NCLEX Review About The Aging Eye (26-30)

NCLEX Review About The Aging Eye

26. During the early postoperative period, the client who has had a cataract extraction complains of nausea and severe eye pain over the operative site. The initial nursing action is to:

a) call the physician
b) reassure the client that this is normal
c) turn the client on his or her operative side
d) administer the ordered pain medication and anti-emetic

27. The client is being discharged from the ambulatory care unit following cataract removal. The nurse provides instructions regarding home care. Which of the following, if stated by the client, indicates an understanding of the instructions?

a) I will take aspirin if I have any discomfort
b) I will sleep on the side that I was operated on
c) I will not lift anything if weighs more than 10 pounds
d) I will wear my eye shield at night and my glasses during the day



28. The client with glaucoma asks the nurse if complete vision will return. The most appropriate response is:

a) your vision will never return to normal
b) your vision will return soon as the medication begins to work
c) your vision loss is temporary and will return in about 3 to 4 weeks
d) although some vision has been lost and cannot be restored, further loss may be prevented by adhering to the treatment plan

29. The nurse is developing a teaching plan for the client with glaucoma. Which of the following instructions would the nurse include in the plan of care?

a) avoid overuse of the eyes
b) decrease the amount of salt in the diet
c) eye medications will need to be administered for the client's entire life
d) decrease fluid intake to control the intraocular pressure

30. The nurse is preforming an admission assessment on a client with a diagnosis of detached retina. Which of the following is associated with this eye disorder?

a) total loss of vision'
b) pain in the affected eye
c) a yellow discoloration of hte sclera
d) a sense of a curtain falling across the field of vision




NCLEX Review About The Aging Eye:
ANSWERS AND RATIONALE

26) A

- Severe pain or pain accompanied by nausea is an indicator of increased intraocular pressure and should be reported to the physician immediately. Options B, C, and D are inappropriate actions.

27) D

- The client is instructed to wear a metal or plastic shield to protect the eye from accidental injury and is instructed not to rub the eye. Glasses may be worn during the day. Aspirin or medications containing aspirin are not to be administered or taken by the client and the client is instructed to take acetaminophen (Tylenol) as needed for pain. The client is instructed not to sleep on the side of the body on which the operation occurred. The client is not to lift more than 5 lb.

28) D

- Vision loss to glaucoma is irreparable. The client should be reassured that although some vision has been lost and cannot be restored, further loss may be prevented by adhering to the treatment plan. Option A does not provide reassurance to the client.

29) C

- The administration of eye drops is a critical component of the treatment plan for the client with glaucoma. The client needs to be instructed that medications will need to be taken for the rest of his or her life. Options A, B, and D are not accurate instructions.

30) D

A characteristic manifestation of retinal detachment described by the client is the feeling that a shadow or curtain is falling across the field of vision. No pain is associated with detachment of the retina. Options A and C are not characteristics of this disorder. A retinal detachment is an ophthalmic emergency and even more so if visual acuity is still normal.



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