Glaucoma Quiz

What signs and symptoms are present with angle-closure glaucoma? Select all that apply:

• C. Sudden vision changes (halos around lights or blurred vision)

• A. Patients are mainly asymptomatic

• D. Severe eye pain

• E. Corneal edema

• G. Red eyes

You're providing care to a patient who just had glaucoma surgery. The patient is alert and oriented. Vital signs are: heart rate 82 bpm, blood pressure 110/80, oxygen saturation 97% on room air, respiratory rate 18, and pain rating of 2 on 1-10 scale. Which patient finding below requires you to notify the physician?

• A. The patient reports blurred vision.

• B. The patient is having difficulty passing stool and reports constipation.

• C. The patient reports that the eyes feel itchy.

• D. The patient's eyes are frequently tearing up.

You’re providing an educational seminar to a group of senior citizens about glaucoma. You explain to the participants about the differences between open-angle and angle-closure glaucoma in relation to the drainage angle of the eye. A participant asks what type of examination can be performed to assess the drainage angle of the eye. Your response is?

• A. Tonometry

• B. Ophthalmoscopy

• C. Retinoscopy

• D. Gonioscopy

A patient asks you to explain how the intraocular pressure is measured to help detect glaucoma. You state that IOP (intraocular pressure) is measured by what instrument below?

• A. Goniscope

• B. Tonometry

• C. Ophthalmoscope

• D. Phoroptor

A patient with open-angle glaucoma has developed thicker and longer eyelashes and reports a darkening of their eye color. You assess the patient's medication list. What glaucoma medication on the patient's medication list can cause this side effect?

• A. Bimatoprost

• B. Pilocarpine

• C. Acetazolamide

• D: Timolol

Your patient is being treated for open-angle glaucoma. What assessment finding is NOT typically present with this type of glaucoma?

• A. Tunnel vision

• B. Cloudy vision

• C. Optic disc cupping

• D. High intraocular pressure

The patient is ordered to take Timolol for the treatment of glaucoma. Before administration the nurse will educate the patient about this new medication. Which of the following information is the MOST pertinent the nurse to include?

• A. Measuring the heart rate because this medication can cause tachycardia.

• B. Performing punctal occlusion after instilling the eye drops.

• C. Avoid taking this medication with any other glaucoma medications.

• D. Always administer this medication 1 minute before another type of glaucoma medication.

A patient with glaucoma is ordered eye medication for the right eye in the form of an ointment and eye drop. The nurse will administer which type of medication first?

• A. Ointment and then the eye drops

• B. Eye drops and then the ointment

Your patient has a history of angle-closure glaucoma. What type of medications should this patient avoid?

• A. Anticholinergics

• B. Cholinergics

• C. Beta blockers

• D. Alpha-agonists

Your patient, who has open-angle glaucoma, is scheduled for a procedure that will remove some of the trabecular meshwork and create an opening to allow aqueous humor to collect in an area of the conjunctiva. This procedure will allow aqueous humor to be reabsorbed and help decrease IOP. As the nurse you know that you will need to provide pre-op and post-op patient education about what procedure below?

• A. Iridectomy

• B. Selective Laser Trabeculoplasty (SLT)

• C. Laser iridotomy

• D. Trabeculectomy