The nurse assesses a reduction in a patient's peripheral vision. ...

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The nurse assesses a reduction in a patient's peripheral vision. Which additional measure would be a priority during the assessment of this patient?
 
  1. intraocular pressure assessment
  2. cranial nerve assessment
  3. neck range of motion assessment
  4. retinal assessment

Question 2

A patient is hospitalized with blunt trauma to the left eye. To best minimize eye movement, what should the nurse do?
 
  1. Patch or provide an eye shield for both eyes.
  2. Place the patient in a side-lying position, with the eye up.
  3. Keep the bed position flat.
  4. Patch the unaffected eye.

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Answer to Question 1

Correct Answer: 1
Glaucoma is a condition characterized by optic neuropathy with gradual loss of peripheral vision and, usually, increased intraocular pressure of the eye. Measuring intraocular pressure is the priority, so that glaucoma can be diagnosed and appropriately treated. Cranial nerve assessment, retinal assessment, and neck range of motion may all be performed as part of patient assessment; however, measuring intraocular pressure is the priority so that glaucoma can be diagnosed and appropriately treated.

Answer to Question 2

Correct Answer: 1
Interventions for the patient with blunt trauma to the eye include placing the patient on bed rest in semi-Fowler's position and protecting the eye from further injury with an eye shield. The unaffected eye should also be patched to minimize eye movement.

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Excellent

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TYSM