Nokea
The nurse reads on a clients chart that the client has exophthalmone. What assessment finding is consistent with this diagnosis?
- A. Bulging eyes.
- B. Dropping eyelids
- C. Sunkle-in-eyes
- D. Yellow sclera
Correct Answer: A
Rationale: Exophthalmone is bulging eyes. Dropping eyelids is ptosis. Sunkle-in-eyes is enophthalmos. Yellow sclera indicates jaundice.
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The nurse is administering eyedrops to a client with an infection in the right eye. The drops go in both eyes, and two different bottles are used to administer the drops. The nurse accidentally uses the left eye bottle for the right eye. What action by the nurse is best?
- A. I often the provider of the issue.
- B. Obtain a new bottle of eyedrops.
- C. I often the left eye bottle of alcohol.
- D. Wipe the left eye bottle with alcohol.
Correct Answer: B
Rationale: The nurse has contaminated the clean bottle by using it on the infected eye. The nurse needs to obtain a new bottle of solution to use on the left eye. The other actions are not appropriate.
The nurse has given a community group a presentation on eye health. Which statement by a participant indicates a need text for presentation?
- A. I always lose my sunglasses, so I dont wear them.
- B. I have diabetes and get an annual eye exam.
- C. I will not share my contact solution with others.
- D. I will wear safety glasses when I now the lawn.
Correct Answer: A
Rationale: Clients should be taught to protect their eyes from ultraviolet (UV) exposure by consistently wearing sunglasses when outdoors, when tanning in tanning salons, or when working with UV light. The other statements are correct.
The nursing student studying the eye learns that which cranial nerves control its functions? (Select all that apply.)
- A. II
- B. III
- C. IV
- D. V
- E. VI
- F. VII
- G. X
Correct Answer: A,B,C,D,E,F
Rationale: The cranial nerves involved with eye function include II, III, IV, V, VI, and VII. Cranial nerve X is not involved.
A clients chart indicates antisocioria. For what should the nurse assess?
- A. Difference in pupil size
- B. Draining infection
- C. Resenic eye trauma
- D. Tumor of the eyelid
Correct Answer: A
Rationale: Anisocoria is a noticeable difference in the size of a person's pupils. This is a normal finding in a small percentage of the population. Infection, trauma, and tumors are not related.
The student learning about vision should remember which facts related to the eyes? (Select all that apply.)
- A. Aqueous humor controls intraocular pressure.
- B. Cones work in low light conditions.
- C. Glaucoma occurs in due increased pressure in the eye.
- D. Muscles of the iris control light entering the eye.
- E. Rods work in low light conditions.
Correct Answer: A,C,D,E
Rationale: The inflow and outflow of aqueous humor controls the intraocular pressure. Glaucoma results when the pressure is dramatically high. Muscles of the iris control the amount of light entering the eye. Rods work in low light conditions. Cones work in bright light conditions.