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CATARACT 7.
TRUE OR FALSE: If a patient has
bilateral cataracts and needs surgery, 1. In your patient’s health history you both eyes can be surgically treated at read that the patient has a cataract in the same time. the right eye. You know that this eye - FALSE disorder can be best described by 8. A patient has a cataract in the left eye which statement below? and has decided to prolong having - C. The development of a cataract surgery as long as possible until her occurs when the lens of the eye activities of daily living are affected. loses its transparency. What are some measures the patient 2. What is the most common cause of can take to help manage the cataract at cataracts? this time? Select all that apply: - B. Aging - B. Enlarging text or visual images 3. In the development of cataracts, light with a magnifier. is scattered and cannot travel properly - C. Adding more light when to the retina’s reading. _____________________, and this - D. Wearing anti-glare glasses. leads to visual impairment. 9. Your patient has several risk factors - D. cones and rods that increase his risk for developing 4. Which patient finding below is cataracts. What preventive measures associated with the development of can you educate the patient about? cataracts? Select all that apply: - C. Cloudy, hazy vision - A. Wearing large brim hats while 5. A patient is being evaluated for in the sun cataracts. The doctor uses a slit-lamp - B. Eating a diet rich in vegetables to assess the patient’s eyes. As the and fruits nurse you know that this device will? - C. Quit smoking - C. enlarge the front area of the eye - D. Reducing alcohol consumption (cornea, iris, lens etc.). - E. Managing blood glucose levels 6. Your patient is having a - F. Scheduling regular eye exams phacoemulsification for treatment of a 10. A patient will be having outpatient cataract. You’re providing education cataract surgery in 3 days. The to the patient about the procedure. surgeon ordered the patient to begin Which statement by the patient instilling two types of eye drop demonstrates he understood the medications 3 days prior to the educational material provided about surgery. You have demonstrated and this procedure? educated the patient on how to do this - A. “The cloudy lens in my eye properly. Which action by the patient will be broken up with sound is incorrect and requires re-education waves and removed. Then a new about how to instill the eye drops? permanent lens, called an - C. The patient waited 30 seconds intraocular lens, will be placed in before instilling the second eye my eye.” drop medication into the eye. 11. The nurse is preparing to instill eye 16. A patient is 2 hours post-op from dilation drops to a patient prior to cataract surgery in the right eye. cataract surgery. The nurse confirms You’re collecting vital signs and that the operative eye is the right eye. assessing the patient. Which finding in On assessment, the nurse notes the your patient after cataract surgery patient has dark brown eyes and that a requires to you re-educate the patient? cataract is present in the right eye. - A. The patient is asleep on their Which of the following nursing right side. actions is incorrect prior to instillation of the eye drops? - C. The nurse is aware that pupil dilation effects will occur quickly in this patient and should be administered at a time that correlates with the actual time of the surgery. 12. A 68-year-old male patient is considering cataract surgery. You’re collecting the patient’s health and medication history. Which medication below on the patient’s home medication list should the nurse notify the doctor about? - A. Tamsulosin 13. Prior to cataract surgery, the nurse is ordered to administer an eye medication that paralyzes the ciliary muscle of the eye which results in the loss of accommodation. Which medication group below has this type of mechanism of action? - C. Cycloplegics 14. 14. 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? - C. “I have been experiencing flashes of light in my left eye.” 15. Which activity below is allowed after cataract surgery? - C. Watching TV