Nokea
A patient with chronic open-angle glaucoma is being taught to self-administer pilocarpine. After the patient administers the pilocarpine, the patient states that her vision is blurred. Which nursing action is most appropriate?
- A. Holding the next dose and notifying the physician
- B. Treating the patient for an allergic reaction
- C. Suggesting that the patient put on her glasses
- D. Explaining that this is an expected adverse effect
Correct Answer: D
Rationale: Blurred vision is a common, temporary side effect of pilocarpine due to pupil constriction. It does not indicate an allergy, require glasses, or necessitate withholding the dose.
You may also like to solve these questions
A patient with a diagnosis of retinal detachment has undergone a vitreoretinal procedure on an outpatient basis. What subject should the nurse prioritize during discharge education?
- A. Risk factors for postoperative cytomegalovirus (CMV)
- B. Compensating for vision loss for the next several weeks
- C. Non-pharmacologic pain management strategies
- D. Signs and symptoms of increased intraocular pressure
Correct Answer: D
Rationale: Educating about signs of increased intraocular pressure and infection is critical post-vitreoretinal surgery to prevent complications. CMV, vision loss, and pain are less urgent concerns.
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 public health nurse is teaching a health promotion workshop that focuses on vision and eye health. What should this nurse cite as the most common causes of blindness and visual impairment among adults over the age of 40? Select all that apply.
- A. Diabetic retinopathy
- B. Trauma
- C. Macular degeneration
- D. Cytomegalovirus
- E. Glaucoma
Correct Answer: A,C,E
Rationale: Diabetic retinopathy, macular degeneration, glaucoma, and cataracts are leading causes of blindness in adults over 40. Trauma and cytomegalovirus are less common.
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.
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.