NCLEX Questions on Glaucoma 31-35

Try this NCLEX Questions on Glaucoma . . .

31. During the early postoperative period, a client who has undergone a cataract extraction complains of nausea and severe eye pain over the operative site. What should be the initial nursing action?

a) Call the health care provider (HCP).
b) Reassure the client that this is normal.
c) Turn the client onto his or her operative side.
d) Administer the prescribed pain medication and antiemetic.

32. The nurse is developing a teaching plan for a client with glaucoma. Which instruction should the nurse include in the plan of care?

a) Avoid overuse of the eyes.
b) Decrease the amount of salt in the diet.
c) Eye medications will need to be administered for life.
d) Decrease fluid intake to control the intraocular pressure.

33. The nurse is performing an admission assessment on a client with a diagnosis of detached retina. Which sign/ symptom is associated with this eye disorder?

a) Total loss of vision
b) Pain in the affected eye
c) A yellow discoloration of the sclera
d) A sense of a curtain falling across the field of vision

34. The nurse is performing an otoscopic examination on a client with mastoiditis. On examination of the tympanic membrane, which finding should the nurse expect to observe?

a) A pink-colored tympanic membrane
b) A pearly colored tympanic membrane
c) A transparent and clear tympanic membrane
d) A red, dull, thick, and immobile tympanic membrane

35. A client is diagnosed with a disorder involving the inner ear. Which is the most common client complaint associated with a disorder involving this part of the ear?

a) Pruritus
b) Tinnitus
c) Hearing loss
d) Burning in the ear




NCLEX Questions on Glaucoma
Answers and Rationale

31) A
- Rationale: Severe pain or pain accompanied by nausea following a cataract extraction is an indicator of increased intraocular pressure and should be reported to the HCP immediately. Options B, C, and D are inappropriate actions.

- Test-Taking Strategy: Note the strategic word initial and the word severe. Eliminate option B because this is not a normal condition. The client should not be turned to the operative side; therefore, eliminate option C. From the remaining options, focusing on the strategic word will direct you to the correct option.

32) C
- Rationale: The administration of eye drops is a critical component of the treatment plan for the client with glaucoma. The client needs to be instructed that medications will need to be taken for the rest of his or her life. Options A, B, and D are not accurate instructions.

- NCLEX Questions on Glaucoma Test-Taking Strategy: Focus on the subject, client teaching for glaucoma. Recalling that medications are an integral component of the treatment plan will assist in directing you to the correct option.

33) D
- Rationale: A characteristic manifestation of retinal detachment described by the client is the feeling that a shadow or curtain is falling across the field of vision. No pain is associated with detachment of the retina. Options A and C are not characteristics of this disorder. A retinal detachment is an ophthalmic emergency and even more so if visual acuity is still normal.

- Test-Taking Strategy: Focus on the subject, manifestations of retinal detachment. Thinking about the pathophysiology associated with this disorder will direct you to the correct option.

34) D
- Rationale: Otoscopic examination in a client with mastoiditis reveals a red, dull, thick, and immobile tympanic membrane, with or without perforation. Postauricular lymph nodes are tender and enlarged. Clients also have a low-grade fever, malaise, anorexia, swelling behind the ear, and pain with minimal movement of the head.

- Test-Taking Strategy: Focus on the subject, the assessment findings in mastoiditis. Think about the pathophysiology associated with mastoiditis and remember that mastoiditis reveals a red, dull, thick, and immobile tympanic membrane.

35) B
- Rationale: Tinnitus is the most common complaint of clients with otological disorders, especially disorders involving the inner ear. Symptoms of tinnitus range from mild ringing in the ear, which can go unnoticed during the day, to a loud roaring in the ear, which can interfere with the client’s thinking process and attention span. Options A, C, and D are not associated specifically with disorders of the inner ear.

- Test-Taking Strategy: Note the strategic word most. Recalling the anatomy and the function of the inner ear will direct you to the correct option.


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NCLEX Questions on Glaucoma 36-40


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NCLEX Questions on Glaucoma 1-5

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