Cataract By Rnpedia
Mark the letter of the letter of choice then click on the next button. Score will be posted as soon as the you are done with the quiz. You got 30 minutes to finish the exam. Good luck!
- 1.The primary problem in cataract is:
- A.
Blurring of vision
- B.
Loss of peripheral vision
- C.
Presence of floaters
- D.
Halos around light
- 2.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
- 3.Pterygium is caused primarily by:
- A.
Exposure to sunlight
- B.
Exposure to dust
- C.
Exposure to wind
- D.
Exposure to chemicals
- 4.The surgical procedure which involves removal of the eyeball is:
- A.
Enucleation
- B.
Evisceration
- C.
Exanteration
- D.
Extraction
- 5.A sterile chronic granulomatous inflammation of the meibomian gland is:
- A.
Chalazion
- B.
Hordeulum
- C.
Uveitis
- D.
Keratoconjunctivitis
- 6.The following are nursing interventions for a blind person EXCEPT:
- A.
When approaching the client, talk before touching
- B.
Orient the client to the environment
- C.
When assisting the client during ambulation, the nurse stays beside the client
- D.
Promote the independence in activities of daily living
- 7.Hyperopia is corrected with that type of lens?
- A.
Concave lens
- B.
Convex lens
- C.
Aphakic lens
- D.
Bifocal lens
- 8.The following are appropriate nursing interventions after cataract extraction EXCEPT:
- A.
Place the client in supine position or turn towards unoperated side
- B.
Advise the client to avoid bending, stooping or lifting heavy objects for several weeks postop
- C.
Instruct the client to limit fluid intake
- D.
Advise the client to protect his eyes with eye pad and eye shield for a week
- 9.A client who had cataract should be told to call his MD if he has which of the following situations?
- A.
Blurred Vision
- B.
Eye Pain
- C.
Glare
- D.
Glare
- 10.Which of the ff test assesses visual acuity
- A.
Snellen’s Test
- B.
Ishihara Plate
- C.
Retinoscopy
- D.
Tonometry
- 11.It is an eye disorder characterized by lessening of the effective powers of accommodation:
- A.
Myopia
- B.
Presbyopia
- C.
Hypertropia
- D.
Presbycusis
- 12.Which instruction should be included in the discharge teaching for the client with cataract surgery?
- A.
Over-the-counter eyedrops can be used to treat redness and irritation.
- B.
The eye shield should be worn at night.
- C.
It will be necessary to wear special cataract glasses.
- D.
A prescription for medication to control post-operative pain will be needed.
- 13.Cataracts result in opacity of the crystalline lens. Which of the following best explains the functions of the lens?
- A.
The lens controls stimulation of the retina.
- B.
The lens orchestrates eye movement.
- C.
The lens focuses light rays on the retina.
- D.
The lens magnifies small objects.
- 14.What statement by the client recovering from cataract surgery would indicate to the nurse need for additional teaching?
- A.
“I’ll call if I have a significant amount of pain.”
- B.
“I’ll continue to take my Metamucil for another week.”
- C.
“I’ll just do some laundry this afternoon instead of going to work.”
- D.
“I’ll take my acetazolamide (Diamox) drops with my other morning medications
- 15.A female patient is being discharged after cataract surgery. After providing medication teaching, the nurse asks the patient to repeat the instructions. The nurse is performing which professional role?
- A.
Manager
- B.
Educator
- C.
Caregiver
- D.
Patient advocate
- 16.Which of the following terms refers to the decrease in lens flexibility that occurs with age, resulting in the near point of focus getting farther away?
- A.
Presbyopia
- B.
Presbycusis
- C.
Cataract
- D.
Glaucoma
- 17.The nurse has just completed teaching about postoperative activity to a client who is going to have a cataract surgery. The nurse knows the teaching has been effective if the client:
- A.
Coughs and deep breathes postoperatively
- B.
Ties his own shoes
- C.
Asks his wife to pick up his shirt from the floor after he drops it.
- D.
States that he doesn’t need to wear an eyepatch or guard to bed
- 18.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.
- 19.The nurse is assigned to care for a 57-year-old female client who had a cataract surgery an hour ago. The nurse should:
- A.
Advise the client to refrain from vigorous brushing of teeth and hair.
- B.
Instruct the client to avoid driving for 2 weeks.
- C.
Encourage eye exercises to strengthen the ocular musculature.
- D.
Teach the client coughing and deep-breathing techniques.
- 20.The nurse is preparing a client for cataract surgery. The nurse is aware that the procedure will use:
- A.
Mydriatics to facilitate removal
- B.
Miotic medications such as Timoptic
- C.
A laser to smooth and reshape the lens
- D.
Silicone oil injections into the eyeball
- 21.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.
- 22.A 55-year old client underwent cataract removal with intraocular lens implant. Nurse Oliver is giving the client discharge instructions. These instructions should include which of the following?
- A.
Avoid lifting objects weighing more than 5 lb (2.25 kg).
- B.
Lie on your abdomen when in bed
- C.
Keep rooms brightly lit.
- D.
Avoiding straining during bowel movement or bending at the waist.
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