Nokea
Which is a cause of cataracts?
- A. Long-term use of corticosteroids
- B. Hypotension
- C. Congenital from exposure to maternal rubella
- D. Diabetes mellitus
- E. Exposure to sand and dust
- F. Smoking
Correct Answer: A,C,D,F
Rationale: Among the many causes of cataracts are long-term corticosteroid use, maternal rubella, diabetes mellitus, and smoking.
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Which report made by a 64-year-old patient during a health interview would alert the nurse to the possibility of cataracts?
- A. Pain in the eyes
- B. Difficulty driving at night
- C. Loss of peripheral vision
- D. Dry eyes
Correct Answer: B
Rationale: Blurring of vision and difficulty driving at night is often the first subjective symptom reported by a patient who has cataracts.
Which anatomical change is associated with diabetes retinopathy?
- A. Capillaries in retina hemorrhage
- B. Long-term overdosing of insulin
- C. Retinal detachment
- D. Aging
Correct Answer: A
Rationale: Retinopathy is caused when the capillaries in the retina have aneurysms or hemorrhage.
Which action is the first nursing intervention step for the immediate care of a patient with a penetrating wound of the eye?
- A. Assess eye, do not remove object.
- B. Cover both eyes with an eye shield or cup.
- C. Check for the irregularity of the pupil.
- D. Obtain medical attention immediately.
Correct Answer: C
Rationale: The patient should be placed on his back to prevent loss of the aqueous humor, assessment of the eye for the location of the object and whether the pupil is regular, cover the eye to prevent movement, and obtain medical attention immediately.
The nurse will provide which advise for a patient who has severe vertigo from labyrinthitis?
- A. Lean against a wall and not move the head forward until vertigo lessens.
- B. Bend at the waist and take several deep breaths.
- C. Drink an iced drink slowly.
- D. Lie immobile and hold the head in one position until the vertigo lessens.
Correct Answer: D
Rationale: Lying immobile and holding the head in one position will lessen vertigo.
The patient complains of tearing and a feeling of dryness in the right eye. The nurse assesses that the eyelid is turned inward and the sclera is red. The nurse documents the presence of a(n) ___
Correct Answer: entropion
Rationale: An entropion is the abnormal turning in of the eyelid, causing irritation and tearing of the eye.