BSN 2 - B8

NUR 145 – LECTURE

SESSION 38

1. Which statement below is CORRECT about glaucoma?

A. “The vision loss that occurs with glaucoma is reversible with eye drop medications.”
B. “Glaucoma occurs due to decreased intraocular pressure, which damages the optic nerve.”
C. “Surgery can cure glaucoma.”
D. “A normal intraocular pressure is about 10-21 mmHg and is elevated in most patients with glaucoma.”
ANSWER: D
RATIO: Vision misfortune isn't reversible when it happens in glaucoma yet it's long-lasting… eye drops can
forestall further movement. Glaucoma happens due to Expanded intraocular pressure (NOT diminished), and
there is NO solution for glaucoma.

2. A patient asks you to explain how the intraocular pressure is measured to help detect glaucoma. You state
that IOP (intraocular pressure) is measured by what instrument below?

A. Goniscope
B. Tonometry
C. Ophthalmoscope
D. Phoroptor
ANSWER: B
RATIO: A tonometer is used to assess IOP (intraocular pressure).

3. What signs and symptoms are present with angle-closure glaucoma?

A. Patients are mainly asymptomatic

B. Gradual loss of peripheral vision
C. Sudden vision changes (halos around lights or blurred vision)
D. No pain
ANSWER: C
RATIO: A patient with an angle-closure glaucoma will NOT be asymptomatic like in an open-angle glauca.
They will have vision changes, corneal edema, nausea/vomiting, red eyes, and IOP >50 mmHg. It is a medical
emergency.

4. You’re observing a patient self-administer eye drops for the treatment of glaucoma. Which finding below
requires you to re-educate the patient on how to administer eye drops correctly?

A. The patient refrains from blinking after instilling the eye drops.
B. The patient washes hands before and after administering the eye drops.
C. The patient uses a tissue to catch any medication that drips out of the eye after administration of the drops.
D. The patient places the drops of medication directly on the eye via the cornea.
ANSWER: D
RATIO: Eye drops are put in the lower sac of the eye (conjunctival sac) NOT straightforwardly on the eye by
means of the cornea. It's critical that the medical attendant notices the patient utilizing the drops and reinstruct
assuming they are utilizing them inaccurately.

5. A patient with glaucoma is ordered eye medication for the right eye in the form of an ointment and eye drop.
The nurse will administer which type of medication first?

A. Ointment and then the eye drops

B. Eye drops and then the ointment
C. Wipe the eyes before applying ointment the eyedrops
D. Wipe the eyes before using the eyedrop and applying the ointment
ANSWER: B
RATIO: The nurse will administer eye drops FIRST and then the ointment
6. Your patient is ordered to take Acetazolamide for treatment of glaucoma. What in the patient’s history would
require you to hold the medication and obtain an order clarification from the physician?

A. The patient has open-angle glaucoma.

B. The patient is allergic to sulfonamides.
C. The patient reports tunnel vision.
D. The patient’s IOP is 25 mmHg.
ANSWER: B
RATIO: Patients who have a sulfonamide allergy should NOT take carbonic anhydrase inhibitors (hence
Acetazolamide)

7. Which of the following statement is true regarding the visual changes associated with cataracts?

A. Both eyes typically cataracts at the same time

B. The loss of vision is experienced as a painless, gradual blurring
C. The patient is suddenly blind
D. The patient is typically experiences a painful, sudden blurring of vision
ANSWER: B
RATIO: Typically, a patient with cataracts experiences painless, gradual loss of vision. Although both eyes may
develop at different rates.

8. The primary reason for performing iridectomy after cataract extraction is:

A. To prevent secondary glaucoma

B. To improve the vision of the client
C. To prevent postop hemorrhage
D. To reduce eye discomfort
ANSWER: A
RATIO: Preventing secondary glaucoma is the primary reason for performing iridectomy after cataract
extraction
9. Which of the following statement is true regarding the visual changes associated with cataracts?

A. Both eyes typically cataracts at the same time

B. The loss of vision is experienced as a painless, gradual blurring
C. The patient is suddenly blind
D. The patient is typically experiences a painful, sudden blurring of vision.
ANSWER: B
RATIO: Typically, a patient with cataracts experiences painless, gradual loss of vision. Although both eyes may
develop at different rates.
10. The primary problem in cataract is:

A. Blurring of vision
B. Loss of peripheral vision
C. Presence of floaters
D. Halos around light
ANSWER: A
RATIO: The majority of cataract patients experience vision blurring as the most common problem or symptom.
Most of the time, protein buildup causes cataracts to form a cloudy layer on the lens. If not treated, this protein
buildup can eventually cause complete blindness. It starts to interfere with your vision over time.