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A patient with low vision has called the clinic and asked the nurse for help with acquiring some low-vision aids. What else can the nurse offer to help this patient manage his low vision?
- A. The patient uses OTC NSAIDs.
- B. The patient has a history of stroke.
- C. The patient has diabetes.
- D. The patient has Asian ancestry.
Correct Answer: C
Rationale: Diabetes is a risk factor for glaucoma, which can worsen low vision. The nurse can offer education on managing diabetes to protect vision. NSAIDs, stroke, and Asian ancestry are not directly relevant.
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The nurse on the medicalsurgical unit is reviewing discharge instructions with a patient who has a history of glaucoma. The nurse should anticipate the use of what medications?
- A. Potassium-sparing diuretics
- B. Cholinergics
- C. Antibiotics
- D. Loop diuretics
Correct Answer: B
Rationale: Cholinergics, like pilocarpine, increase aqueous outflow in glaucoma treatment. Diuretics and antibiotics are not used for glaucoma management.
A 6-year-old child is brought to the pediatric clinic for the assessment of redness and discharge from the eye and is diagnosed with viral conjunctivitis. What is the most important information to discuss with the parents and child?
- A. Handwashing can prevent the spread of the disease to others.
- B. The importance of compliance with antibiotic therapy
- C. Signs and symptoms of complications, such as meningitis and septicemia
- D. The likely need for surgery to prevent scarring of the conjunctiva
Correct Answer: A
Rationale: Viral conjunctivitis is highly contagious, and handwashing prevents spread. Antibiotics are ineffective, meningitis is not a risk, and surgery is not indicated.
A patient has just returned to the surgical floor after undergoing a retinal detachment repair. The postoperative orders specify that the patient should be kept in a prone position until otherwise ordered. What should the nurse do?
- A. Call the physician and ask for the order to be confirmed.
- B. Follow the order because this position will help keep the retinal repair intact.
- C. Instruct the patient to maintain this position to prevent bleeding.
- D. Reposition the patient after the first dressing change.
Correct Answer: B
Rationale: The prone position allows the gas bubble in pneumatic retinopexy to press against the retinal break, aiding reattachment. It does not prevent bleeding, and repositioning or confirmation is unnecessary.
A patient has just arrived to the floor after an enucleation procedure following a workplace accident in which his left eye was irreparably damaged. Which of the following should the nurse prioritize during the patients immediate postoperative recovery?
- A. Teaching the patient about options for eye prostheses
- B. Teaching the patient to estimate depth and distance with the use of one eye
- C. Assessing and addressing the patients emotional needs
- D. Teaching the patient about his post-discharge medication regimen
Correct Answer: C
Rationale: Emotional support is critical after unexpected enucleation due to trauma. Teaching about prostheses, depth perception, or medications is important but secondary in the immediate postoperative period.
The nurse is administering eye drops to a patient with glaucoma. After instilling the patients first medication, how long should the nurse wait before instilling the patients second medication into the same eye?
- A. 30 seconds
- B. 1 minute
- C. 3 minutes
- D. 5 minutes
Correct Answer: D
Rationale: A 5-minute wait ensures adequate absorption of the first eye drop before administering the second, preventing dilution or reduced efficacy.