Contemporary Medical Surgical Nursing 2nd Edition by Daniels, Rick
Contemporary Medical Surgical Nursing 2nd Edition by Daniels, Rick
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Chapter 39–Visual Dysfunction: Nursing Management
Complete Chapter Questions With Answers
Sample Questions Are Posted Below
MULTIPLE CHOICE
| 1. | Nystagmus |
| 2. | Diplopia |
| 3. | Aphakic vision |
| 4. | Ptosis |
ANS: 2
Diplopia, or double vision, is the primary symptom of strabismus. Nystagmus is a disorder that causes involuntarily rhythmic movements in the eye. Aphakic vision occurs when the lens of the eye is removed. Ptosis is drooping of the eyelid.
PTS: 1 DIF: Analyze REF: Ocular Movement Disorders: Strabismus
| 1. | glaucoma. |
| 2. | cataracts. |
| 3. | macular degeneration. |
| 4. | retinal detachment. |
ANS: 2
Cataracts occur as the opacity of the lens becomes cloudy, blurring the vision. It occurs in both eyes but is usually worse in one eye. Gradual eye blurring is not associated with glaucoma, macular degeneration, or retinal detachment.
PTS: 1 DIF: Analyze REF: Cataracts: Pathophysiology
| 1. | help dry up excess secretions. |
| 2. | lower the intraocular pressure. |
| 3. | strengthen the muscles of the eye. |
| 4. | improve the vision in the eye. |
ANS: 2
Glaucoma is a disease that relates to the increase of intraocular pressure. The medication given will decrease this intraocular pressure. Medication for glaucoma is not used to help dry up excess secretions, strengthen the eye muscles, or improve vision.
PTS: 1 DIF: Apply REF: Glaucoma: Pharmacology
| 1. | “Be sure to follow the schedule for the prescribed eyedrop medication.” |
| 2. | “Sleep on the right side to promote drainage.” |
| 3. | “It is okay to rub the eye because the surgery was on the inside.” |
| 4. | This is an outpatient procedure, and there are no instructions for the patient. |
ANS: 1
Client education is extremely important in the aftercare of cataract surgery. There is a need to emphasize the postoperative care of eyedrop instillation. The client should not place any pressure near or on the eye. Postoperative instructions are highly important for the client having an outpatient surgical procedure.
PTS: 1 DIF: Apply REF: Cataracts: Planning and Implementation
| 1. | the reading is low and there is no problem. |
| 2. | the reading is normal and nothing needs to be done at this time. |
| 3. | the results are high and follow-up readings and tests are needed. |
| 4. | the results are high and there is no cure to bring the pressure down. |
ANS: 3
Several reading need to be taken throughout the day to establish the highest reading to be the treated pressure. Normal intraocular pressure ranges from 12 to 16 mmHg. The reading of 25 mmHg is not low or normal. Medication can be prescribed to reduce the pressure.
PTS: 1 DIF: Analyze
REF: Glaucoma: Assessment with Clinical Manifestations and Diagnostic Tests
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