Disorders of the eye Flashcards

1
Q

Propose a common refractive error.

Nystagmus

Hyphema

Glaucoma

Astigmatism

A

Astigmatism

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2
Q

A nurse is completing a visual acuity test on a 5-year-old patient. Predict the accurate statement regarding visual acuity testing using a Snellen chart.

The Snellen chart measures visual acuity in both eyes at one time.

The Snellen chart measures color blindness in pediatric patients.

The Snellen chart is not recommended for patients aged 5 and younger.

The objective of the test is to determine the smallest line of print the patient can read.

A

The objective of the test is to determine the smallest line of print the patient can read.

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3
Q

You are evaluating a pediatric patient for strabismus. Recommend which is most accurate when completing an evaluation.

Eyelid swelling test

Papillary response test

Mucoid discharge test

Cover–uncover test

A

Cover–uncover test

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4
Q

The nurse practitioner is evaluating a patient who presents with granulation of the eyelids. Propose a common symptom of this disorder.

Proptosis

Orbital cellulitis

Decreased visual acuity

Erythema of eyelid margins

A

Erythema of eyelid margins

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5
Q

Establish an accurate statement regarding the evaluation of the visual acuity of a pediatric patient.

Upon completion of a vision screening, the patient should be positioned 30 feet from Snellen chart.

During screening, each eye should be tested one at a time.

During screening, both eyes should be tested at one time.

The smallest row that can be accurately read indicates the visual acuity for that eye.

A

During screening, each eye should be tested one at a time.

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6
Q

Determine what would be appropriate when evaluating and managing a patient for a corneal abrasion.

History of contact lens use

Steroids being necessary to prevent adhesions

Reinforcing the use of constant patching of eye

Anesthetic being given for pain control

A

History of contact lens use

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7
Q

A 10-year-old was hit in the eye 1 day ago and currently presents with ecchymosis on the upper and lower lid with 5 out of 10 eye pain. Recommend what to obtain at this time.

Needle biopsy

Vision screening

Family history of eye trauma

Intraocular pressure

A

Vision screening

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8
Q

A nurse practitioner is educating a group of nursing students about a newborn who presents with conjunctivitis. Determine the accurate statement.

Conjunctivitis in the newborn is a common cause of blindness.

All newborns present with conjunctivitis at birth.

One antibiotic can effectively treat ophthalmia neonatorum.

Prophylactic treatment is recommended to prevent ophthalmia neonatorum.

A

Prophylactic treatment is recommended to prevent ophthalmia neonatorum.

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9
Q

A nurse practitioner is evaluating the treatment of a pediatric patient who presents with conjunctivitis. Propose an accurate statement.

Artificial tears help with lubrication in allergic conjunctivitis.

Antivirals are ineffective in patients presenting with dendritic findings.

Viral conjunctivitis is self-limiting and requires treatment with antivirals.

Steroidal eye drops helps patients with viral infections of the eye.

A

Artificial tears help with lubrication in allergic conjunctivitis.

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10
Q

When educating a group of students on refractive errors, the nurse practitioner identifies which of the following statements as accurate?

Refractive errors commonly result from periorbital cellulitis.

The common treatment for refractive errors involves surgical intervention.

In patients with myopia, nearby objects are in focus.

In patients with hyperopia, nearby objects are in focus.

A

In patients with myopia, nearby objects are in focus.

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11
Q

Establish which statement accurately reflects treatment for ophthalmia neonatorum.

Silver nitrate is routinely administered immediately after birth to prevent conjunctivitis.

Erythromycin ointment is often administered after birth to help prevent ophthalmia neonatorum.

The treatment for gonococcal ophthalmia is most effective if initiated after a positive confirmation.

Ocular prophylaxis is a safe but expensive method of preventing gonococcal ophthalmia.

A

Erythromycin ointment is often administered after birth to help prevent ophthalmia neonatorum.

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12
Q

Propose a common refractive error.

Nearsightedness

Hyphema

Glaucoma

Retinoblastoma

A

Nearsightedness

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13
Q

You are evaluating a pediatric patient for strabismus. Recommend which is most accurate when completing an evaluation.

Papillary response test

Eyelid swelling test

Hirschberg test

Mucoid discharge test

A

Hirschberg test

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14
Q

A nurse practitioner is educating a family on blepharitis and the treatment of this disorder in a child. Conclude which statement reflects an understanding of blepharitis.

Patients often present with extreme eye pain.

Application of a topical antibiotic ointment is not recommended.

Blepharitis is caused by inflammation of the eyelids.

Blepharitis can be treated with hydrogen peroxide and water.

A

Blepharitis is caused by inflammation of the eyelids.

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15
Q

A nurse is completing a visual acuity test on a 5-year-old patient. Predict the accurate statement regarding visual acuity testing using a Snellen chart.

The f-number of the test result indicates the distance at which a normal eye can read.

The Snellen chart measures visual acuity in both eyes at one time.

The objective of the test is to determine the smallest line of print the patient can read.

The Snellen chart is not recommended for patients aged 5 and younger.

A

The objective of the test is to determine the smallest line of print the patient can read.

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16
Q

A nurse practitioner is educating a group of students on the methods to slow the progression of myopia in pediatric patients. Recommend an accurate method.

Orthokeratology

Annual CT Scans

Use of oral ciprofloxacin

Referral to a psychologist (progression is psychological)

A

Orthokeratology

17
Q

The nurse practitioner is evaluating a patient who presents with granulation of the eyelids. Propose a common symptom of this disorder.

Irritation or burning sensation to eyes

Decreased visual acuity

Severe erythema of conjunctiva

Proptosis

A

Irritation or burning sensation to eyes

18
Q

A nurse practitioner educated a mother on the management of her toddler who presents with a stye. Establish a statement from the mother that reflects a need for further education.

“I will cleanse his eyelids with baby shampoo daily.”

“I should use antibiotic drops or ointments.”

“I should avoid cleansing his eyelids because that will make the stye worse.”

“I should use a warm compress for 15 minutes, three to four times a day.”

A

“I should avoid cleansing his eyelids because that will make the stye worse.”

19
Q

Determine a finding in a 5-year-old patient presenting with a bacterial conjunctivitis.

A diagnosis being made after obtaining an eye culture

Adenovirus being a common agent

Foreign body sensation in eye

Exposure to allergens worsening symptoms

A

Foreign body sensation in eye