Which symptoms should a nurse identify when a client asks about symptoms associated with retinal detachment?

1) Secondary glaucoma usually results from an eye injury, inflammation, tumor, or advanced cases of cataracts, or diabetes. Medications such as steroids, when used chronically, are also noted to cause this type of glaucoma.

2) Acute angle glaucoma is characterized by severe eye pain, nausea and vomiting, sudden onset of visual disturbance (often in low light), blurred vision, halo vision, and reddening of the eye.

3) Normal-tension glaucoma (also referred to as low-tension glaucoma) is a condition where optic nerve damage and vision loss occur despite having a normal IOP between 10 and 21 mm Hg.

4) In primary open-angle glaucoma, clinical manifestations include gradual loss of peripheral vision, usually in both eyes.

1, 3, 5, 6

Rationale: Following eye surgery, some scratchiness and mild eye discomfort may occur in the operative eye and usually is relieved by mild analgesics. If the eye pain becomes severe, the client should notify the surgeon because this may indicate hemorrhage, infection, or increased intraocular pressure (IOP). The nurse also would instruct the client to notify the surgeon of increased purulent drainage, increased redness, or any decrease in visual acuity. The client is instructed to place an eye shield over the operative eye at bedtime to protect the eye from injury during sleep and to avoid activities that increase IOP, such as bending over.Test-Taking Strategy: Focus on the subject, postoperative care following eye surgery. Recalling that the eye needs to be protected and that increased IOP is a concern will assist in deter- mining the home care measures to be included in the plan. Review: Cataract extraction with intraocular implant

3
Rationale: Hypotension, dizziness, nausea, diaphoresis, head- ache, fatigue, constipation, and diarrhea are side and adverse effects of the medication. Nursing interventions include monitoring the blood pressure for hypotension and assessing the pulse for strength, weakness, irregular rate, and bradycardia. Options 1, 2, and 4 are not specifically associated with this medication.Test-Taking Strategy: Note the strategic words, most appropriate. Use the ABCs—airway-breathing-circulation—to direct you to the correct option.

Which symptom would occur in a client with a detached retina?

Which initial clinical manifestation would a patient report with a retinal detachment?

Which technique would the nurse discuss with a client who has a detached retina and is scheduled for surgery to reattach the retina?

Which symptoms would the nurse expect to note in the client's history that is directly related to the development of cataracts?