The nurse is developing a teaching plan for a client with glaucoma. Which instruction should the nurse include in the plan of care?

Decrease fluid intake to control the intraocular pressure.

Decrease the amount of salt in the diet.

Eye medications will need to be administered for life.

Avoid overuse of the eyes.

Answer and Explanation

The Correct Answer is C

a) Decrease fluid intake to control the intraocular pressure: Decreasing fluid intake is not a recommended treatment for glaucoma. The focus should be on controlling intraocular pressure through prescribed medications and other appropriate treatments.
b) Decrease the amount of salt in the diet: This is not a primary recommendation for managing glaucoma. However, reducing salt intake may be beneficial for overall cardiovascular health, but it doesn't directly impact intraocular pressure.
c) Eye medications will need to be administered for life. Glaucoma is a chronic condition, and lifelong use of eye medications is often necessary to control intraocular pressure and prevent damage to the optic nerve.
d) Avoid overuse of the eyes: While it is important to take regular breaks to reduce eye strain, this is not a primary focus for glaucoma management.

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Correct Answer is B

Explanation

a) Headache: While headaches can occur with eye strain or other eye conditions, they are not a hallmark symptom of open-angle glaucoma.
b) Loss of peripheral vision: Open-angle glaucoma is characterized by gradual loss of peripheral vision, often referred to as "tunnel vision," due to increased intraocular pressure affecting the optic nerve.
c) Discomfort in the eyes: Open-angle glaucoma typically has no early symptoms, and discomfort is not usually a prominent feature unless the disease progresses.
d) Halos around lights: Halos around lights are more commonly associated with acute angle-closure glaucoma, where there is a sudden rise in intraocular pressure, not open-angle glaucoma.

A. "Use a sterile glove and applicator to apply the antibiotic ointment." B. "Keep your eye open for 30 sec after instilling the ointment." C. "Always wipe from the outer to the inner canthus when wiping away secretions." D. "Apply the ointment in a thin line into the conjunctival sac."

Correct Answer is D

Explanation

a) "Use a sterile glove and applicator to apply the antibiotic ointment." Using sterile equipment is not necessary for the application of ophthalmic ointment. The key is proper hand hygiene to prevent the spread of infection.
b) "Keep your eye open for 30 sec after instilling the ointment." It is unnecessary to keep the eye open for 30 seconds after applying the ointment. It should be gently closed to help distribute the medication.
c) "Always wipe from the outer to the inner canthus when wiping away secretions." This is incorrect because wiping from the inner to the outer canthus is recommended to prevent contamination of the clean parts of the eye.
d) "Apply the ointment in a thin line into the conjunctival sac." This is the correct method for applying the ointment, ensuring that the medication reaches the affected area.

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The nurse is developing a teaching plan for a client with glaucoma. Which instruction should the nurse include in the plan of care?

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