 

  In preparation for cataract surgery. the nurse is to administer prescribed eye drops. The nurse reviews the physicians orders. expecting which type of eye drops to be instilled?

  • A. 

    An osmotic diuretic

  • B. 

    A miotic agent

  • C. 

    A mydriatic medication

  • D. 

    A thiazide diuretic

• 8. 

  During the early postoperative period. the client who had a cataract extraction complains of nausea and severe eye pain over the operative site. The initial nursing action is to:

  • A. 

    Call the physician

  • B. 

    Administer the ordered main medication and antiemetic

  • C. 

    Reassure the client that this is normal.

  • D. 

    Turn the client on his or her operative side

• 9. 

  The client is being discharged from the ambulatory care unit following cataract removal. The nurse provides instructions regarding home care. Which of the following. if stated by the client. indicates an understanding of the instructions?

  • A. 

    “I will take Aspirin if I have any discomfort.”

  • B. 

    “I will sleep on the side that I was operated on.”

  • C. 

    “I will wear my eye shield at night and my glasses during the day.”

  • D. 

    “I will not lift anything if it weighs more that 10 pounds.”

• 10. 

  The client with glaucoma asks the nurse is complete vision will return. The most appropriate response is:

  • A. 

    “Although some vision as been lost and cannot be restored. further loss may be prevented by adhering to the treatment plan.”

  • B. 

    “Your vision will return as soon as the medications begin to work.”

  • C. 

    “Your vision will never return to normal.”

  • D. 

    “Your vision loss is temporary and will return in about 3-4 weeks.”

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