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Assessment

Quiz

English

Professional Development

Hard

Created by

US NURSES EVALUACIONES

FREE Resource

7 questions

Show all answers

1.

MULTIPLE CHOICE QUESTION

30 sec • 1 pt

The nurse is caring for a client following a cataract removal from their left eye.

Which statement by the client's wife indicates an understanding of the post-operative care instructions?

A.“He should sleep on his left side.”


B.“He should sleep on his right side.”


C."I will need to give him postoperative antibiotic eye drops every hour."

D.“He needs to sleep sitting completely upright.”

Answer explanation

Choice B is correct. This client would be the safest sleeping on their right side. This helps prevent edema in the operative eye. This client would also benefit from being placed in a semi-Fowler's position.

Choice A is incorrect. This client should not sleep on their left side. This may increase the potential for swelling, increased pressure, and bleeding.

Choice C is incorrect. A client recovering from cataract surgery will be prescribed a short course of ocular antibiotics, but they will not need to be administered hourly. Hourly ocular antibiotics are typically prescribed for a cornea ulcer.

Choice D is incorrect. Sleeping completely upright following this surgery is not necessary. The client should avoid sleeping on the operative side and wear the ordered eye shield. The eye shield is usually worn for up to one week.

2.

MULTIPLE CHOICE QUESTION

30 sec • 1 pt

The nurse is assessing a client with age-related cataracts. Which of the following assessment findings would support this diagnosis of age-related cataracts?

A.peripheral vision loss

B.central vision loss


C.difficulty seeing at night, especially while driving

D.blurred vision with headache

Answer explanation

Choice C is correct. Age-related cataracts are caused by the formation of opacities in an individual's lens. Almost all individuals who are 75 have some degree of cataracts. Age-related cataracts are painless and include the individual reporting blurred vision, difficulty driving (especially at night), and decreased color perception. Cataracts are progressive and may be treated with an outpatient procedure (phacoemulsification).

Choice A is incorrect. Peripheral vision loss is a characteristic of glaucoma. This is not a manifestation consistent with cataracts.

Choice B is incorrect. Central vision loss is consistent with macular degeneration. This is not a manifestation consistent with cataracts.

Choice D is incorrect. Age-related cataracts are painless, and although the client will have blurring of their vision, headache is not an expected finding.

3.

MULTIPLE CHOICE QUESTION

30 sec • 1 pt

The nurse is performing discharge education to an older adult diagnosed with cataracts. Which of the following statements indicates effective understanding?

A.“I may have to quit driving until I get the cataracts treated.”


B."I should spend less time outdoors in the sun and plan more activities at night."


C."I will need to avoid activities that raise my intraocular pressure, such as bending at the waist."

D.“I will have to be careful since my eyes won’t move together.”

Answer explanation

Choice A is correct. As individuals age, they are at increased risk for cataracts. During the early stages of this condition, diminishing distance vision is the highest risk for older adults. The nurse must caution the client that the ability to see signs when driving will present a significant risk.

Choice B is incorrect. Activities during the day are not restricted. Activities at night may become more difficult because cataracts already cause an individual to have blurred vision, which is worsened by the lack of light.

Choice C is incorrect. Cataracts do not cause an individual to have an increase in intraocular pressure (IOP). Glaucoma is a condition that raises the IOP and is the leading cause of blindness in North America.

Choice D is incorrect. Extraocular movements are not affected by cataracts. Cataracts do not affect the cranial nerves that control eye movements, as this is an issue with the lens.

4.

MULTIPLE CHOICE QUESTION

30 sec • 1 pt

The nurse is providing discharge instructions to a client who underwent left eye cataract surgery with a lens implant. Which statement by the client would indicate a correct understanding of the teaching?

A."I should avoid getting water in the eye for 3 to 7 days after surgery."


B."It is okay for me to resume normal chores such as vacuuming."


C."It is okay for me to have green or yellow, thick drainage from the eye."

D."I may take aspirin for any pain I may experience."

Answer explanation

Choice A is correct. This statement indicates effective teaching by the nurse. Following cataract surgery, the client should not get water in the affected eye for three to seven days. This measure will reduce the potential for infection.

Choices B, C, and D are incorrect. Following cataract surgery, the client may resume light chores, but activities that may increase the intraocular pressure (normal is 10-21 mm Hg), such as vacuuming, should be avoided for several weeks because of the forward flexion involved and the rapid, jerky movements. Other activities that may raise the intraocular pressure that should be suspended include lifting objects heavier than 10 pounds, straining, vomiting, sexual intercourse, and keeping the head in a dependent position. Creamy, white drainage is normal that may cause crusting (especially in the morning); however, yellow or green drainage is suggestive of infection. Aspirin should not be taken because of its impact on blood clotting; acetaminophen is preferred for pain control. Cool compresses and acetaminophen are generally permitted.

5.

MULTIPLE CHOICE QUESTION

30 sec • 1 pt

The nurse is making follow-up phone calls to clients who had cataract surgery with intraocular lens implantation the previous day.  The nurse receives which client report that requires priority intervention?

  1. Blurry vision in the affected eye  

  2. Constipation  
 

 3. Itching in the affected eye  

Answer explanation


Following cataract surgery, the client will be instructed that for several days (or until approved by the surgeon), activities that may increase intraocular pressure should be avoided to decrease the risk of damage to sutures or surgical site.  These include bending (eg, vacuuming floors, playing golf), lifting more than 5 lb, sneezing, coughing, rubbing or placing pressure on the eye, or straining during a bowel movement.

The nurse should encourage this client to increase fluids and fiber in the diet as well as consider an over-the-counter stool softener or laxative.

(Option 1)  It may take 1-2 weeks before visual acuity is improved.

(Option 3)  It is common for the client to experience itching ("sand" in the eye), photophobia, and mild pain for several days following surgery.  Purulent drainage, increased redness, and severe pain should be reported.

(Option 4)  Sleeping on 2 pillows will elevate the head of the bed and decrease intraocular pressure.

6.

MULTIPLE SELECT QUESTION

45 sec • 1 pt

 The nurse is preparing to administer eye drops to a
client being prepared for cataract surgery. Which ac
tions would the nurse take to administer the drops?
Select all that apply.

 1. Wash hands.

2. Put gloves on.

3. Place the drop in the conjunctival sac.

4. Pull the lower lid down against the cheekbone.

5. Instruct the client to squeeze the eyes shut after in
stilling the eye drop.

Answer explanation

 Rationale: To administer eye medications, the nurse would
wash hands and put gloves on. The client is instructed to tilt
the head backward, open the eyes, and look up. The nurse  pulls the lower lid down against the cheekbone and holds the
bottle like a pencil with the tip downward. Holding the bot
tle, the nurse gently rests the wrist of the hand on the client’s
cheek and squeezes the bottle gently to allow the drop to fall
into the conjunctival sac. The client is instructed to close the
eyes gently and not to squeeze the eyes shut to prevent the loss
of medication.
 Test-Taking Strategy: Focus on the subject, the procedure for
administering eye drops. Use guidelines related to standard
precautions and visualize this procedure. This will assist in
determining the correct interventions.

7.

MULTIPLE CHOICE QUESTION

30 sec • 1 pt

A 68-year-old client diagnosed with cataracts should be assessed for which finding?

A. Blurred or cloudy vision.

B. Burning sensation in the eye.

C. Inability to produce tears.

D. A swollen lacrimal gland.

Answer explanation

Cataracts are a condition where the lens of the eye becomes opaque, causing impaired vision. Blurred or cloudy vision is a common symptom of cataracts.

Choice B. Burning sensation in the eye. This is not a typical symptom of cataracts, but it could indicate an infection, allergy, or dry eye syndrome.

Choice C. Inability to produce tears. This is also not a typical symptom of cataracts, but it could indicate a problem with the lacrimal glands or ducts that produce and drain tears.

Choice D. A swollen lacrimal gland. This is not a symptom of cataracts, but it could indicate an inflammation or infection of the lacrimal gland, which is located near the upper eyelid.

Normal ranges for visual acuity are 20/20 for normal vision and 20/40 for mild impairment. Visual acuity can be measured using a Snellen chart or other methods.