Workbook Quiz 10, 18, 20

according to evidence-based guidelines from the American Optometric Association, which modifiable risk factor is the most important to emphasize during patient teaching to reduce the risk for age-related macular degeneration

• initiate smoking cessation

• take Vitamin D and E supplements

• eat dark green, leafy vegetables

• wear protective eyewear as needed

the nurse is reviewing prescriptions for several patients who have disorders of the eye. which medication prescription is the most important to discuss with the HCP

• Timolol for open-angle glaucoma

• Cromolyn sodium for allergic conjunctivitis

• Atropine for acute angle-closure glaucoma

• Ranibizumab for wet age-related macular degeneration

a patient calls the clinic and reports redness of the sclera, itching of the eyes, and increased lacrimation for several hours. what should the nurse direct the caller to do first

• please call your healthcare provider (i.e. decline to advise)

• apply a cool compress to your eyes

• if you are wearing contact lenses, remove them

• take an OTC antihistamine

the nurse is teaching a community group about the prevention of accidental eye injuries. which advice is the most important to stress

• workplace policies for handling chemicals should be followed

• children and parents should be cautious about aggressive play

• protective eyewear should be worn during sports or hazardous work

• emergency eyewash stations should be established in the workplace

which finding should be immediately reported to the HCP

• a change in color vision

• crusty yellow drainage on the eyelashes

• increased lacrimation

• a curtainlike shadow across the visual field

a patient has a hordeolum (sty) on the right upper eyelid. which intervention would the nurse recommend first

• apply warm compress four times per day

• gently perform hygienic eyelid scrubs

• obtain a prescription for antibiotic drops

• contact the ophthalmologist

after cataract surgery, which symptom needs to be immediately reported to the HCP

• a scratchy sensation in the operative eye

• loss of depth perception with the patch in place

• poor vision 6 to 8 hours after patch removal

• pain not relieved by prescribed medication

for a patient who has multiple risk factors for primary open-angle glaucoma (POAG), which sign or symptom should be investigated as an early sign of POAG

• loss of central visual field

• seeing halos around lights

• mild eye aching

• loss of peripheral vision

according to evidence-based guidelines from the American Optometric Association, which patient needs to have an annual (or sooner, as recommended) eye examination

• 18 year old who is asymptomatic and has low risk

• 40 year old who is asymptomatic and has low risk

• 55 year old who is asymptomatic and has low risk

• 67 year old who is asymptomatic and has low risk

which tasks are appropriate to assign to an LPN/LVN who is functioning under the supervision of an RN

• administering sulfacetamide sodium 10% to a child with conjunctivitis

• reviewing hand-washing and hygiene practices with patients who have eye infections

• showing patients how to gently cleanse the eyelid margins to remove crusting

• performing a routine check of a patient's visual acuity using the Snellen eye chart