Author Question: The nurse is teaching a middle-aged African American client who was recently diagnosed with ... (Read 54 times)

ashley · **on:** Jun 25, 2018

The nurse is teaching a middle-aged African American client who was recently diagnosed with glaucoma. Which statement by the client indicates for further education on this diagnosis?

1. I just thought my pupils were big, I didn't know it could be associated with glaucoma.
2. So, my headaches may be occurring because of the increased pressure within my eyes.
3. My race doesn't have anything to do with this diagnosis.
4. Those halos that I see around lights are associated with glaucoma.

Question 2

The nurse is performing a focused interview and eye assessment on a client. Which assessment findings indicate the client's is experiencing a vision problem? Select all that apply.

1. The client is frowning and squinting while she is reading the Snellen chart.
2. The client exhibits a symmetrical pupillary light reflex response.
3. As the nurse checks for accommodation, the pupils remain dilated.
4. The client's near vision acuity is 14/14 bilaterally.
5. When the cornea is lightly touched in the right eye, both eyelids close.

EAN94 · **Reply #1 on:** Jun 25, 2018

Answer to Question 1

Correct Answer: 3
African Americans are more likely to develop glaucoma. Glaucoma is a result of restricted fluid flow around the anterior chamber of the eye. The blocked fluid flow results in an increase in the client's intraocular pressure. Dilated pupils can be found in clients with glaucoma. Headaches are associated with glaucoma. Clients with glaucoma may state that they see halos around lights.

Answer to Question 2

Correct Answer: 1, 3
If the client is frowning or squinting during the test of her ability to see distant objects, this is indicator that the client may be experiencing visual problems. When checking accommodation, the eyes should converge and the pupils should constrict as the eyes focus on the penlight. Symmetrical pupillary responses are normal. The normal result for near vision is 14/14 in each eye. When testing the corneal reflex, touch the eye gently and quickly with a wisp of cotton. The client will react by blinking both eyes. If one or both eyes fail to respond, there could be a problem.