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Sensory
Prionity
/bekgetien
According
to
evidence-based
guidelines
fromthe
American
Optometric
Association,
which
modifiable
risk
factor
is
the
most
importantto
emphasize uring
patient
teachingto
reduce
the
risk
for
age-related
macular
degeneration?
Initiate
smoking
cessation.
Take
vitamin
D
andE
supplements.
Eatdark
green,
leafy
regetables.
4.Wear
protective
evewrearas
needed.
2.Which
medication
prescription
is the
most
importanttodiseuss
with the
healthcare
provider?
@Timolsl
fora
patient who
has
open-angle
glaucoma
2.Cromolyn
sodium for
a
patient with
allergic
conjunctivitis
6.Atropinefor apatientwho
has acute
angle-cdosure
glaucoma
MatI
WOT
Ranibizumab
fora
patient withwet
age-related maculardegeneration
3.Which
action
would the
nurse
direct
thepatient to
do
firstfor
atelephone report
ofredness af the sclera, itching
of
the eyes,
and increased
lacrimation
for
several bours?
1 Tou
must
tallktothehealth
care
providerie,
decine
to advise).
Apply a
caol
compressto
youreyes.
Warny necded
Ifyou
are
wearing
contactlenses,
remore them.
4 Takean orer-the-counter antihistamine
9Whichhealth
promotion
pointisthe
most
importantto stressnhen the nurse
is
teachinga communit goup
about the
preventionbf accidentaleye
injuries?
1.Workplace
policiesfor
handlingchemicalsshould be followed.
2.Children
andparentsshould
be cautiousabout
aggresiveplay.
3Protectiveeyenrearshould be worn duringsportsorhazardous nork
4.EmergencyeyeNash stationsshould be establishedinthe workplace.
5.Whichfindingwould be immediatelyreportedtothe healthcareprovider?
Change
in colorvision
2.Crustyyellow
drainage
on the evelashes
3.Increased
lacrimation
(Curtainlike
shadow across the visual
feld
6)Which
action
wouldthe
nurse
recommend
firstfo}a patient who has a
hordeolum
(sty)on the
right
upper
eyelid?
Applywarm
compressesfourtimesper
day.
2.Gently
perform
hygienic
eyelid
scrubs.
3.Obtaina
prescription
for
antibiotic
drops.
Contact
the
ophthalmologist.
(7Which
symptom
would
the
nurse
teach the
patient,
who just
had
cataract
surgery,to
immediately
reportto
the
health
care
provider?
1.A
seratchy
sensation
in
the
operative
eye
Loss
ofdepth
perception
with thepatch
in
place
Poor
vision 6 to
hours
after patch
removal
4\Painnotrelieved
by prescribed
medication
(8Whichsignorsymptom wouldbe
investigated as an
early/signofopen-angle
glaucoma
(POAG) for
a patient
who
has multiple
risk
factorsfor
primary
POAG?
bpho nervVe
1.Lossofcentral
visual
field
Seeinghalosaroundlights
3 Mild
eye
aching
4. Lossofperipheral
vision
9Which
asymptomatic
andlowrisk
patient needs tohave an annual
(or
sooner,as recommended) eye examination,
accordingto
evidence-based
guidelinesfromthe
American Optometric Association?
1.18-year-old
65 older
2.40-year-old
3.55-year-old
A67-year-old
(10)Whichtaskisappropriateto assignto an LPN/LVN who isfunctioningunderthe supervisionofan RN? Select
allthatapply.One, some,
orallresponsesmay be correct.
1.Administering
sulfacetamide
sodium
10% toa child
withconjunctivitis
2.)
Reviewing
hand-washing
and hygiene
practices
withpatients
who
have eye infections
(3,Showing
patients
how
to gently
cleansethe
eyelidmarginsto
remove
crusting
Assessing
nutritional
factors
for
a patient
withage-related
maculardegeneration
5.Reviewing
the healthhistory
ofa
patient
toidentify
risk
forocular
manifestations
(6,
Performing
a
routine
check
ofa
patient's
visual
acuity
using the
Snellen
eye chart
NWhich
action
would
the
nurse
take
firstduring
a camping trip
when
a man
gets a
largewood
splinter
stuck
inhis
1.Have
the man
liein
theback seatof
the carand drive
him
tothe emergency
department.
eyeball?
Gently
remove
thepiece
ofwood
and placea sterile
dressing
overtheeye.
X
3
Carefully
rest
aplastic
cup
on
theorbital
rimand
tape
itin
place.
V
4.Flush
the eyewithcopious amounts
ofclean
tepid
water;
then
check
visual
acuity.
1.Which patient
statement warrants additional assessment and notification of the health care
providerbefore
administering
a
prescribed
beta-adrenergic blocking
glaucomaagent?
My
blood
pressure
runsalittle
highifI gain to0 much
weight."
"Occasionally,I have
palpitations,but they pass
veryquickly."
My
jointsfeel stiff today, but that'sjustmy
arthritis."
4.)Ny pulse rate
isa little
lovtoday
because Itake
digoxin."
( Which pieceofequipment
would the nurse use
firstwhena
patientreports a sudden onset of painless, blurred,
and
double
visionthat
resolved afterseveral minutesand denies a recent
change ofprescription
lenses?
2Blood
pressurecuff
Snellen
eyechart
CUullabe hupertensr
3)Ophthalmoscope
4. Oral
thermomneter
Which piece of equipmentwould the
aurseuse first
when a patient reportsa sudden onset ofpainless, blurred,
anddotblevision
thatresolved afterseveralminutes and denies a recentchange of prescriptionlenses?
1.Snelleneye chart
2.Bloodpressurecuff
3.Ophthamoscope
4,Oralthermometer
78 Which adversephysiologicresponseis a possibleconsiderationfora patient who had intraocularsurgeryand is
prescribeda topicalapplicationofphenylephrine(adrenergicagonist)?
Cardiovascularresponse,such ashypertensionorventriculardysrhythmias
2. Renalresponse,such
as urinaryretention
orurinaryincontinence
3- Respiratory
response,such
as bronchospasm or
mucus plugs
Musculoskeletal
response,such
as bone painorjoint
stiffness
L.Which
advicewould thenurse
give to an olderpatient
who had ranibizumab
injectedintothe eye
fortreatment
of
wet age-related
maculardegeneration
several
days ago and
is now experiencing
redness,light
sensitivity,and
pain?
S4.
Which advicewould the nursegiveto
an
olderpatient
who had ranibizumab
injected
intothe eye
fortreatment
ofwet age-related
macular
degeneration
several
days ago and
is now
experiencing
redness,
light
sensitivity,
and
pain?
These
arecommon
sideeffects
that
shouldpass aftera
few more
days.
V2,Contact
the healthcareprovider
(HCP)
immediately
forpossible
eye infection.
3.Rest
eyes
as much
as
possible
and wear sunglasses
iflights
are
too bright.
Inform
the
HCP before
thenext
treatment
sothat
thedosage
can
be adjusted.
The nurse
is
aware
that many
eyedrops
that
areprescribed
for
glaucoma
couldpotentially
cause serious
systenie
effects,
On
thefigure
below,identify
the
areawhere
the nursewill
teach the patient
to apply
punctal
occlusion
to
prevent
systemic
absorption.
Pressire
on
inner
Conhe
(21.
Which taskis
appropriateto
assigntoan
LPN/LVN
who is
funcioningunderthe
supervisionofan
RN? Select
all
thatapply.
One,some, or all
responses
may be
correct.
nIrrigating
the earcanalto
loosenimpacted cerumen
Administering
amoxicillinto achildwithotitis
media
3.Reminding the
patientnot toblowthe
nose aftertympanoplasty
4. Counselingapatientwith Ménièredisease
5.Developingcommunicationtechniquesforthe familyofa hearing-impairedolderadult
6.Assessinga patientwithlabyrinthitisforheadache and levelofconsciousness
22)Whichadditionalassessment wouldthe nurseincludeforan olderadultpatientwho reports,"latelytherehas
been aroaringsound inmy ears"?Selectallthatapply.One,some, orallresponsesmay be correct.
aObtain
a medication
history.
2)Ask
about exposure
to loudnoises.
)Observe
the canalfor
earwax orforeign
body.
4 Assess
for
signsand
symptoms
ofearinfection.
5)Ask
about method
ofear
hygiene.
6.Ask
about
diet
and nutrition.
34.Drag
and Drop
Cloze
o900:
A
73-year-old
woman
comes
tothe
clinic
for
an
annual
wellness
visit.
The
patientis
alert,
oriented,
and
conversant.
She has
mild
heart
failure,
rheumatoid
arthritis,
hypercholesterolemia,
and
occasional
anxiety.
Medications
include
lisinopril5 mg/day,
aspirin650 mg every
to 6 hours,
pravastatin
mg/day,andlorazepam
1
mg
PRN.
Instructions:
Complete thesentences
below by
choosingthe most probableoptionforthe
missinginformation.
As the nurse
is
interviewing, assessing,and
administering standardizedtests, thenurse
suspectsa hearingproblem when thepatient tilts
herhead toward thenurse.
A__1_Supports
thenurse'ssuspicion ofbearingloss. The nurse
collects further information
about__2_and
3becauseofthegreaterpotential for
ototoxicity,as a medicationsideeffect.To
facilitatetwo-way communication withthe
patient,thenurse wowd firstry
4
Option
1
Options 2 and 3
Mini-MentalStateExam scoreof
lisinopril2.
mg/day
Rinne
Test-negative
acetaminophen 500 mg every 12
hours
Get Up andGo Test of 30 seconds aspirin 1000 mg every4 to 6 hours
Mini-Cogtestscoreof 5 pravastatin
40 mg/day
Snellenscoreof20/
lorazepam
1 mg PRN
Option 4
spealángveryloudly
clearlyenunciatingunfamiliar
terms
writingmessages ona white board
facingpatientwith eye contact
using simple,
briefcommands
bhind
yl
ays
Yace
flt
