Introductory Medical Surgical Nursing 11th Edition by Barbara K. Tim
Introductory Medical Surgical Nursing 11th Edition by Barbara K. Tim
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Chapter 42, Caring for Clients With Eye Disorders
Complete Chapter Questions With Answers
Sample Questions Are Posted Below
| 1. | A client is diagnosed with blepharitis. What symptoms should a nurse monitor in this client? | |
| A) | Patchy flakes clinging to the eyelashes | |
| B) | A red pustule in the internal tissue of the eyelid | |
| C) | Redness surrounding the conjunctival sac | |
| D) | A halo around the pupil | |
| Ans: | A | |
| Feedback: | ||
| Blepharitis is an inflammation of the lid margins. The nurse monitors visible patchy flakes clinging to the eyelashes and about the lids. The condition does not cause redness or a halo around the pupil. In case of a sty, the nurse would observe a red pustule in the internal tissue of the eyelid. | ||
| 2. | A nurse is assessing a client for a fracture to the bony orbit. What would the nurse document if her assessment for fracture was positive? | |
| A) | There is excessive tearing. | |
| B) | The client’s vision is blurred. | |
| C) | A rust ring is seen around the pupil. | |
| D) | The client has diplopia. | |
| Ans: | D | |
| Feedback: | ||
| If the bony orbit is fractured, the eyes may appear asymmetric, and the client has diplopia or double vision. Excessive tearing, presence of rust rings, or blurry vision does not indicate a fractured bony orbit. | ||
| 3. | A client is diagnosed with keratitis. What advice should the nurse give this client? | |
| A) | Use warm soaks frequently. | |
| B) | Use dark glasses. | |
| C) | Wash the face and hair frequently. | |
| D) | Massage the surrounding area. | |
| Ans: | B | |
| Feedback: | ||
| Dark glasses are recommended for a client with keratitis to relieve photophobia. Treatment for keratitis does not require use of warm soaks and massages or washing of the face and hair. | ||
| 4. | A nurse is doing preoperative and postoperative teaching with a client who is undergoing cataract surgery. What is an important teaching point the nurse should teach the client about? | |
| A) | Feelings of depression | |
| B) | Increased urine output | |
| C) | Eat soft, easily chewed food until healing is complete | |
| D) | Development of a “black” eye | |
| Ans: | C | |
| Feedback: | ||
| Advise clients who have had cataract surgery to eat soft, easily chewed foods until healing is complete to avoid tearing from excessive facial movements. Clients who undergo cataract surgery do not become depressed, have increased urine output, or develop a “black” eye. | ||
| 5. | The nurse is caring for a client who underwent surgery for a retinal detachment. The surgery included the injection of an air bubble to promote contact between the retina and choroids. What position should the nurse keep the client in? | |
| A) | With the face parallel to the floor | |
| B) | With the client’s head slightly elevated | |
| C) | With the client lying in a high Fowler’s position | |
| D) | With the client in an upright position | |
| Ans: | A | |
| Feedback: | ||
| If an air bubble is instilled to promote contact between the retina and sclera, the client is positioned with the face parallel to the floor so that the bubble floats to the posterior of the eye. The client is asked to be on complete bed rest for several days with the head immobilized and to avoid any physical movements. | ||
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