The nurse is reviewing a clients medical record and

This preview shows page 39 - 41 out of 69 pages.

9.The nurse is reviewing a client’s medical record and notes that the last eye examinationrevealed an intraocular pressure of 28 mm Hg. Which of the following parameters shouldthe nurse assess?a.Visual acuityb.Pupil reactionc.Colour perceptiond.Peripheral visionANS:The client’s increased intraocular pressure indicates glaucoma, which decreases peripheralvision. Because central visual acuity is unchanged by glaucoma, assessment of visualacuity could be normal even if the client has worsening glaucoma. Colour perception andpupil reaction to light are not affected by glaucoma.D
DIF:Cognitive Level: ApplicationTOP:Nursing Process: Planning10.The nurse is caring for a client with a left retinal detachment who had a pneumaticretinopexy procedure. Which of the following information should be included in thedischarge teaching plan?
c.The procedure for sterile dressing changes when the eye dressing is saturatedd.The purpose of maintaining the head in a prescribed position for several weeksANS:DFollowing pneumatic retinopexy, the client will need to position the head so the air bubbleremains in contact with the retinal tear. The dark lenses and bilateral eye patches are notrequired after this procedure. Saturation of any eye dressings would not be expectedfollowing this procedure.DIF:Cognitive Level: ApplicationTOP:Nursing Process: Planning11.The nurse is caring for a client with age-related macular degeneration who has just hadphotodynamic therapy. Which of the following statements by the client indicates that thedischarge teaching has been effective?D
DIF:Cognitive Level: ApplicationTOP:Nursing Process: Evaluation

Upload your study docs or become a

Course Hero member to access this document

Upload your study docs or become a

Course Hero member to access this document

End of preview. Want to read all 69 pages?

Upload your study docs or become a

Course Hero member to access this document

Term
Fall
Professor
N/A
Tags
Combined oral contraceptive pill, prostatic hyperplasia, endometrial cancer

  • Left Quote Icon

    Student Picture

  • Left Quote Icon

    Student Picture

  • Left Quote Icon

    Student Picture