GBR

is best?
a. Because eye pressure was too high, the tissue died.

b. Glaucoma always leads to permanent blindness.
c. The traumatic damage to your eye was too great.
d. The infection occurs so quickly it cant be treated.
ANSWER: A
Glaucoma is caused when the intraocular pressure becomes too high&stays high long
enough to cause tissue ischemia&death. At that point, vision loss is permanent. Glaucoma
does not have to cause blindness.
Trauma can cause glaucoma but is not the most common cause. Glaucoma is not an
infection.
DIF: Understanding/Comprehension REF: 976

KEY: Visual system| visual disorders| glaucoma| patient education|
pathophysiology MSC: Integrated Process: Teaching/Learning
NOT: Patient Needs Category: Physiological Integrity: Physiological Adaptation
5. A victim intraocular pressure (IOP) is 28 mm Hg. What action by the NP is best?

a. Educate the patient on corneal transplantation.
b. Facilitate scheduling the eye surgery.
c. Plan to teach about drugs for glaucoma.
d. Refer the patient to local Braille classes.
ANSWER: C
This increased IOP indicates glaucoma. The NPs main responsibility is teaching the patient
about drug therapy. Corneal transplantation is not used in glaucoma. Eye surgery is not
indicated at this time. Braille classes are also not indicated at this time.
DIF: Applying/Application REF: 976

KEY: Visual system| visual disorders| glaucoma| patient
education MSC: Integrated Process: Teaching/Learning
6. A patient had a retinal detachment&has undergone surgical correction. What discharge

instruction is most important?
a. Avoid reading, writing, or close work such as sewing.
b. Dim the lights in your house for at least a week.
c. Keep the follow-up appointment with the ophthalmologist.
d. Remove your eye patch every hr for eyedrops.
ANSWER: A
After surgery for retinal detachment, the patient is advised to avoid reading,
writing,&close work because they cause rapid eye movements. Dim lights are not
indicated. Keeping a postoperative appointment is important for any surgical patient.
The eye patch is not removed for eyedrops.
DIF: Understanding/Comprehension REF: 981

KEY: Visual system| visual disorders| patient
education MSC: Integrated Process:
Teaching/Learning
NOT: Patient Needs Category: Physiological Integrity: Reduction of Risk Potential
7. A patient has been taught about retinitis pigmentosa (RP). What statement by the
patient indicates a need for further teaching?
a. Beta carotene, lutein,&zeaxanthin are good supplements.
b. I might qualify for a retinal transplant one day soon.
c. Since Im going blind, sunglasses are not needed anymore.
d. Vitamin A has been shown to slow progression of RP.
ANSWER: C
Sunglasses are needed to prevent the development of cataracts in addition to the RP. The
other statements are accurate.
DIF: Evaluating/Synthesis REF: 981
KEY: Visual system| visual disorders| patient
education MSC: Integrated Process: Nursing
Process: Evaluation
8. A patient has a foreign body in the eye. What action by the NP takes priority?
a. Administering ordered antibiotics
b. Assessing the victim visual acuity
c. Obtaining consent for enucleation
d. Removing the object immediately
ANSWER: A
To prevent infection, antibiotics are provided. Visual acuity in the affected eye cannot be
assessed. The patient may or may not need enucleation. The object is only removed by
the ophthalmologist.
DIF: Applying/Application REF: 983

KEY: Visual system| visual disorders| antibiotics
MSC: Integrated Process: Nursing Process: Implementation
NOT: Patient Needs Category: Safe&Effective Care Environment: Safety&Infection Control
9. A patient who is near blind is admitted to the hospital. What action by the NP is most
important?
a. Allow the patient to feel his or her way around.
b. Let the patient arrange objects on the bedside table.
c. Orient the patient to the room using a focal point.
d. Speak loudly&slowing when talking to the patient.
ANSWER: C
Using a focal point, orient the patient to the room by giving descriptions of items as
they relate to the focal point. Letting the patient arrange the bedside table is a good idea,
but not as important as orienting the patient to the room for safety. Allowing the patient
to just feel around may cause injury. Unless the patient is also hearing impaired, use a
normal tone of voice.
DIF: Remembering/Knowledge REF: 984

KEY: Visual system| visual disorders| patient safety
MSC: Integrated Process: Nursing Process: Implementation
NOT: Patient Needs Category: Safe&Effective Care Environment: Safety&Infection Control
10. A patient had proxymetacaine (Ocu-Caine) instilled in one eye in the

emergency department. What discharge instruction is most important?
a. Do not touch or rub the eye until it is no longer numb.
b. Monitor the eye for any bleeding for the next day.
c. Rinse the eye with warm saline solution at home.
d. Use all the eyedrops as prescribed until they are gone.
ANSWER: A
This drug is an ophthalmic anesthetic. The patient can injure the numb eye by touching or
rubbing it. Bleeding is not associated with this drug. The patient should not be told to
rinse the eye. This medication was given in the emergency department&is not prescribed
for home use.

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is best?

a. Because eye pressure was too high, the tissue died.

DIF: Understanding/Comprehension REF: 976

5. A victim intraocular pressure (IOP) is 28 mm Hg. What action by the NP is best?

DIF: Applying/Application REF: 976

6. A patient had a retinal detachment&has undergone surgical correction. What discharge

DIF: Understanding/Comprehension REF: 981

DIF: Applying/Application REF: 983

DIF: Remembering/Knowledge REF: 984

10. A patient had proxymetacaine (Ocu-Caine) instilled in one eye in the

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