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Chapter 58 Assessment and Management of Patients With Eye and Vision Disorders
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Chapter 58 Assessment and Management of Patients With Eye and Vision Disorders
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Chapter 58 Assessment and Management of Patients With Eyeand Vision Disorders
1. Upon entering the room, the nurse observes the 78-year-old patient reading an information
brochure at the end of her extended arms. What ocular disorder is this patient likely
experiencing?
A) Cataracts C) Presbyopia
Age-related macular degeneration
) Chronic open-angle glaucoma
2. The nurse administering timolol drops to a patient with glaucoma is aware that the patient may
experience which of the following vital-sign changes?
Hyperthermia and tachycardia Hypothermia and bradycardia
Hypotension and tachycardia
) Hypotension and bradycardia
3. The registered nurse who has been assigned to care for a blind patient recalls that the best way to
approach him is to:
A) Approach the guide dog before introducing herself to the patient B) Introduce herself
in a firm, loud voice at the doorway of the room C) Touch the patient's arm, then introduce
herself
D) State her name and role after entering the patient's room
4. Upon reading a patient's history, the nurse learns that the patient has a condition that has affected
the rods in his eyes. Considering this information, the nurse will:
A) Provide adequate lighting in the patient's room to help him achieve his best vision
B) Provide a dimly lit room to assist the patient in achieving his best vision
C) Carefully point out color differences for the patient
D) Carefully point out fine details for the patient
, 5. The patient who has been diagnosed as having a visual acuity of 20/40 asks the nurse what these
numbers mean. A correct response by the nurse is:
A) “A person whose vision is 20/40 can see an object from 40 feet away that a person with
20/20 vision can see from 20 feet away.”
B) “A person whose vision is 20/40 can see an object from 20 feet away that a person with
20/20 vision can see from 40 feet away.”
C) “A person whose vision is 20/40 can see an object from 40 inches away that a person with 20/20
vision can see from 20 inches away.”
D) “A person whose vision is 20/40 can see an object from 20 inches away that a person with 20/20
vision can see from 40 inches away.”
6. Which of the following patients is at a greater risk for the development of blindness? A)
A 58-year-old Caucasian female with macular degeneration
B) A 28-year-old Caucasian male with astigmatism
C) A 58-year-old African American female with hyperopia
D) A 28-year-old African American male with myopia
7. A patient on a medical-surgical floor is preparing for discharge. The nurse realizes through her
teaching that the patient is not able to read the medication bottles. The nurse appropriately
intervenes by:
A) Asking the social worker to investigate nursing home placement
B) Asking the social worker to investigate community support agencies
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