• Know your intraocular pressure measurement and the desired range. Show • Be informed about the extent of your vision loss and optic nerve damage. • Keep a record of your eye pressure measurements and visual field test results to monitor your own progress. • Review all of your medications (including over-the-counter and herbal medications) with your ophthalmologist, and mention any side effects each time you visit. • Ask about potential side effects and drug interactions of your eye medications. • Ask whether generic or less costly forms of your eye medications are available. • Participate in the decision-making process. Let your primary provider know what dosing schedule works for you and other preferences regarding your eye care. • Have the nurse observe you instilling eye medication to determine whether you are administering it properly • Be aware that glaucoma medications can cause adverse effects if used inappropriately. Eye drops are to be administered as prescribed, not when eyes feel irritated. • Ask your ophthalmologist to send a report to your primary provider after each appointment. • Keep all follow-up appointments. -Avoid lying on the side of the affected eye the night after surgery -Keep activity light (e.g., walking, reading, watching television). -Resume the following activities only as directed by the ophthalmologist driving, sexual activity, unusually strenuous activity -Avoid lifting, pushing, or pulling objects heavier than 15 lb -Avoid bending or stooping for an extended period -Be careful when climbing and descending stairs -Sneezing if necessary should not be held in because it would increase IOP. Upgrade to remove ads Only SGD 41.99/year
Hinkle: Brunner & Suddarth's Textbook of Medical-Surgical Nursing, Fourteenth Edition Terms in this set (20)The nurse should monitor for which manifestation in a client who has undergone LASIK? pg. 1899 Halos and glare Which type of benign tumor of the eyelids is characterized by superficial, vascular capillary lesions that are strawberry-red in color? Hemangioma Which term refers to swelling of the optic disc due to increased intracranial pressure? pg. 1882 Papilledema To avoid the side effects of corticosteroids, which medication classification is used as an alternative to treat inflammatory conditions of the eyes? pg. 1888 NSAIDs Assessment of visual acuity reveals that the client has blurred vision when looking at distant objects but no difficulty seeing near objects. The nurse documents this as which of the following? pg. 1883 Myopia The nurse is reviewing the medical record of a client with glaucoma. Which of the following would alert the nurse to suspect that the client was at increased risk for this disorder? pg. 1888 Prolonged use of corticosteroids A client is prescribed pilocarpine. When preparing the client's teaching plan about this drug, which of the following would the nurse integrate? pg. 1893 The client may experience difficulty seeing in the dark. Which client statement would lead the nurse to suspect that the client is experiencing bacterial conjunctivitis? pg. 1906-1907 "My eyelids were stuck together this morning." A nurse is reviewing the medical records of several patients who have had their intraocular pressure (IOP) measured: Patient D When the patient tells the nurse that his vision is 20/200, and asks what that means, the nurse informs the patient that a person with 20/200 vision: pg. 1883 Sees an object from 20 feet away that a person with normal vision sees from 200 feet away. Which type of benign tumor of the eyelids is characterized by superficial, vascular capillary lesions that are strawberry-red in color? (2) Hemangioma (2) Which of the following medications needs to be withheld for 5 to 7 days prior to cataract surgery? pg. 1895 Coumadin The nurse realizes that a client understands how to correctly instill ophthalmic medications when the client: pg. 1889 pulls the tissue near the cheek downward to instill medication. A client is scheduled to undergo surgery to remove a cataract in the left eye using phacoemulsification. When phacoemulsification is used, a: pg. 1895 small portion of the anterior capsule is removed. Ultrasound is emitted through a probe, and suction is used to extract the lens. A nurse notices that a client's left upper eyelid is drooping. The nurse has observed: pg. 1880 ptosis The nurse is caring for a client ordered for multiple eye screening. Following which procedure will the nurse instruct the client on a yellow coloring to the skin and urine as being normal? pg. 1882 Retinal Angiography Following cataract removal, discharge instructions will be provided to the client. Which of the following instructions is most important? Avoid any activity that can increase intraocular pressure. A client was hit in the eye with a stick. The nurse notes edema to the conjunctiva. What documentation by the nurse describes the assessment findings? pg. 1904 Chemosis A major role for nursing in the management of glaucoma is health education. Which of the following is the most important teaching point that the nurse should advise the patient of? pg. 1892 Adhere to the medication regimen. During an initial assessment, the nurse notes a symptom of a mild case of bacterial conjunctivitis and documents in the electronic medical record that the client is displaying which of the following? pg. 1907 Mucopurulent ocular discharge Sets found in the same folderCh 64: Assessment and Management of Patients with…20 terms marikranzfelder Ch 32: Skin Integrity and Wound Care (1)20 terms marikranzfelder Brunner Ch. 63 Assessment & Management of Patients…40 terms kramm22 RNSG 1523 Unit 1 Bullet Points7 terms ashley_pirih Other sets by this creatorCh 39: Assessment of Musculoskeletal Function (1)20 terms marikranzfelder Ch 38: Assessment and Management of Patients with…20 terms marikranzfelder Ch 38: Assessment and Management of Patients with…20 terms marikranzfelder Ch 38: Assessment and Management of Patients with…20 terms marikranzfelder Recommended textbook solutions Information Technology Project Management: Providing Measurable Organizational Value5th EditionJack T. 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Chapter 63: assessment and Management of patients with eye and vision disorders Quizlet
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