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Your patient, who has open-angle glaucoma, is scheduled for a procedure that will remove some of the trabecular meshwork and create an opening to allow aqueous humor to collect in an area of the conjunctiva. This procedure will allow aqueous humor to be reabsorbed and help decrease IOP. As the nurse you know that you will need to provide pre-op and post-op patient education about what procedure below? A. Iridectomy B. Selective Laser Trabeculoplasty (SLT) C. Laser iridotomy D. Trabeculectomy ---------CORRECT ANSWER-----------------D You're providing care to a patient who just had glaucoma surgery. The patient is alert and oriented. Vital signs are: heart rate 82 bpm, blood pressure 110/80, oxygen saturation 97% on room air, respiratory rate 18, and pain rating of 2 on 1- 10 scale. Which patient finding below requires you to notify the physician? A. The patient reports blurred vision. B. The patient is having difficulty passing stool and reports constipation. C. The patient reports that the eyes feel itchy.
D. The patient's eyes are frequently tearing up. ---------CORRECT ANSWER------------ -----B You're observing a patient self-administer eye drops for the treatment of glaucoma. Which finding below requires you to re-educate the patient on how to administer eye drops correctly? A. The patient refrains from blinking after instilling the eye drops. B. The patient washes hands before and after administering the eye drops. C. The patient uses a tissue to catch any medication that drips out of the eye after administration of the drops. D. The patient places the drops of medication directly on the eye via the cornea. -- -------CORRECT ANSWER-----------------D The patient is ordered to take Timolol for the treatment of glaucoma. Before administration the nurse will educate the patient about this new medication. Which of the following information is the MOST pertinent the nurse to include? A. Measuring the heart rate because this medication can cause tachycardia B. Performing punctal occlusion after instilling the eye drops C. Avoid taking this medication with any other glaucoma medications. D. Always administer this medication 1 minute before another type of glaucoma medication. ---------CORRECT ANSWER-----------------B
A. Monitoring surgical drains for amount and color of drainage B. Encouraging range-of-motion exercises in the affected arm C. Assessing for manifestations of lymphedema D. Observing the surgical site for redness and swelling ---------CORRECT ANSWER--- --------------B The nurse prepares to visit the home of a client recovering from a mastectomy for breast cancer. Which should be included in the ongoing care of this client? (Select all that apply.) A. Postmastectomy exercises B. Signs and symptoms of infection C. Importance of adequate rest periods D. Possible participation in a support group E. Keeping the affected limb immobile as much as possible ---------CORRECT ANSWER-----------------A, B, C, D A patient with a diagnosis of lung cancer is receiving chemotherapy and reports nausea and loss of appetite resulting in decreased food intake. What should the healthcare provider recommend to promote adequate nutrition? Advise the patient to: A Eat only favorite foods to increase appetite. B Eat small meals throughout the day.
C Eat large meals but less frequently throughout the day. D Eat only when feeling hungry. ---------CORRECT ANSWER-----------------B A patient who recently stopped smoking asks a healthcare provider about the risks of developing lung cancer. The healthcare provider's best response is: A"If lung cancer hasn't developed yet, the ongoing risk is equivalent to a non- smoker." B"In [8] months, the risk of developing lung cancer is twice as high as a non- smoker." C "In [15] years, the risk of developing lung cancer will be equivalent to a non- smoker." D "An elevated risk of developing lung cancer compared to a non-smoker will remain constant life-long." ---------CORRECT ANSWER-----------------C A patient whose lung cancer has metastasized to the bone reports lethargy, nausea, and vomiting. The healthcare provider monitor suspects the patient is experiencing hypercalcemia. Which of the following assessments associated with hypercalcemia would confirm the healthcare provider's suspicion? A Decreased deep tendon reflexes B Presence of Chvostek sign C Abdominal cramps and diarrhea D Serum calcium level 10mg/dL (2.5mmol/L) ---------CORRECT ANSWER--------------- --A
A Before starting the infusion. B When the patient complains of nausea. C One half hour after the infusion has started. D One hour after the infusion is complete. ---------CORRECT ANSWER----------------- A What causes cataracts? (Select all that apply) A. Trauma B. Genetics C. Medical conditions D. Glasses E. Exposure to toxins ---------CORRECT ANSWER-----------------A, B, C, E Which are signs and symptoms associated with cataracts? (Select all that apply) A. Blurred vision B. Decreased color perception C. Double vision D. Difficulty driving at night E. Pain F. Eye redness ---------CORRECT ANSWER-----------------A, B, C, D
Cataracts leads to blindness A. True B. False ---------CORRECT ANSWER-----------------A What is the only "cure" for cataracts? ---------CORRECT ANSWER----------------- Phacoemulsification Choose possible complications associated with cataract surgery that would need to be included in patient teaching? (Select all that apply) A. Infection B. Increased ocular pressure C. Pain ---------CORRECT ANSWER-----------------A, B, C Which of the following activities can increase intraocular pressure? (Select all that apply) A. Forward fold posture in yoga B. Blowing your nose C. Wearing tight shirt collars
Which of the following types of glaucoma is an opthalmic emergency? A. Primary open angle glaucoma B. Primary angle closure glaucoma ---------CORRECT ANSWER-----------------B How often should an adult between age 40-54 have an eye exam? A. Every 2-4 years B. Every 1-3 years C. Every 1-2 years D. Every 6-12 months ---------CORRECT ANSWER-----------------B What class of med is Timolol? A. Prostaglandin agonist B. Adrenergic agonist C. Beta adrenergic blocker D. Cholinergic agonist E. Carbonic anhydrase inhibitor ---------CORRECT ANSWER-----------------C
What class of med is Dorzolamide? A. Prostaglandin agonist B. Adrenergic agonist C. Beta adrenergic blocker D. Cholinergic agonist E. Carbonic anhydrase inhibitor ---------CORRECT ANSWER-----------------E What class of med is Pilocarpine? A. Prostaglandin agonist B. Adrenergic agonist C. Beta adrenergic blocker D. Cholinergic agonist E. Carbonic anhydrase inhibitor ---------CORRECT ANSWER-----------------D Where would a nurse teach a client to apply punctual occlusion? A. Pressure on nose opposite affected eye B. Pressure on corner of eye near nose C. Pressure on upper eyelid
E. Turmeric F. Calcium ---------CORRECT ANSWER-----------------A, B, C, D Smoking can cause dry AMD to progress at a faster rate? A. True B. False ---------CORRECT ANSWER-----------------A Macular degeneration affects which type of vision? A. Peripheral B. Central ---------CORRECT ANSWER-----------------B Which patient does the nurse identify at highest risk for development of dry age related macular degeneration? A. 55 year old client who recently began wearing glasses B. 59 year old client who has controlled hypertension C. 62 year old client with hypothyroidism D. 69 year old client with diabetes ---------CORRECT ANSWER-----------------D
In your patient's health history you read that the patient has a cataract in the right eye. You know that this eye disorder can be best described by which statement below? A. This eye disorder is caused by increased intraocular pressure that results in damage to the optic nerve. B. Cataracts occur in the eye when the macula of the retina become damaged and impair the central vision. C. The development of a cataract occurs when the lens of the eye loses its transparency. D. This eye disorder occurs from uncontrolled high blood glucose levels which lead to retinal damage. ---------CORRECT ANSWER-----------------C What is the most common cause of cataracts? A. Congenital B. Aging C. Trauma D. Uncontrolled blood glucose levels ---------CORRECT ANSWER-----------------B Which patient finding below is associated with the development of cataracts? A. Loss of central vision B. Loss of peripheral vision
E. Managing blood glucose levels F. Scheduling regular eye exams ---------CORRECT ANSWER-----------------A, B, C, D, E, F A patient will be having outpatient cataract surgery in 3 days. The surgeon ordered the patient to begin instilling two types of eye drop medications 3 days prior to the surgery. You have demonstrated and educated the patient on how to do this properly. Which action by the patient is incorrect and requires re- education about how to instill the eye drops? A. The patient instills the eye drops onto the conjunctival sac. B. The patient instilled the anti-inflammatory eye drops before the antibiotic eye drops. C. The patient waited 30 seconds before instilling the second eye drop medication into the eye. D. After instilling each type of eye drop medication, the patient kept the eye closed and took her index finger and placed it at the side of the bridge of the nose for 2 minutes. ---------CORRECT ANSWER-----------------C A patient has arrived for a post-op visit to the clinic after cataract surgery in the left eye. Which statement by the patient causes concern and requires further investigation? A. "My left eye has experienced some itchiness." B. "The vision in my left eye was blurry for a few days." C. "I have been experiencing flashes of light in my left eye."
D. "I had pain in my left eye after surgery and took Acetaminophen." --------- CORRECT ANSWER-----------------C Which activity below is allowed after cataract surgery? A. Bending B. Running C. Watching TV D. Swimming ---------CORRECT ANSWER-----------------C A patient is 2 hours post-op from cataract surgery in the right eye. You're collecting vital signs and assessing the patient. Which finding in your patient after cataract surgery requires to you re-educate the patient? A. The patient is asleep on their right side. B. The patient is wearing the eye shield while asleep. C. The patient fell asleep watching TV. D. The patient is not wearing his glasses. ---------CORRECT ANSWER-----------------A Which statement below is CORRECT about glaucoma? A. "The vision loss that occurs with glaucoma is reversible with eye drop medications."
B. Gradual loss of peripheral vision C. Sudden vision changes (halos around lights or blurred vision) D. Severe eye pain E. Corneal edema F. Nausea and vomiting G. Red eyes H. No pain I. IOP <10 mmHg ---------CORRECT ANSWER-----------------C, D, E, F, G Your patient is being treated for open-angle glaucoma. What assessment finding is NOT typically present with this type of glaucoma? A. Tunnel vision B. Cloudy vision C. Optic disc cupping D. High intraocular pressure ---------CORRECT ANSWER-----------------B Your patient has a history of angle-closure glaucoma. What type of medications should this patient avoid? A. Anticholinergics B. Cholinergics C. Beta blockers
D. Alpha-agonists ---------CORRECT ANSWER-----------------A A nurse is caring for a client who has cirrhosis. Which of the following meds can the nurse expect to administer to this client? (Select all that apply) A. Diuretic B. Beta blocker C. Opioid analgesic D. Lactulose E. Sedative ---------CORRECT ANSWER-----------------A, B, D Which condition is NOT a known cause of cirrhosis? A. Obesity B. Alcohol consumption C. Blockage of the bile duct D. Hepatitis C E. All are known causes of Cirrhosis ---------CORRECT ANSWER-----------------E The liver receives it blood supply from two sources. One of these sources is called the _________________, which is a vessel network that delivers blood _____________ in nutrients but ________ in oxygen.
