Nokea
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.
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When administering a patients eye drops, the nurse recognizes the need to prevent absorption by the nasolacrimal duct. How can the nurse best achieve this goal?
- A. Ensure that the patient is well hydrated at all times.
- B. Encourage self-administration of eye drops.
- C. Occlude the puncta after applying the medication.
- D. Position the patient supine before administering eye drops.
Correct Answer: C
Rationale: Occluding the puncta prevents nasolacrimal duct absorption, reducing systemic side effects. Hydration, self-administration, and supine positioning do not address this issue.
A patient is exploring treatment options after being diagnosed with age-related cataracts that affect her vision. What treatment is most likely to be used in this patients care?
- A. Antioxidant supplements, vitamin C and E, beta-carotene, and selenium
- B. Eyeglasses or magnifying lenses
- C. Corticosteroid eye drops
- D. Surgical intervention
Correct Answer: D
Rationale: Surgical intervention is the definitive treatment for cataracts when vision is compromised. Antioxidants, eyeglasses, and corticosteroids do not cure or prevent age-related cataracts.
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 informed the home health nurse that she has recently noticed distortions when she looks at the Amsler grid that she has mounted on her refrigerator. What is the nurses most appropriate action?
- A. Reassure the patient that this is an age-related change in vision.
- B. Arrange for the patient to have her visual acuity assessed.
- C. Arrange for the patient to be assessed for macular degeneration.
- D. Facilitate tonometry testing.
Correct Answer: C
Rationale: Amsler grid distortions suggest macular degeneration, requiring prompt ophthalmologic evaluation. They are not age-related, and visual acuity or tonometry tests are less relevant.
The public health nurse is addressing eye health and vision protection during an educational event. What statement by a participant best demonstrates an understanding of threats to vision?
- A. Im planning to avoid exposure to direct sunlight on my next vacation.
- B. Ive never exercised regularly, but Im going to start working out at the gym daily.
- C. Im planning to talk with my pharmacist to review my current medications.
- D. Im certainly going to keep a close eye on my blood pressure from now on.
Correct Answer: D
Rationale: Hypertension is a major risk factor for vision loss, such as in hypertensive retinopathy. Sunlight, exercise, and medications are less directly threatening to vision.