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cont Visual EAQs
Continue Visual EAQS
| Question | Answer |
|---|---|
| When admitting a patient with glaucoma who reports an allergy to all sulfa drugs, which prescribed medication would the nurse question by contacting the health care provider? | Acetazolamide (Diamox) |
| Which intervention would the nurse implement to minimize systemic effect of medications administered to a patient with glaucoma? | Have the patient place pressure on the eye puncta for two minutes after administration. |
| Which finding related to primary open angle glaucoma would the nurse expect to find when reviewing a patient's history and physical examination report? | Absence of pain or pressure |
| When admitted with pneumonia and a history of bilateral cataracts, which interventions would the nurse implement to facilitate an elderly patient's ability to see? Select all that apply. | - Increase the amount of light for near vision. - Obtain teaching materials with enlarged print. |
| The patient with acute glaucoma has a history of high dose aspirin therapy and has a new prescription for acetazolamide (Diamox). Which medication change would the nurse expect when notifying the provider of the concomitant issue? | Due to potential gastric disturbances, the acetazolamide will be changed. |
| Which interventions would the nurse perform when administering acetazolamide (Diamox) to a patient with chronic glaucoma? Select all that apply. | - Ask if the patient is allergic to sulfa drugs - monitor the patient's electrolyte levels - Avoid use if the patient is on high-dose aspirin therapy. |
| For which contributing factor would the nurse closely monitor in the patient experiencing retinal hemorrhages, anoxic cotton-wool spots, and macular swelling in the eye? | BP |
| When providing pre-procedure teachings for a patient with high degrees of myopia, what is the correct order for the nurse to explain the steps that the health care provider performs a laser-assisted in situ keratomileusis (Lasik) procedure? | - A flap is created in the cornea using a laser or surgical blade. - The flap is folded back on the middle section, or stroma - Pulses from a computer controlled - The flap is repositioned carefully - The flap adheres on its own without sutures in a. |
| Which clinical manifestation would the nurse document and report when suspecting a patient of having age-related macular degeneration (AMD)? | blurred, darkened vision |
| Which interventions would the nurse implement to ease the patient's itching, burning sensation and eye redness from allergic conjunctivitis? Select all that apply. | - Administer artificial tears, as prescribed. - Instruct the patient to avoid the allergen if it is known - Administer topical antihistamines and corticosteroids. |
| Which risk factors are associated with development of cataracts? Select all that apply? | - advanced age - history of diabetes mellitus- exposure of ultraviolet light - history of prolonged therapy with systemic corticosteroids |
| When assessing for patients reporting visual problems, the nurse would associate which patient's clinical manifestation with retinal detachment? | Patient A: "Everything looks like a cobweb to me" |
| When a patient is prescribed dipivefrin (Propine) for the treatment of glaucoma, the nurse would teach the patient to monitor the development of which potential side effects? Select all that apply. | - Tachycardia - Hypertension |
| Which visual disorder would the nurse associate with the patient's clinical manifestations of itching, irritation, intolerance of light, and crusty debris on the lid margins and lashes? | |
| When providing pre-procedure teachings for a patient with high degrees of myopia, what is the correct order for the nurse to explain the steps that the health care provider performs a laser- assisted in situ keratomileusis (Lasik) procedure? | - A flap is created in the cornea using a laser...- The flap is folded back on the middle section, or stroma, of the cornea, - Pulses from a computer controlled laser - The flap is repositioned carefully - The flap adheres on its own without sutures in a |
| Which clinical manifestation would the nurse document and report when suspecting a patient of having age related macular degeneration (AMD)? | Blurred, darkened vision |
| Which interventions would the nurse implement to ease the patient's itching, burning sensation and eye redness from allergic conjunctivitis? Select all that apply. | - Administer artificial tears, as prescribed. - Instruct the patient to avoid the allergen if it is known. - Administer topical antihistamines and corticosteroids. |
| Which risk factors are associated with development of cataracts? Select all that apply. | - Advanced age - History of diabetes mellitus - Exposure to ultraviolet light - History of prolonged therapy with systemic corticosteroids |
| When assessing four patients reporting visual problems, the nurse would associate which patient's clinical manifestation with retinal detachment? | Patient A "Everything looks like a cobweb to me. |
| Which visual disorder would the nurse associate with the patient's clinical manifestations of itching, irritation, intolerance of light, and crusty debris on the lid margins and lashes? | Blepharitis |
| Which actions would the nurse implement when a patient presents with a sty on their left eye? Select all that apply. | - Teach the patient to perform lid scrubs daily. - Administer appropriate antibiotic ointments or drops, as prescribed. - Instruct the patient to apply warm, moist compresses at least four times a day. |
| Which instruction would the nurse provide to the patient prescribed vertepofrin (Visudyne) for age-related macular degeneration (AMD)? | Avoid direct exposure to sunlight while on this particular treatment. |
| Which rationale would the nurse associate with the healthcare providers order of cycloplegics for a patient preparing for surgical intervention of a visual disorder? | To block the effect of acetylcholine on ciliary body muscles. |
| When assessing a patient for esotropia, which finding is clinically significant? | Eye deviating in |
| When performing an assessment on a patient with glaucoma, which antiglaucoma medication would the nurse associate with the patient's brown iris pigmentation? | Latanoprost (Xalatan) |
| For the patient diagnosed with epidemic keratoconjunctivitis (EKC), which intervention would the nurse suggest to help alleviate the patient's symptoms? | Suggest the use of ice packs and dark glasses. |
| While in the preoperative area prior to cataract removal surgery, which intervention would the nurse implement after administering tropicamide (Mydriacyl) in both eyes of a patient_ | Provide the patient for pulmonary effects of the drug |
| the When teaching a patient about increased intraocular pressures caused by primary open angle glaucoma, which intervention would the nurse include? | Encourage compliance with drug therapy for the glaucoma to prevent loss of vision. |
| Which explanation would the nurse provide when a patient with a sudden decrease in vision receives a diagnosis of papilledema and inquires as to what papilledema is? | Sustained, severe high blood pressure can cause swelling of the optic disc and nerve resulting in papilledema. |
| Which intervention would the nurse implement to ensure safe administration of a patient's newly prescribed medication, bimatoprost (Lumigan)? | Instruct the patient to remove contact lenses 15 minutes before instilling the drops. |
| A patient has a new prescription for pilocarpine 1% (Isopto Carpine), two drops in each eye twice a day. For which patient co morbidity would the nurse hold the prescription and contact the health care provider? | Hypertensive retinopathy |
Created by:
Brandi Sizemore
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