Medical Surgical Nursing Patient Centered Collaborative Care, 7th Edition by Donna D.
Medical Surgical Nursing Patient Centered Collaborative Care, 7th Edition by Donna D.
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Chapter 49: Care of Patients with Eye and Vision Problems
Complete Chapter Questions With Answers
Sample Questions Are Posted Below
MULTIPLE CHOICE
| a. | “Change positions quickly after administering the drops.” |
| b. | “Take your pulse at least four times daily.” |
| c. | “Apply pressure to the inside corner of your eye when administering the drops.” |
| d. | “Lay down for 10 minutes after administering the drops.” |
ANS: C
Nasal punctal occlusion during eyedrop instillation keeps the drug in contact with the eye structures longer and decreases systemic absorption and side effects. Systemic distribution of the drug is what may cause orthostatic hypotension. The other answers will not help prevent orthostatic hypotension.
DIF: Cognitive Level: Application/Applying or higher REF: N/A
TOP: Client Needs Category: Physiological Integrity (Pharmacological and Parenteral Therapies—Adverse Effects/Contraindications/Side Effects/Interactions)
MSC: Integrated Process: Nursing Process (Implementation)
| a. | “Do not drive or operate machinery until the drug wears off.” |
| b. | “Use at least a 30 SPF sunscreen agent when going outdoors.” |
| c. | “Remain on bedrest for 24 hours in a prone position.” |
| d. | “Turn up the lights because acuity will be decreased in low-light environments.” |
ANS: A
Cycloplegic agents prevent accommodation of the iris, resulting in a widely dilated pupil. The pupil cannot accommodate to bright light, causing eye discomfort and pain. Turning up the lights will not assist the client to see more clearly. Bedrest and sunscreen are not measures needed for this drug.
DIF: Cognitive Level: Application/Applying or higher REF: N/A
TOP: Client Needs Category: Health Promotion and Maintenance (Self-Care)
MSC: Integrated Process: Teaching/Learning
| a. | “Yes, this type of blindness could have been prevented by earlier treatment.” |
| b. | “It is fortunate you came for treatment in time to save the sight of your other eye.” |
| c. | “Nothing you could have done would have made any difference.” |
| d. | “Surgery can still save the sight in your eye with removal of the cataract.” |
ANS: D
Although sight is increasingly impaired as a cataract matures, no other damage is done to the eye by waiting. Removal of the cataract will result in improved vision, regardless of how long the cataract has been present. No indication suggests that the client will develop a cataract in the other eye. The other statements are inaccurate.
DIF: Cognitive Level: Application/Applying or higher REF: N/A
TOP: Client Needs Category: Psychosocial Integrity (Grief and Loss)
MSC: Integrated Process: Nursing Process (Caring)
| a. | “It may increase intraocular pressure after cataract surgery.” |
| b. | “It changes the ability of the blood to clot and increases the risk of bleeding.” |
| c. | “It reduces inflammation and might mask any symptoms of infection.” |
| d. | “It can cause nausea and vomiting and may increase intraocular pressure.” |
ANS: B
Aspirin disrupts platelet aggregation and increases the risk for bleeding after surgery. Aspirin may decrease inflammation but would not mask symptoms of infection. Aspirin does not cause increased intraocular pressure, nor does it typically cause nausea and vomiting. Aspirin should not mask signs of infection.
DIF: Cognitive Level: Application/Applying or higher REF: N/A
TOP: Client Needs Category: Physiological Integrity (Pharmacological and Parenteral Therapies—Adverse Effects/Contraindications/Side Effects/Interactions)
MSC: Integrated Process: Nursing Process (Evaluation)
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