NUR 155 Med Surg Test 1, Exam Questions & Answers

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NUR 155 Med Surg Test 1, Exam Questions & Answers-In your patient's health history you read that the patient has a cataract in the right eye. You know that this eye disorder can be best described by w... hich statement below? A. This eye disorder is caused by increased intraocular pressure that results in damage to the optic nerve. B. This eye disorder occurs in the eye when the macula of the retina become damaged and impair the central vision. C. This eye disorder occurs when the lens of the eye loses its transparency. D. This eye disorder occurs from uncontrolled high blood glucose levels which lead to retinal damage. - C. This eye disorder occurs when the lens of the eye loses its transparency. In your patient's health history you read that the patient has a glaucoma in the right eye. You know that this eye disorder can be best described by which statement below? A. This eye disorder is caused by increased intraocular pressure that results in damage to the optic nerve. B. This eye disorder occurs in the eye when the macula of the retina become damaged and impair the central vision. C. This eye disorder occurs when the lens of the eye loses its transparency. D. This eye disorder occurs from uncontrolled high blood glucose levels which lead to retinal damage. - A. This eye disorder is caused by increased intraocular pressure that results in damage to the optic nerve. In your patient's health history you read that the patient has a macular degeneration. You know that this eye disorder can be best described by which statement below? A. This eye disorder is caused by increased intraocular pressure that results in damage to the optic nerve. B. This eye disorder occurs in the eye when the macula of the retina become damaged and impair the central vision. C. This eye disorder occurs when the lens of the eye loses its transparency. D. This eye disorder occurs from uncontrolled high blood glucose levels which lead to retinal damage. - B. This eye disorder occurs in the eye when the macula of the retina become damaged and impair the central vision. In your patient's health history you read that the patient has a diabetic retinopathy. You know that this eye disorder can be best described by which statement below? A. This eye disorder is caused by increased intraocular pressure that results in damage to the optic nerve. B. This eye disorder occurs in the eye when the macula of the retina become damaged and impair the central vision. C. This eye disorder occurs when the lens of the eye loses its transparency. D. This eye disorder occurs from uncontrolled high blood glucose levels which lead to retinal damage. - D. This eye disorder occurs from uncontrolled high blood glucose levels which lead to retinal damage. What is the most common cause of cataracts? A. Congenital B. Aging C. Trauma D. Uncontrolled blood glucose levels - B. Aging Rationale: You may say the others can cause cataracts... And you would be correct, but this question is looking for the most common cause, which is aging. Time is our Enemy... :o( What is the most common cause of retinopathy? A. Congenital B. Aging C. Trauma D. Uncontrolled blood glucose levels - D. Uncontrolled blood glucose levels Rationale: Can also be caused by Hypertension(HTN) Diabetic Retinopathy -> Diabetes => Treat the Diabetes but usually laser photocoagulation is required. Hypertensive Retinopathy -> High BP aka Hypertension => Treat the high BP to restore vision What is the most common cause of glaucoma? A. Congenital B. Trauma C. Aging D. Uncontrolled blood glucose levels - C. Aging Rationale: Remember, Time is our Enemy... What is the most common cause of macular degeneration? A. Congenital B. Uncontrolled blood glucose levels C. Trauma D. Aging - D. Aging Rationale: Remember, Time is our Enemy... What is the most common cause of retina detachment? A. Congenital B. Aging C. Trauma D. Uncontrolled blood glucose levels - B. Aging Rationale: While trauma is a major contributor, especially in younger patients, it's not the most common. Remember Time is our Enemy... Cataracts causes light to be scattered and preventing it's proper travel to the retina's _______________, and this leads to visual impairment. A. ganglion cells B. amacrine cells C. cones and rods D. crystalline proteins - C. cones and rods Rationale: Cones and Rods are the photoreceptors in the retina that allow us to see and discern light from dark and colors. Which patient finding below is associated with the development of cataracts? A. Loss of central vision B. Loss of peripheral vision C. Cloudy, hazy vision D. Black Spots in vision(floater) - C. Cloudy, hazy vision Which patient finding below is associated with the development of glaucoma? A. Loss of central vision B. Loss of peripheral vision C. Cloudy, hazy vision D. Black Spots in vision(floater) - B. Loss of peripheral vision Which patient finding below is associated with the development of macular degeneration? A. Loss of central vision B. Loss of peripheral vision C. Cloudy, hazy vision D. Black Spots in vision(floater) - A. Loss of central vision Which patient finding below is associated with the development of retinopathy? A. Loss of central vision B. Loss of peripheral vision C. Black spots in vision D. Cloudy, hazy vision - C. Black spots in vision Rationale: Diabetic Retinopathy has a version called nonproliferative that has loss of central vision but that is due to the spots. MD is the main one to display central vision loss. A patient is being evaluated for cataracts. The Dr uses a slit-lamp to assess the patient's eyes. As the nurse you know that this device will? A. help test the patient's visual acuity B. test the strength of the ciliary muscles C. enlarge the front area of the eye (cornea, iris, lens etc.) D. help for visualization of the fundus - C. enlarge the front area of the eye (cornea, iris, lens etc.) Pt is having a phacoemulsification for treatment of a cataract. You're providing education about the procedure. Which statement by the patient demonstrates he understood the educational material provided about this procedure? A. "The cloudy lens in my eye will be broken up with sound waves and removed. Then a new permanent lens, called an intraocular lens, will be placed in my eye." B. "A small air bubble is injected into the eye to help push the retina back into position to help the lens refract light." C. "An incision is made to remove the trabecular meshwork and this will help drain fluid out of the cloudy lens." D. "The surgeon will remove parts of the iris and lens. - A. "The cloudy lens in my eye will be broken up with sound waves and removed. Then a new permanent lens, called an intraocular lens, will be placed in my eye." Pt is having a retinopexy for treatment of a retina detachment. You're providing education about the procedure. Which statement by the patient demonstrates he understood the educational material provided about this procedure? A. "The cloudy lens in my eye will be broken up with sound waves and removed. Then a new permanent lens, called an intraocular lens, will be placed in my eye." B. "A small air bubble is injected into the eye to help push the retina back into position to help the lens refract light." C. "An incision is made to remove the trabecular meshwork and this will help drain fluid out of the cloudy lens." D. "The surgeon will remove parts of the iris and lens. - B. "A small air bubble is injected into the eye to help push the retina back into position to help the lens refract light." Pt is having a trabeculectomy for treatment of a chronic open-angle glaucoma. You're providing education about the procedure. Which statement by the patient demonstrates he understood the educational material provided about this procedure? A. "The cloudy lens in my eye will be broken up with sound waves and removed. Then a new permanent lens, called an intraocular lens, will be placed in my eye." B. "A small air bubble is injected into the eye to help push the retina back into position to help the lens refract light." C. "An incision is made to remove the trabecular meshwork and this will help drain fluid out of the cloudy lens." D. "The surgeon will remove parts of the iris and lens. - C. "An incision is made to remove the trabecular meshwork and this will help drain fluid out of the cloudy lens." Rationale: C and D could be used to treat Glaucoma. The key here is Chronic Open-Angle glaucoma treatment is usually trabeculectomy where Acute Angle-Closure Glaucoma utilizes the iridectomy procedure. Pt is having a iridectomy for treatment of a acute angle-closure glaucoma. You're providing education about the procedure. Which statement by the patient demonstrates he understood the educational material provided about this procedure? A. "The cloudy lens in my eye will be broken up with sound waves and removed. Then a new permanent lens, called an intraocular lens, will be placed in my eye." B. "A small air bubble is injected into the eye to help push the retina back into position to help the lens refract light." C. "An incision is made to remove the trabecular meshwork and this will help drain fluid out of the cloudy lens." D. "The surgeon will remove parts of the iris and lens. - D. "The surgeon will remove parts of the iris and lens. Rationale: C and D could be used to treat Glaucoma. The key here is Chronic Open-Angle glaucoma treatment is usually trabeculectomy where Acute Angle-Closure Glaucoma utilizes the iridectomy procedure. [Show More]

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