NMSS nclex practice
The client with a cataract tells the nurse about being afraid of being awake during eye surgery. Which of the following responses by the nurse would be most appropriate? A. "Have you ever had any reactions to local anesthetics in the past?" B. "What is it that disturbs you about the idea of being awake?" C. By using a local anesthetic, you won't have nausea and vomiting after the surgery. D. "There's really nothing to fear about being awake. You'll be given a medication that will help you relax."
B. "What is it that disturbs you about the idea of being awake?"
To decrease IOP following cataract surgery, the nurse should instruct the client to avoid... A. lying supine B. coughing C. deep breathing D. ambulation
B. coughing (pt should avoid activities like turning to operative side, sneezing, crying, and straining)
A client uses timolol maleate eye drops. The expected outcome of this drug is to control glaucoma by: A. Constricting the pupils B. Dilating the canals of Schlemm C. Reducing aqueous humor formation D. Improving the ability of the ciliary muscle to contract
C. Reducing aqueous humor formation (to reduce intraocular pressure, miotics are used for pupillary constriction and ciliary muscle contraction)
A client is diagnosed in the emergency department with a detached retina in the right eye. The nurse should do which of the following first? A. Apply compresses to the eye B. Instruct the client to lie prone C. Remove all bed pillows D. Promote measures that limit mobility
D. Promote measures that limit mobility (to prevent further injury)
The risk for injury during an attack of Meniere's disease is high. The nurse should instruct the client to take which immediate action when experiencing vertigo? A. place your head between your knees B. concentrate on rhythmic deep breathing C. close your eyes tightly D. assume a reclining or flat position
D. assume a reclining or flat position
Which measure should the nurse teach the client with ADM as a safety precaution? A. wear a patch over one eye B. place personal items on the sighted side C. lie in bed with the unaffected side toward the door D. turn the head from side to side when walking
D. turn the head from side to side when walking (to expand visual field and maximize sight)
