Nokea
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.
You may also like to solve these questions
A patient with glaucoma has presented for a scheduled clinic visit and tells the nurse that she has begun taking an herbal remedy for her condition that was recommended by a work colleague. What instruction should the nurse provide to the patient?
- A. The patient should discuss this new remedy with her ophthalmologist promptly.
- B. The patient should monitor her IOP closely for the next several weeks.
- C. The patient should do further research on the herbal remedy.
- D. The patient should report any adverse effects to her pharmacist.
Correct Answer: A
Rationale: Herbal remedies may interact with glaucoma treatment, so prompt discussion with the ophthalmologist is essential. Self-monitoring IOP is not feasible, and research or pharmacist reporting is secondary.
An older adult patient has been diagnosed with macular degeneration and the nurse is assessing him for changes in visual acuity since his last clinic visit. When assessing the patient for recent changes in visual acuity, the patient states that he sees the lines on an Amsler grid as being distorted. What is the nurses most appropriate response?
- A. Ask if the patient has been using OTC vasoconstrictors.
- B. Instruct the patient to repeat the test at different times of the day when at home.
- C. Arrange for the patient to visit his ophthalmologist.
- D. Encourage the patient to adhere to his prescribed drug regimen.
Correct Answer: C
Rationale: Amsler grid distortions in macular degeneration warrant immediate ophthalmologic evaluation. Vasoconstrictors, repeating tests, or drug adherence are not appropriate responses.
A 56-year-old patient has come to the clinic for his routine eye examination and is told he needs bifocals. The patient asks the nurse what change in his eyes has caused his need for bifocals. How should the nurse respond?
- A. You know, you are getting older now and we change as we get older.
- B. The parts of our eyes age, just like the rest of us, and this is nothing to cause you to worry.
- C. There is a gradual thickening of the lens of the eye and it can limit the eyes ability for accommodation.
- D. The eye gets shorter, back to front, as we age and it changes how we see things.
Correct Answer: C
Rationale: Age-related lens thickening reduces accommodation, necessitating bifocals. The eye's shape does not shorten, and vague reassurances do not address the patient's question.
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 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.