Eye Correction (NCLEX 66-70)

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66. A nursing student is caring for a client in the health care clinic who has been diagnosed with glaucoma. The nursing instructor asks the student to describe the type of medication that will likely be prescribed for the client to treat the eye disorder. Which statement by the student indicates an accurate understanding of the treatment for glaucoma?

a) a miotic agent will lower the pressure in the eye and increase the blood flow to the retina
b) a dilating agent will help dilate the eye to prevent pressure from occurring
c) a cycloplegic will relax the muscles of the eyes and prevent blurred vision
d) a mydriatic agent will help block the responses that are sent to muscles in the eye

67. A clinic nurse has provided instructions to a client with a diagnosis of glaucoma. Which statement by the client indicates an understanding of the treatment plan for glaucoma?

a) I need to restrict my fluid intake to four glasses daily
b) I need to take my eye drops for the rest of my life
c) I can uses salt only for cooking
d) I need to limit my amount of reading to 2 hours a day

68. A nurse is caring for a client with a diagnosis of retinal detachment. The client suddenly complains of a burst of black spots or floaters. The nurse interpret this symptom as:

a) hemorrhage as a result of the detachment
b) an expected finding
c) the need to restrict fluids
d) the need to patch the affected eye

69. A nurse is preparing a plan of care for a client being admitted to the hospital with a diagnosis of retinal detachment. Which of the following will the nurse include in the plan of care?

a) out of bed to ambulate with assistance
b) place an eye patch over the affected eye
c) maintain high-fowler's position
d) restrict visitors

70. A client arrives at the emergency department after a blow to the eye from a softball. The initial nursing action would be to:

a) call a physician to perform a thorough eye examination
b) irrigate the eye with sterile cool water
c) place the client in a supine position on a stretcher
d) apply ice to the affected eye







Eye Correction:
Answers and Rationale

66) A

- Miotics are used to lower the intraocular pressure, thereby increasing blood flow to the retina and decreasing retinal damage and loss of vision. Miotics cause a contraction of the ciliary muscle and a widening of trabecular meshwork. Options B, C, and D all describe actions related to mydriatic medications, which primarily dilate the pupils and relax the ciliary muscles. These options are incorrect and would not be used for the client with glaucoma.

67) B

- 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 life. Limiting fluids or reducing salt intake will not decrease intraocular pressure. Restricting the amount of time reading is not a component of the plan.

68) A

- Complaint of a sudden burst of black spots or floaters indicates that bleeding has occurred as a result of the detachment. This is not a normal, expected finding and if it occurs, it indicates hemorrhage. There is no need to restrict fluids. The nurse places an eye patch over the client's affected eye to reduce eye movement, but the patch should have already been in place.

69) B

- The nurse places an eye patch over the client's affected eye to reduce eye movement. Some clients may need bilateral patching. Depending on the location and size of the retinal break, activity restrictions may be needed immediately. These restrictions are necessary to prevent further tearing or detachment and to promote drainage of any subretinal fluid. The nurse positions the client as prescribed by the physician. Visitors do not need to be restricted.

70) D

- A traumatic injury with a blunt object is treated immediately with the application of ice. The client should receive a thorough eye examination to rule out the presence of other eye injuries, but this is not the initial action. Eye irrigation is not necessarily required for a blunt injury. The supine position would increase the amount of swelling in the eye.


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Eye Correction NCLEX Questions (1-6)

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Eye Correction NCLEX Questions (71-75)