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Which is a potential side effect associated with natamycin (Natacyn)? - ANSWERSensitivity to bright light. Rationale: Slight mydriasis is produced allowing excessive light to enter the eyes. The nurse is assisting with tonometry on a patient at the ophthalmologist's office. The results indicate the patient's reading to be 15 mm Hg. The nurse interprets this result as _____ IOP. - ANSWERNormal
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Which is a potential side effect associated with natamycin (Natacyn)? - ANSWERSensitivity to bright light. Rationale: Slight mydriasis is produced allowing excessive light to enter the eyes. The nurse is assisting with tonometry on a patient at the ophthalmologist's office. The results indicate the patient's reading to be 15 mm Hg. The nurse interprets this result as _____ IOP. - ANSWERNormal Rationale: Normal IOP using an tonometer is 10 to 20 mm Hg. A nurse assesses an 80-year-old patient for age-related changes to the eye. What potential changes should the nurse anticipate? (Select all that apply) - ANSWERDecreased tear secretion Eyeball sunk deep in orbit Hyperopia Arcus senilis Rationale: Eyelash diminution is not a consistent finding in older adults. All of the other options are common eye changes related to advancing age. What actions should a nurse implement when assessing a patient's visual acuity? (Select all that apply) - ANSWERHave the patient stand at a distance of 20 feet away Use a Snellen eye chart Instruct the patient to read down the chart until no more than two mistakes are made on a single line Report the findings as the last line the patient could read with no more than two errors Rationale: Visual acuity is most commonly tested using the Snellen eye chart. Which intraocular pressure reading obtained by tonometry indicates a patient being evaluated for a visual impairment does not have glaucoma? - ANSWER18 mm Hg
Rationale: The normal intraocular pressure is between 10 and 20 mm Hg. If the patient had glaucoma, the intraocular pressure would be abnormally high. A nurse uses a diagram to show the physiologic sequence of hearing. After entering the external ear, the sound is then conducted through: Arrange the options in the correct sequence (Type in lower case letters, no comma or spaces e.g., abcde ) A. sensory receptors B. tympanic membrane C. oval window D. acoustic nerve to the brain E. malleus, incus, and stapes - ANSWERbecad What is the purpose of administering anticholinergic agents? (Select all that apply) - ANSWERFacilitate examination of the eye Perform procedures or surgery on the eye Paralyze ciliary muscle Rationale: The eye is easier to examine in some cases if the ciliary muscle is paralyzed. Surgery on the eye is easier when the ciliary muscle is paralyzed. Cycloplegic agents are used to paralyze the ciliary muscle in preparation for examination or surgery. Drugs that cause pupillary dilation are called mydriatic agents. Cycloplegic agents do not decrease the production of aqueous humor. A patient with glaucoma is taking a beta-adrenergic blocking agent, timolol (Timoptic). For which potential serious adverse effect should the nurse assess the patient? - ANSWERWheezing Rationale: Beta-adrenergic blocking agents cause bronchospasm and tachycardia. The nurse is caring for a patient with Meniere disease. Which symptoms would the nurse expect to observe in this patient? (Select all that apply) - ANSWERVertigo Tinnitus Hearing loss Nausea Pallor Rationale: Pallor, vertigo, nausea, vomiting, tinnitus, and sweating are symptoms of Ménière disease. Ptosis is drooping of the upper or lower eyelid. Epistaxis is associated with nasal lesions or blood disorders. Which medication is used to produce contractions of the iris following a diagnostic procedure? - ANSWERPilocarpine (Pilocar) Rationale: Pilocarpine is a direct acting cholinergic agent that is used to counter the effects of mydriatic and cycloplegic agents after surgery or eye ophthalmoscopic
from the physician. The nurse should continue to monitor the patient's vital signs and document the information in the chart after the physician has been notified. The nurse is preparing a patient for a stapedectomy. Which information will the nurse include in the patient's preoperative teaching? - ANSWERVertigo and dizziness are common after surgery. Rationale: Hearing gradually improves after surgery because of postoperative packing and swelling. Vertigo is a common occurrence after stapedectomy. Tinnitus rarely occurs after stapedectomy. The packing in the ear should not be disturbed. The health care provider removes it is approximately 1 week after surgery A patient in the emergency department complains of sudden pain in his eye and is seeing halos around lights and feeling nauseous. Which diagnosis should the nurse suspect? - ANSWERAngle-closure glaucoma Rationale: Sudden onset of acute eye pain with nausea and vomiting and halos around lights are all symptoms of angle-closure glaucoma. The acute pain is caused by sudden blockage of the fluid channels in the eye. A patient comes in to the clinic complaining of inflammation of the eyelids. The nurse suspects that the patient is experiencing which disorder? - ANSWERChalazion Rationale: A chalazion is an inflammation of the glands of the eyelid. Blepharitis is an inflammation of the hair follicles along the eyelid margin. A hordeolum is a staphylococcal infection of the eyelid margin that originates in a lash follicle. Keratitis is inflammation of the cornea A nurse is collecting data from a client who has open-angle glaucoma. Which of the following findings should the nurse expect? - ANSWERLoss of peripheral vision Rationale: The nurse should expect to find the client experiencing a gradual loss of peripheral vision with a narrowing of the visual field with open-angle glaucoma A young woman being admitted to the clinic, states that all the members of her family have hearing loss. She says her hearing loss became more pronounced when she was pregnant. What term explains this type of hearing loss? - ANSWEROtosclerosis Rationale: Otosclerosis is hereditary, develops in young women, and worsens with pregnancy A patient with diabetes says that he needs a hearing aid because he cannot hear well, and everything sounds garbled and distant. What type of hearing loss should the nurse suspect? - ANSWERSensorineural hearing loss Rationale: A patient with long-term diabetes may have a sensorineural hearing loss that is not helped by hearing aids. When planning care for a patient who cannot perceive or interpret sounds, a nurse takes into consideration that the patient may have _____ hearing loss. (one word, type lower case letters). - ANSWERCentral
A nurse is contributing to the plan of care for a client who has labyrinthitis. Which of the following interventions should the nurse include in the plan? - ANSWERMonitor intake and output Rationale: Persistent vomiting may be a problem. During shift change, it is noted that a new patient is severely hard of hearing. What is the most important question for you to ask this patient initially? - ANSWERA. What means of communication does the patient use? Rationale: When the nurse is receiving a shift report about a newly admitted patient who is very hard of hearing, it is most important for the nurse to ask how the patient communicates. Being able to communicate with the patient is essential to nursing practice. Asking if the patient knows about latest hearing technology or if has ever been hospitalized before is not that important. Also, asking about a family member staying to interpret is not that important and may not be necessary A patient with Meniere disease is experiencing an acute attack. Which medication(s) should the nurse be prepared to give to the patient to assist in controlling the symptoms? (Select all that apply) - ANSWERantihistamines antiemetics benzodiazepines diuretics A nurse is reinforcing teaching with a client who has been newly diagnosed with chronic open angle glaucoma. Which of the following statements by the client indicates an understanding of the teaching? - ANSWER"I should call the clinic before taking any over-the-counter medications." Rationale: Taking over-the-counter medications that dilate the pupil could cause the client who has chronic open angle glaucoma to experience an increase in intraocular pressure. The nurse should instruct the client to always check with the provider before using over-the-counter medications. A nurse is reinforcing teaching with a client who has glaucoma. Which of the following statements should the nurse make? - ANSWER"Without treatment, glaucoma can cause blindness." Rationale: The nurse should explain that without treatment, glaucoma can result in blindness due to irreversible damage to the retina and optic nerve. How many milliliters should be given in 1 hour for the following order: 500 mL 5% dextrose in 0.45% normal saline every 8 hours. Record your answer using a whole number. _____ mL/hr - ANSWER