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week 2 Pharmaocology
Week 2 Visual Problems
| Question | Answer |
|---|---|
| Which patient does the nurse identify as being at risk for developing cataracts? | A 20-year-old who sustained an injury to the right eye after a car accident |
| 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 |
| 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? | 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. |
| 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? | Keratometry and A-scan ultrasound |
| 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? | Kale salad |
| A nurse is caring for a patient with a new diagnosis of primary open-angle glaucoma (POAG). When reviewing the health care provider’s orders, which prescription should the nurse question? | Ibuprofen |
| The nurse is preparing a patient for surgery to correct an age-related cataract of the left eye. Which nursing assessments are appropriate for this patient? | -anxiety levels - visual acuity in the right eye - knowledge of different therapeutic options |
| The nurse is preparing teaching materials for a patient who is newly diagnosed with glaucoma. What information is appropriate for this patient? | The importance of compliance with taking medications. |
| The nurse is preparing to assess a patient with an eye condition. What is the primary reason for the nurse to include the patient’s family in the assessment process? | The family may become the primary care provider |
| The health care provider is educating a 65-year-old patient on a new diagnosis of primary open-angle glaucoma (POAG). Which statement by the patient shows an understanding of the discussion? | “I will need to follow my treatment plan to prevent damage to the optic nerve.” |
| The nurse is caring for a patient with a family history of age-related macular degeneration (AMD), a medical history of high blood pressure, and a social history including daily cigar smoking. The patient asks if there is any way to prevent development of | “Reduce or quit smoking cigars.”- "Keep your blood pressure under control.” |
| A nurse is caring for a patient who has prolonged pupil dilation related to ophthalmic medication usage. The nurse will monitor the patient for which signs of acute PACG? | Nausea, vomiting, and acute eye pain |
| A nurse is caring for a patient who reports loss of peripheral vision that developed over time. Which diagnostic tests would the nurse anticipate the patient to undergo? | - Tonometry - Gonioscopy |
| A nurse is counseling a patient about to undergo cataract surgery. The patient will have cataracts removed from both eyes, but just the poorest eye will be operated on initially. Which statement demonstrates that the patient understands the procedure? | “If a complication arises in the eye with poorest vision, I will still have some vision in the better eye.” |
| The patient with acute angle-closure glaucoma is preparing for surgery. The nurse notes that the patient consented for a lens removal procedure. How should the nurse proceed? | Contact the surgeon for revision of the consent form |
| During an education session for a patient with a chronic visual sensory perception problem, which information should the nurse ensure the patient knows? | -Details of the treatment regimen - Long-term effects of the disease process - How to recognize emergency care needs - That food preferences and nutriotional habits can affect eyesight |
| A patient with a visual impairment is being admitted to the hospital after abdominal surgery. As the nurse prepares the room for the patient, which action must be taken? | Take note of the furniture placement in the room |
| he nurse is caring for a patient with age-related macular degeneration (AMD) and refers the patient to a psychologist. Which responses by the nurse are appropriate when the patient questions the reason for the referral? | “The permanent loss of central vision can be very difficult.” - “This is done to discuss the need for additional support systems.” |
Created by:
Brandi Sizemore
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