Ophthalmology and Geriatrics Quiz

A 57 year old female patient is about to be discharged from the same day care after having cataract surgery performed on her right eye. As the nurse, what teaching should you provide the patient?

• Wear sunglasses

• Wear head protection

• Avoid sun UV rays or wear sunscreen when going outside

• Consult your provider before you go outside of your house

A patient calls out, stating that their eye is in excruciating pain suddenly. When assessing the patient, the patient states that they see halos around objects and have blurred vision. This assessment is closely in line to which ocular disease?

• Primary Angle Closure Glaucoma

• Second Angle Glaucoma

• Migraine headache

• Stomatisis

One of your patients who is currently getting hospice care expressed that they wish to donate their eyes to patients who need new eyes. You have already called the Eye Bank Associates, what is the correct way to preserve the eyes?

• Elevate the head of the bed to 30 degrees

• Apply antibiotic eye drops

• Close the patients eyelids

• Apply small ice packs to eyes

You are currently working at a primary care clinic and you are tasked with performing part of the physical exam for the doctor. On the questionnaire the patient filled out they work for a construction company and have for 23 years. You are concerned that the patient might have sensorineural hearing loss because of which of the following?

• Long periods of loud noise exposure

• He smoke 3 packs of cigarettes a week

• He drinks strictly black coffee

• He works 16 hour days regularly

As a veteran nurse, what is the best way to communicate with a patient admitted to the med surg floor of your local hospital who has hearing problems and currently uses hearing aids?

• Scream every word you have to say to the patient

• Cover your mouth while you are talking to prevent the spread of germs

• Speak quickly because you have other patient to care for

• Speak clearly and slowly while making eye contact with the patient

A nurse asks a patient to recall what place he was born. What type of memory is this?

• Remote memory

• Deep memory

• Recent memory

• Intrahippocampal memory

You are a night-shift nurse working on the medical-surgical unit. What actions can you take to reduce noise for your patients?

• Talk with fellow hospital personnel in the hallway

• Wearing soft-sole shoes

• Offer complimentary earbuds to patients

• Provide “white noise” in all patient rooms

You are a nurse screening for glaucoma risk at a primary clinic. Which of the following patients present with the most risk?

• African-American male aged 45 yrs. with a family history of glaucoma.

• Caucasian male with a family history of glaucoma.

• African-American female with a family history of glaucoma, as well as a history of hypertension, corneal thinness, and optic nerve abnormality.

• Hispanic American aged 65 yrs.

A patient with central vision loss has just been diagnosed with macular degeneration. They ask you what needs to happen for their vision to go back to how it was. Which response is appropriate?

• Corneal replacement surgery can repair a significant degree of your vision. The surgeon will be in shortly to explain the procedure to you.

• There are some medications that can improve and restore your vision by reducing the pressure on your eye. The doctor will be in soon to discuss these with you.

• While we cannot reverse the effects of this condition, certain procedures, interventions, and dietary and lifestyle changes can prevent it from progressing further and maintain your independence and quality of life.

• Sadly, there is nothing we can do to restore your vision. This condition is progressive and there is no cure. However, we will do what we can to improve your quality of life and keep you independent for as long as possible.

Your patient just came back from cataract surgery and they're exhausted. You let them rest for a bit and give a report to the night shift nurse. The next morning, you check in on the patient to find them with tears streaming down their face. They report that they aren't crying or even sad, but they just keep tearing up. What is your priority action?

• Let the patient know that this is expected and sometimes happens after eye surgery due to inflammation

• Call the surgeon about a potential infection

• Let the patient know that this is a side effect of the anesthesia medications from surgery

• Put the patient on NPO status and call the surgeon. Let them know that the surgery may have punctured their eye and that they will be back in to repair it shortly