Nokea
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.
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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.
A client presents to the emergency department reporting a foreign body in the eye. For what diagnostic testing should the nurse prepare the client?
- A. Corneal staining
- B. Fluorescent angiography
- C. Ophthalmoscopy
- D. Tonometry
Correct Answer: A
Rationale: Corneal staining is used when the possibility of eye trauma exists, including a foreign body. Fluorescein angiography is used to assess problems of retinal circulation. Ophthalmoscopy looks at both internal and external eye structures. Tonometry tests the intraocular pressure.
A nurse who is applying eyedrops to a client holds pressure against the corner of the eye nearest the nose after instilling the drops. The client asks what the nurse is doing. What response by the nurse is best?
- A. Doing this allows time for absorption.
- B. I am keeping the drops in the eye.
- C. This prevents systemic absorption.
- D. I am stopping you from rubbing your eye.
Correct Answer: C
Rationale: This technique, called punctal occlusion, prevents eyedrops from being absorbed systemically. The other answers are inaccurate.
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.