Test #1 Behavioral Health

Which of the following directions should the nurse give Mrs. Davis when assessing peripheral vision?

"Look straight ahead and tell me when you see my fingers."

Which of the following questions constitutes important information that the nurse should include in the baseline assessment of Mrs. Davis' visual condtion?

Have you had any pain or discomfort in your eyes recently? Have you noticed any drainage from your eyes? What were the results of your last eye exam? What medications are you currently taking? Have you experienced any recent injury to your eyes?

gonioscopy

visual examination of the irideocorneal angle

ophthalmoscopy

visual examination of the interior of the eye

Perimetry testing

Evaluates field of vision

-helps identify which parts of the patient's central and peripheral visual fields have useful vision

-helpful detecting blind areas in macular degeneration and peripheral field defects in glaucoma and retinitis pigmentosa

tonometry

the measurement of intraocular pressure

risk factors for developing glaucoma

age, african american ancestry, smoking (even tho it says no), family history

Factors that increases the risk for developing glaucoma

migraine headaches, history of diabetes mellitus, hypertension, mydriatic drugs, history of eye trauma, myopia, extended use of corticosteroids

What is glaucoma?

Use hypertension and osteoporosis as a relatable condition for Mrs. Davis

Acute angle, chronic open angle, both?

acute: sudden onset, severe pain, sudden decreased central vision

both acute and chronic: increased intraocular pressure; decreased visual acuity; halos around lights

chronic: gradual onset; mild ocular pain; night vision problems

Acute of both?

acute: N&V, hardness of eyeball; unreactivity to light and accommodation; conjunctival hyperemia

How to administer eye drops

ensure adequate lighting, wash hands, read label on medication, assume a comfortable position, hold down lower eyelid, instill eye drop into conjunctival sac without touching tip of medication container to eye or face, close eyelid, apply gentle pressure to inner cathus (punctal occlusion) for 1-2 minutes, pat skin with clean tissue to absorb eye drops that run down cheeks, wash hands again

How should eye drops and eye ointments be administered?

eye drops are administered before eye ointments

Plan of care interventions for risk for falls?

make position changes slowly; provide a night light in hallway and bathroom; remove scatter rugs and clutter from floors; turn head to scan environment while moving

The nurse is preparing to administer eye drops to a client. What purposes are commonly associated with instilling medications via eye drops? Select all that apply.

pupil dilation , pupil constriction , control of intraocular pressure , infection treatment

What instructions should the nurse give a client following the administration of prescribed eye drops? Select all that apply.

"Damage may occur if you touch the dropper to the eye." , "Wash your hands before and after you use the eye drops." , "Do not rub the medicated eye(s)."

The nurse is administering prescribed eye drops to a client. What action would cause the nurse to stop the administration?

The dropper touches the client's eyelid.

Prior to the nurse administering eye drops to the client, what should the nurse do?

Clean the eyelids of any loose eyelashes.

The nurse is administering eye drops to a client. Where should the nurse place the drops?

lower conjunctival sac