A client had proxymetacaine (Ocu-Caine) instilled in one eye in the emergency department. What ...

A client had proxymetacaine (Ocu-Caine) instilled in one eye in the emergency department. What discharge instruction is most important?
 
  a. Do not touch or rub the eye until it is no longer numb.
  b. Monitor the eye for any bleeding for the next day.
  c. Rinse the eye with warm saline solution at home.
  d. Use all the eyedrops as prescribed until they are gone.

Question 2

A client who is near blind is admitted to the hospital. What action by the nurse is most important?
 
  a. Allow the client to feel his or her way around.
  b. Let the client arrange objects on the bedside table.
  c. Orient the client to the room using a focal point.
  d. Speak loudly and slowing when talking to the client.

Question 3

A client has a foreign body in the eye. What action by the nurse takes priority?
 
  a. Administering ordered antibiotics
  b. Assessing the client's visual acuity
  c. Obtaining consent for enucleation
  d. Removing the object immediately

Question 4

A client has been taught about retinitis pigmentosa (RP). What statement by the client indicates a need for further teaching?
 
  a. Beta carotene, lutein, and zeaxanthin are good supplements.
  b. I might qualify for a retinal transplant one day soon.
  c. Since I'm going blind, sunglasses are not needed anymore.
  d. Vitamin A has been shown to slow progression of RP.

Question 5

A client had a retinal detachment and has undergone surgical correction. What discharge instruction is most important?
 
  a. Avoid reading, writing, or close work such as sewing.
  b. Dim the lights in your house for at least a week.
  c. Keep the follow-up appointment with the ophthalmologist.
  d. Remove your eye patch every hour for eyedrops.

Question 6

A client's intraocular pressure (IOP) is 28 mm Hg. What action by the nurse is best?
 
  a. Educate the client on corneal transplantation.
  b. Facilitate scheduling the eye surgery.
  c. Plan to teach about drugs for glaucoma. d.
  Refer the client to local Braille classes.

Question 7

A client does not understand why vision loss due to glaucoma is irreversible. What explanation by the nurse is best?
 
  a. Because eye pressure was too high, the tissue died.
  b. Glaucoma always leads to permanent blindness.
  c. The traumatic damage to your eye was too great.
  d. The infection occurs so quickly it can't be treated.