Author Question: The nurse is preparing to assess the visual acuity of a 16-year-old patient. How should the nurse ... (Read 89 times)

dejastew · **on:** Jun 25, 2018

The nurse is preparing to assess the visual acuity of a 16-year-old patient. How should the nurse proceed?

a. Perform the confrontation test.
b. Ask the patient to read the print on a handheld Jaeger card.
c. Use the Snellen chart positioned 20 feet away from the patient.
d. Determine the patient's ability to read newsprint at a distance of 12 to 14 inches.

Question 2

A 52-year-old patient describes the presence of occasional floaters or spots moving in front of his eyes. The nurse should:

a. Examine the retina to determine the number of floaters.
b. Presume the patient has glaucoma and refer him for further testing.
c. Consider these to be abnormal findings, and refer him to an ophthalmologist.
d. Know that floaters are usually insignificant and are caused by condensed vitreous fibers.

Christopher · **Reply #1 on:** Jun 25, 2018

Answer to Question 1

ANS: C
The Snellen alphabet chart is the most commonly used and most accurate measure of visual acuity. The confrontation test is a gross measure of peripheral vision. The Jaeger card or newspaper tests are used to test near vision.

Answer to Question 2

ANS: D
Floaters are a common sensation with myopia or after middle age and are attributable to condensed vitreous fibers. Floaters or spots are not usually significant, but the acute onset of floaters may occur with retinal detachment.