Nokea
A nurse is teaching a patient with glaucoma how to administer eye drops to achieve maximum absorption. The nurse should teach the patient to perform what action?
- A. Instill the medication in the conjunctival sac.
- B. Maintain a supine position for 10 minutes after administration.
- C. Keep the eyes closed for 1 to 2 minutes after administration.
- D. Apply the medication evenly to the sclera
Correct Answer: A
Rationale: Instilling eye drops in the conjunctival sac ensures optimal absorption. Supine positioning, eye closure, or scleral application are not necessary or effective.
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Cytomegalovirus (CMV) is the most common cause of retinal inflammation in patients with AIDS. What drug, surgically implanted, is used for the acute stage of CMV retinitis?
- A. Pilocarpine
- B. Penicillin
- C. Ganciclovir
- D. Gentamicin
Correct Answer: C
Rationale: Ganciclovir implants deliver high concentrations to treat CMV retinitis. Pilocarpine treats glaucoma, and penicillin and gentamicin are ineffective against CMV.
A patient comes to the ophthalmology clinic for an eye examination. The patient tells the nurse that he often sees floaters in his vision. How should the nurse best interpret this subjective assessment finding?
- A. This is a normal aging process of the eye.
- B. Glasses will minimize this phenomenon.
- C. The patient may be exhibiting signs of glaucoma.
- D. This may be a result of weakened ciliary muscles.
Correct Answer: A
Rationale: Floaters are common with aging due to vitreous humor changes casting shadows. They are not linked to glaucoma, ciliary muscle weakness, or correctable by glasses.
A patient is being discharged home from the ambulatory surgical center after cataract surgery. In reviewing the discharge instructions with the patient, the nurse instructs the patient to immediately call the office if the patient experiences what?
- A. Slight morning discharge from the eye
- B. Any appearance of redness of the eye
- C. A scratchy feeling in the eye
- D. A new floater in vision
Correct Answer: D
Rationale: New floaters may indicate retinal detachment, a serious complication post-cataract surgery. Mild discharge, redness, or scratchiness are expected and less urgent.
A patient has lost most of her vision as a result of macular degeneration. When attempting to meet this patients psychosocial needs, what nursing action is most appropriate?
- A. Encourage the patient to focus on her use of her other senses.
- B. Assess and promote the patients coping skills during interactions with the patient.
- C. Emphasize that her lifestyle will be unchanged once she adapts to her vision loss.
- D. Promote the patients hope for recovery.
Correct Answer: B
Rationale: Promoting coping skills supports psychosocial adjustment to vision loss from macular degeneration. Focusing on other senses or promising unchanged lifestyle may minimize the loss, and recovery is unlikely.
A patients ocular tumor has necessitated enucleation and the patient will be fitted with a prosthesis. The nurse should address what nursing diagnosis when planning the patients discharge education?
- A. Disturbed body image
- B. Chronic pain
- C. Ineffective protection
- D. Unilateral neglect
Correct Answer: A
Rationale: Enucleation and prosthesis use significantly impact body image. Chronic pain, ineffective protection, and unilateral neglect are not typically associated with this procedure.