Exam #3 NURS 370 Pt. 2
Which type of medication used for the treatment of glaucoma increases the outflow of aqueous humor while decreasing the intraocular pressure? A. Carbonicanhydrase inhibitors B. Alpha antagonists C. Prostaglandins D. Beta blockers
C
Which is a description of the frail elderly? A. A person over 85 B. A person who takes multiple medications C. Vulnerability to a downward spiral in response to any health problem D. An elderly person who has started to lose functional ability
C A frail older adult has multiple health problems and will have a life-threatening downward spiral in response to health issues
Which theory used by the nurse caring for a family would focus on the roles of each family member? A. Developmental theory B. General systems theory C. Family interactional theory D. Structural-functional theory
C Family interactional theory focuses on the role each member plays within the family General systems theory focuses on how systems interact with each other, not the roles of each family member Developmental theory focuses on the stage of family development Structural-functional theory focuses on the outcomes instead of the process
Parents with young children are concerned with safety, development, education, and nutrition. What is the most important risk to family health? A. Childcare services B. Marital relationships C. Communicable diseases D. Chronic illnesses
C Parents should be educated on the importance of annual vaccinations and myths associated with them
According to general systems theory, which element is part of the suprasystem? A. Mother B. Daughter C. Community D. Decision maker
C The community is a broader system that surrounds the family unit, making it part of the subsystem
Which describes the body breaking down nutrients into chemical energy and then into usable energy? A. Intake B. Conversion C. Metabolism D. Synthesis
C
Which diagnostic test associated with hearing loss notes a response of the stapedius muscle to the presence of loud sound? A. Pure-tone threshold B. Tympanometry C. Acoustic reflex D. Speech-reception threshold
C
Which medication is contraindicated in a patient with open-angle glaucoma? A. Beta blockers B. Prostaglandins C. Anticholinergics D. Carbonic anhydrase inhibitors
C
Which diagnostic tool is most likely used to assess for joint damage in an older adult with systemic lupus erythematosus (SLE)? A. Ultrasound B. Computed tomography (CT) C. X-ray D. Magnetic resonance imaging (MRI)
C
Which patient is most at risk of developing normal tension glaucoma? A. A Japanese patient B. An African American patient C. A Mexican American patient D. A Caucasian patient
A
Which physical assessment examination verifies increased ocular pressures in patients with glaucoma? A. Tonometer examination B. Visual acuity test C. Ophthalmoscope examination D. Slit lamp evaluation
A
Which type of lipid removes cholesterol from the bloodstream? A. High-density lipids (HDLs) B. Low-density lipids (LDLs) C. Glycerides D. Sterols
A
Which is a cause for sensory hearing loss? A. Ear trauma B. Obstruction C. Genetic disorders D. Demyelinating disease
C
Which type of muscular dystrophy is most common in men and children? A. Becker muscular dystrophy B. Myotonic muscular dystrophy C. Duchenne muscular dystrophy D. Limb-girdle muscular dystrophy
A
While assessing a patient , the nurse observes uneven waist and shoulders. Which musculoskeletal disorder could cause this? A. Scoliosis B. Bone cancer C. Osteomyelitis D. Muscular dystrophy
A
Which mineral can contribute to heart disease, hypertension, and stroke if consumed in large amounts? A. Iron B. Magnesium C. Sodium D. Calcium
C
A client is given the instructions to avoid eating before bedtime, keep the head of the bed elevated at 30 to 40 degrees, and to avoid fatty foods, chocolate, and smoking. Which impaired digestive function is most likely for this client? A. Gastroesophageal reflux B. Decreased gastric secretions C. Glucose intolerance D. Decreased intestinal peristalsis
A
A client with a nursing diagnosis of Imbalanced Nutrition, Less Than Body Requirements r/t diagnosis of colon cancer and depression has no desire to eat. What is one method of assuring the client receives the needed nutrition? A. Encourage family members to bring foods the client likes to eat. B. Refer the client for appropriate counseling. C. Suggest community resources for access to food. D. Recognizes factors contributing to being underweight.
A
A nurse is teaching a client with heart disease about following a low-fat diet. Which foods would a nurse include in a list of high-fat foods to avoid? A. Chocolate milk B. Avocados C. Salmon D. Cashews
A
A patient is diagnosed with normal tension glaucoma. Which physiological abnormality is most likely observed in this patient? A. Damage to the fragile optic nerve B. Highly elevated intraocular pressure C. Abnormal growth of blood vessels in the retina D. Alteration in the production of lens proteins
A
A patient reports numbness, pain, weakness in the lower extremities, and an inability to control motor movement. The primary healthcare provider prescribes gabapentin and tramadol. What should be the outcome of this intervention? A. Decreased lower back pain B. Suppression of spinal cord tumors C. Reduced symptoms of multiple sclerosis D. Relief from symptoms associated with amyotrophic lateral sclerosis (ALS)
A
An individual who suffers from anorexia nervosa is at risk for what type of disruptions in the body? A. Weakened immune system and hormonal imbalance B. Obesity, diabetes, and hypertension C. Equal balance of kilocalories and energy expended D. Altered fluid balance leading to dehydration
A
Anticholinergics are used to reduce tremors and drooling associated with Parkinson's disease (PD). Which side effect of this drug contraindicates it for older patients? A. Memory impairment B. Urinary frequency C. Nausea and vomiting D. Disorders of impulse control
A
The nurse advises a 42-year-old patient to wear sunglasses to protect his or her eyes from exposure to ultraviolet (UV) rays. Which condition is prevented if the patient performs this action? A. Cataracts B. Glaucoma C. Anisocoria D. Presbyopia
A
The nurse suspects cataracts in a patient. Which clinical manifestation would the nurse initially expect in this patient? A. Blurred vision B. Redness and pain C. Puffiness of the eye D. Blind spots in the eye
A
Which assessment finding corresponds with the first stage of Parkinson's disease (PD)? A. Upper extremity tremors B. Muscle rigidity C. Shuffling gait D. Postural instability
A
Which ear condition may result in complications such as meningitis? A. Otitis media B. External otitis C. Presbycusis D. Tinnitus
A
Which nutrients are needed to repair and maintain cells? A. Proteins B. Carbohydrates C. Lipids D. Vitamins
A
What could potentially occur if a client takes Vitamin A, D, E, and K supplements daily? A. Toxicity B. Dehydration C. Impaired iron absorption D. Impaired metabolism
A As vitamins A, D, E and K are fat-soluble, they are stored longer in the body -> daily supplements are not always needed and toxicity can occur
A nurse is caring for a client who is confused. Which would be the most appropriate way to approach bathing the client? A. State "Time for a bath." B. State "Let's get everything together and I will help you with your bath after I finish taking vital signs." C. Do not tell the client the intention. D. Ask, "Would you like to take a bath now?"
A Clear, simple, concise statements are best with confused clients
The patient with systemic lupus erythematosus (SLE) is experiencing pancytopenia. What would be the cause of this? A. Immunosuppression B. Medications used for treatment C. Failing kidney function D. Bone marrow failure
A Clinical signs of pancytopenia (decreased blood counts across all cell lines) indicates immunosuppression and would require intervention
Which spinal cord disorder is characterized by the buildup of scar tissue or plaques? A. Multiple sclerosis (MS) B. Spinal cord tumors C. Herniated nucleus pulposus D. Amyotrophic lateral sclerosis (ALS)
A MS is a chronic neurological disorder in which the nerves of the central nervous system degenerate It is characterized by the buildup of scar tissues (sclerosis) or plaques that are formed during the process of demyelination
A postoperative client has been placed on a clear liquid diet. Which item should the nurse offer the client? A. Popsicle B. Milk shake C. Orange juice D. Yogurt
A Popsicles are considered part of a clear-liquid diet that is used to prevent dehydration and offer carbohydrates Milk shakes, juices, and yogurt can be given on a full liquid diet but not a clear liquid diet Clear juices such as apple and grape can be given on a clear liquid diet
An overweight client wants to lose weight. What is one realistic goal that the client should understand and set for himself or herself? A. Strive to burn at least 500 to 1000 calories more than consumed each day. B. Plan to lose 3 to 4 pounds per week. C. Set outcome goals that can be reached. D. Review goals daily and adjust as needed.
A Slow and steady exertion that burns more calories than intake will yield a healthy weight loss rate of 1-2 lbs per week
What is the purpose of using an echocardiogram as a diagnostic tool in a patient with systemic lupus erythematosus (SLE)? A. To assess for pericardial involvement and elevated pulmonary artery pressure B. To access neurological defects and cognitive dysfunction C. To assess the kidney size if there is any sign of renal impairment D. To assess joint pain, swelling, and stiffness
A The echocardiogram diagnostic tool is used for assessing pericardial involvement and to check if the pulmonary artery pressure has been elevated because SLE patients are at risk for developing pulmonary artery hypertension
The nurse is teaching a client who has iron-deficiency anemia about foods that should be included in the diet. The nurse can determine that the client understands these instructions if the client chooses which of the following foods from a sample menu? A. An orange with fortified cereal B. Nuts and seafood C. Bacon and eggs D. Avocados and figs
A Vitamin C will aid in the absorption of iron, which is found in fortified cereals and green leafy vegetables
Which vitamin should be suggested as a supplement to a client who chooses a vegetarian diet? A. D B. A C. C D. K
A Vitamin D may be missing in many of the food choices of vegetarians (meat and fish products), so it should be introduced with supplements if needed
Which interventions should the nurse include in the plan of care for a client who is disoriented to time? Select all that apply. A. Open the drapes during the day. B. Place some clocks in the client's room. C. Wear a name badge with large letters. D. Provide personal mementos and photos. E. Speak in a slow, calm manner without rushing.
A, B
A 78-year-old female was admitted overnight for confusion, delirium, and depression. She lives alone and has recently exhibited signs of memory loss and increased confusion, especially in the evening. She currently is on several medications for health-related issues, medication to help her sleep, and anti-anxiety medications. What should the nurse assess this client for? A. Dementia B. Polypharmacy C. Depression D. Ageism E. Nutritional status
A, B, C
An older adult client's family members have reached out for help as they have seen a dramatic change in their father's "desire to live" and states he has disengaged from his family and friends, not attending functions he typically enjoys. What causes or situations should the nurse assess for when assessing this client? A. Forced retirement B. Chronic illness C. Death of relative/friend D. Change in financial status E. Physical living arrangements
A, B, C, D
What factors regarding nutrition should the nurse consider when working with an older adult? Select all that apply. A. Tooth loss and gum disease limit chewing ability. B. It is not unusual for older adults to lose interest in eating and for the thirst sensation to decrease. C. The ability to taste and smell diminishes with age, and many clients find some diets unappealing. D. Arthritic hands may create difficulty preparing and eating food. E. Dietary patterns are not a consideration for aging adults who tend to eat what they want when they want.
A, B, C, D
When educating an older adult on maintaining functional ability and promoting independence, what information should be included? A. Safety issues such as changes in stamina and reflexes B. Illness prevention and immunizations C. Encourage physical exercise D. Facilitate empowerment E. How to choose an appropriate caregiver
A, B, C, D
A nurse is caring for a 77-year-old client in the hospital. What are some methods the nurse can apply to promote independence and functional ability? Select all that apply. A. Ensure the client has access to a telephone at the bedside. B. Ask the client if he or she would like to ambulate in the hall. C. Encourage the client to remain in bed in order to regain strength. D. Offer the client meal choices. E. Do not provide detailed explanations about medications, as this could confuse the client.
A, B, D
The nurse is teaching a group about the epidemiology of cataracts. Which statement indicates the need for further instruction? Select all that apply. A. "Low blood pressure increases the patient's risk for developing cataracts." B. "Caucasians have twice the risk of developing cataracts as African Americans." C. "An obese patient has a high risk of developing cataracts." D. "A patient with hyperopia has a tendency of developing cataracts." E. "Smoking doubles the risk of developing cataracts in an individual."
A, B, D
Which interventions should the nurse implement for the patient with Parkinson's disease (PD)? Select all that apply. A. Elevate head of bed when eating and drinking. B. Arrange speech therapy for the patient. C. Teach the patient to take long steps while walking. D. Teach the patient to call the healthcare provider for medical compliance. E. Discuss and evaluate the patient's ability to drive.
A, B, D, E
The nurse is teaching about monitoring for clinical manifestations when assessing spinal shock in a patient. Which statement indicates effective teaching? Select all that apply. A. "The patient would have low urine output." B. "The patient would have improper digestion." C. "The patient would have low blood pressure." D. "The patient would have a decreased heart rate." E. "The patient would not show reflexes if tapped on the knee."
A, B, E
Which are included as part of the USDA dietary guidelines? Select all that apply. A. Food safety B. Adequate exercise C. Immunization schedules D. BMI chart E. Choosing a nutritious diet
A, B, E
The nurse is developing a plan of care for a patient with Alzheimer's disease recently admitted to a nursing home. What priority goals should the nurse consider? Select all that apply. A. Maintain patient safety B. Socialization with residents C. Improve the quality of life D. Perform ADLs independently E. Independently take medications
A, C
Which of the following techniques would the nurse use when communicating with someone who has cognitive deficits? Select all that apply. A. Use simple short sentences. B. Say yes, yes, that's okay. C. Repeat your words exactly. D. Avoid using specific language. E. Provide many choices.
A, C
A nurse is educating a group about the pathophysiology of cataracts. Which statement made indicates the need for further teaching? Select all that apply. A. "The lens is the clear part of the eye that focuses light on the cornea." B. "Age of an individual is a factor that leads to gradual clouding of the lens." C. "Specific minerals within the lens produce a chemical reaction to maintain the lens clarity." D. "A cataract in an individual can occur from glaucoma due to diabetes mellitus." E. "Blunt trauma to the eye is a factor, which can lead to a cataract."
A, C Lens is the clear part of the eye that focuses light on the retina, not the cornea Specific proteins (not minerals) within the lens produce a chemical reaction to maintain the lens clarity
The home health nurse visits a client who is bedridden after a stroke and notices the client is quiet and withdrawn when the caregiver enters the room. What would the nurse assess for in the caregiver to support a nursing diagnosis of caregiver role strain? Select all that apply. A. Apathy B. Neglect C. Aggression D. Depression E. Physical injuries
A, C, D
A new nurse is learning about the three perspectives of family nursing. What do these perspectives include? Select all that apply. A. Family as the context of care B. Family as an interactional unit C. Family as the unit of care D. Family as a system E. Family as a developmental process F. Family with maladaptive coping mechanisms
A, C, D Family as the context of care -> in this perspective the nurse approaches the family unit of the ill individual Family as the unit of care -> nurse must provide family members with individual care Family as a system -> assessment and interventions are developed based on communications among family members
Which are common clinical manifestations of external otitis? Select all that apply. A. Scant clear drainage from the ear canal B. Unilateral and sometimes bilateral hearing loss C. Visualized erythema and edema in the ear canal D. Absence of pain in the external ear E. Swelling visualized in and around the external ear
A, C, E
The nurse is teaching about caring for a patient who has undergone surgery for herniated nucleus pulposus. Which statement indicates a need for further education? Select all that apply. A. "Changes in respiratory rate and effort may indicate a cerebrospinal fluid leak." B. "I will inspect the surgical site to detect signs of hemorrhage or a cerebrospinal fluid leak." C. "Monitoring the neurological status of the patient helps to detect early and subtle changes." D. "I will advise the patient to maintain the body in good alignment since it helps to prevent infection." E. "Encouraging range of motion exercises in the patients decreases the risk of contracture development."
A, D
Which strategies are often effective in relieving anxiety and fear in clients with dementia? Select all that apply. A. Establish a predictable routine. B. Tell the client not to worry. C. Correct the client if he or she makes an incorrect statement. D. Use the same caregivers each day if possible E. Use alternative therapies
A, D, E
Which is an appropriate intervention for a client with a hearing deficit? A. Avoid talking to the client because this causes frustration. B. Speak only to family members. C. Face the client directly and speak loudly and clearly. D. Communicate by writing to avoid confusion.
C
A patient involved in an auto accident has severe spinal cord injuries. If the patient is having difficulty with diaphragmatic breathing, which level of the spinal cord is injured? A. C1 to C4 B. C6 to C7 C. T1 to T12 D. Below L1 E. Obstructive lung disease
B
The nurse is caring for a patient diagnosed with autonomic dysreflexia (AD). Which action performed by the nurse indicates a need for correction? A. Placing an indwelling urinary catheter in the patient B. Applying antiembolism stockings on the patient C. Monitoring the patient's blood pressure every 5 minutes D. Checking the patient's body for the presence of pressure ulcers
B
Which condition is not a single eye disease, but a group of eye conditions that present with increased intraocular pressure? A. Macular degeneration B. Cataracts C. Glaucoma D. Eye trauma
C
The nurse is performing an eye assessment on a 45-year-old patient. Which report from the patient should cause the nurse to notify the primary healthcare provider? A. "I noticed that my eyes become dry when I read." B. "My peripheral vision is decreased." C. "I experience difficulty identifying faces." D. "I am unable to read the newspaper when it's placed at a normal distance from me."
B
The nurse is speaking with a 69-year-old female patient. What should the nurse explain about osteoporosis? A. Osteoporosis affects mostly men, so you needn't worry about it. B. Women are at high risk because of the lack of calcium intake and changes caused by menopause. C. Osteoporosis is uncommon, but you should be aware that it exists. D. As long as you drink a glass of milk every day, you won't get osteoporosis.
B
The nurse is speaking with a client who is confused and is getting agitated. Which communication technique is most appropriate when the client asks about the whereabouts of his or her spouse who has been deceased for 3 years? A. "Your husband is not here." B. "You must miss your husband." C. "Your spouse passed away 3 years ago." D. "Why do you keep asking for your spouse? You know your spouse isn't here."
B
Which describes the role of the speech therapist in terms of care provided for a patient with Parkinson's disease? A. To maximize independence in activities of daily living (ADLs) B. To evaluate the patient's ability to swallow C. To provide exercises that increase strength D. To promote home safety
B
Which is true regarding an otoscopic examination? A. It verifies the presence and patency of the structures of the external ear only. B. It includes assessment for acute/chronic infection as well as structural abnormalities. C. It determines the softest level at which a patient is able to recognize speech. D. It requires a patient to wear headphones over his/her ears to complete the test.
B
Which patient is at the lowest risk for the development of cataracts? A. Patient with diabetes B. Patient with hypotension C. Patient with autoimmune disease D. Patient with body mass index of 31
B
Which source of energy is butter? A. Simple carbohydrate B. Lipid C. Complete protein D. Incomplete protein
B
Which surgical procedure is used to treat the patient with Parkinson's disease (PD)? A. Vagal nerve stimulator (VNS) B. Stereotactic pallidotomy C. Deep brain stimulation D. Partial corpus callosectomy
B
Which type of multiple sclerosis (MS) is characterized by the gradual progression of symptoms without remissions? A. Relapsing remitting B. Primary progressive C. Progressive relapsing D. Secondary progressive
B
Which is a biological response modifier used to treat patients with systemic lupus erythematosus (SLE)? A. Clobetasol B. Belimumab C. Azathioprine D. Cyclophosphamide
B Belimumab is a biological response modifier used to treat SLE
Which describes the updated revision of vitamins, minerals, proteins, and total calories that are thought to meet the needs of about 98% of a particular group? A. Daily Reference Intake B. Recommended Daily Allowance C. Adequate Intakes D. Standards
B Daily reference intake is the older version of nutritional guidelines Adequate intakes are a description of intakes adequate to meet the needs of an entire group Standards are a reference range thought to meet the needs of certain groups
In caring for families with older adults, there are common health risk factors that a nurse must be aware of. What is the most important health risk for this family? A. Social isolation and loneliness B. Nutrition and hydration C. Falls and safety D. Forgetfulness and confusion
B Highest level need!
A nurse is teaching a about total joint replacement (TJR). Which statement indicates a need for further teaching? A. "It is also referred to as arthroplasty." B. "Its replacement life span is 5 to 6 years." C. "It is most commonly associated with the joints of the hip and the knee." D. "It is the surgical procedure designed to repair an articulating surface with a synovial joint."
B TJR life span is 10-15 yrs
A patient reports fever, swelling, and warmth at the site of swelling. Which musculoskeletal disorder should the nurse be concerned about? A. Osteoporosis B. Osteomyelitis C. Paget's disease D. Muscular dystrophy
B The clinical manifestations of osteomyelitis are fever, swelling of the bone, and warmth at the site of swelling.
Using structural-functional theory, the nurse is working with a family going through a divorce. As the nurse plans the sessions, what will be the focus? A. Ground rules created for each session B. Children developing healthy coping patterns C. Everyone's participation in each session D. Identification of strengths and weaknesses
B The focus of structural-functional theory is on outcomes One outcome the nurse may focus on is the children in the family developing healthy coping habits
What medication is most likely to be prescribed to a patient with systemic lupus erythematosus (SLE) who has this skin rash? A. Methotrexate B. Topical glucocorticoids C. High dose oral glucocorticoids D. Azathioprine
B Topical glucocorticoids are usually administered for skin rashes
Which confirms the diagnosis of Alzheimer's disease (AD)? A. Neuropsychiatric testing B. Written and oral testing C. Examination of the brain following death D. Examination of cerebrospinal fluid
C
The nurse is caring for a patient diagnosed with acute angle glaucoma. Which clinical manifestation does the nurse expect to see in this patient? Select all that apply. A. Double vision B. Severe eye pain C. Halo vision D. Loss of peripheral vision E. Decreased night vision
B, C In open angle glaucoma loss of peripheral vision may be seen Double vision and difficult night vision are manifestations of cataracts
A 74-year-old client is hospitalized with acute onset delirium of unknown etiology. The nurse questions the family and asks what has changed recently. Which responses made by the family could have contributed to the delirium? Select all that apply. A. Bipolar disorder B. New medication C. Electrolyte imbalance D. Urinary tract infection E. Physical changes in the brain
B, C, D
The nurse suspects that an older adult patient may have difficulty hearing. Which strategies will the nurse use to improve communication? Select all that apply. A. Use sign language. B. Look directly at the patient when speaking. C. Speak more slowly than usual. D. Speak loudly toward the patient's ears. E. Allow some extra time for the patient to respond.
B, C, D, E
Which are secondary risk factors for a patient with osteoporosis? Select all that apply. A. Cigarette smoking B. Cushing's disease C. Steroid use D. Gender E. Down's syndrome
B, C, E
A patient has undergone joint replacement. Which complications should the nurse monitor for? Select all that apply. A. Myeloma B. Hypotension C. Spinal deformity D. Hypovolemic shock E. Deep vein thrombosis
B, D, E
Which conditions are treated with high dose oral glucocorticoids in a patient with systemic lupus erythematosus (SLE)? Select all that apply. A. Oral and nasal ulcers B. Pneumonitis C. Chronic cutaneous lupus D. Systemic vasculitis E. Hematologic abnormalities
B, D, E
A nurse is caring for a patient with cataracts. The patient reports double vision in the right eye. What can the nurse determine based on the information provided? A. It is caused when the clouding of the lens distorts the light, leading to inaccurate image formation on the retina. B. It is caused by a decreased amount of light entering through a clouded lens. C. It is the result of visual distortion from clouding of the lenses. D. It is the result of clouded lenses distorting the amount of light projected onto the retina.
C
A nurse is educating about the medications that can be administered to a patient with lupus. Which statement indicates a need for further teaching? A. Hydroxychloroquine B. Glucocorticoids C. Oral contraceptives D. Methotrexate
C
A nurse is learning about family structures. What does the nurse understand a holistic definition of a family to be? A. Two or more related people living in the same household B. A group of people consisting of a wife, husband, and children C. Two or more individuals who provide physical, emotional, economic, or spiritual support to each other and may or may not be related by blood D. A group of grandparents, aunts, uncles, and cousins living in a single dwelling
C
A nurse is teaching about the factors identified as high risk for developing otitis media. Which factor indicates a need for further teaching? A. History of seasonal allergies B. Anatomic feature C. Warm temperature D. Smoking in household
C
A patient is diagnosed with amyotrophic lateral sclerosis (ALS) characterized by flaccidity. Which complication is associated with this? A. Dementia B. Dysphagia C. Lower back pain D. Slurred speech
C
A patient reports a stabbing heel pain that worsens when walking in the morning. What condition should the nurse consider? A. Bunion B. Pes planus C. Plantar fasciitis D. Morton's neuroma
C
A registered nurse is teaching about cyclophosphamide treatment in patients with systemic lupus erythematosus. Which complication or disease indicates a need for further teaching? A. Lupus nephritis B. Pulmonary hemorrhage C. Pneumonitis D. Systemic vasculitis
C
The nurse is caring for a patient with cataracts. Which action performed by the nurse prevents an increase in intraocular pressure? A. The nurse would administer eye drops. B. The nurse should position the patient on the nonoperative side. C. The nurse should elevate the head of the bed 35 degrees to 45 degrees. D. The nurse should maintain an eye patch as prescribed by the primary healthcare provider.
C
The nurse is discussing follow-up care after discharge with a patient who has undergone cataract surgery. Which statement made by the patient indicates the need for further discussion? A. "I should use acetaminophen for pain." B. "I should use an eye shield during bed time." C. "I should sleep on the side that was operated on." D. "I should elevate the head of the bed 30° to 45°."
C
The nurse is teaching about home care for patients who have undergone joint replacement. Which statement indicates the need for further teaching? A. "I should encourage the patient to use slip socks." B. "I should encourage the patient to use walking devices." C. "I should encourage the patient to sit with legs crossed." D. "I should encourage the patient to use a raised toilet seat and a pull bar in the bathroom."
C
The registered nurse is teaching about systemic lupus erythematosus (SLE). Which statement by the nurse is incorrect? A. "It is important to avoid prolonged exposure to sun." B. "It is important to avoid immunizations with live vaccines." C. "It is important to perform vigorous exercises regularly." D. "If you have a history of phlebitis it is important to avoid the use of oral contraceptives."
C
Which complication may occur in a patient who has been diagnosed with otitis media? A. Depression B. Anxiety C. Labyrinthitis D. Otosclerosis
C
The nurse is discussing the plan of care for a patient with glaucoma who underwent trabeculectomy. Which statement indicates a need for correction? Select all that apply. A. "The patient should avoid bending at the waist." B. "I should instruct the patient to use the prescribed eye drops for life." C. "I should instruct the patient to avoid bending for 12 hours postsurgery." D. "I should instruct the patient to elevate the head while in a supine position." E. "I should advise the patient to avoid lifting heavy objects greater than 35 pounds."
C, E Postoperative patient should avoid bending for at least 24 hrs Patient should avoid lifting objects over 25 pounds
A nurse is teaching about high-risk factors for developing external otitis. Which factor listed indicates a need for further training? A. Hearing aid use B. Recent history of trauma to the ear C. Recent history of swimming D. Low-humidity climates
D
The home healthcare nurse is caring for an elderly patient with Alzheimer's disease (AD). Which intervention should the nurse implement for the patient? A. Provide the patient with semi-soft diet. B. Encourage the patient to take an afternoon nap. C. Provide the patient with a different schedule every day. D. Speak calmly using positive statements.
D
The nurse is teaching a client with newly diagnosed type 2 diabetes mellitus about self-management. What can the nurse do to focus on the family as the context for care? A. Check the spouse's blood glucose level. B. Determine who will be the primary caregiver. C. Inquire how this illness has impacted the family. D. Ask the client if the family will be helping with injections.
D
Which finding is used to diagnose the presence of Parkinson's disease (PD)? A. Electroencephalogram (EEG) B. Magnetic resonance imaging (MRI) C. Cerebrospinal fluid (CSF) testing D. Presence of tremors and muscular rigidity
D
Which test is most likely to help the primary healthcare provider to evaluate the extent of opacity present in a patient with cataracts? A. Tonometer B. Amsler grid C. Ophthalmoscope D. Slit lamp examination
D
The surgeon instructs the nurse to administer eye drops preoperatively to a patient who is scheduled for cataract surgery. Which type of eye drops are most likely in the prescription? A. Lubricant B. Miotic drug C. Corticosteroid D. Mydriatic drug
D A mydriatic drug dilates the pupil, which makes it easier for the surgeon to remove the lens of the eye
A patient who was diagnosed with systemic lupus erythematosus (SLE) 6 months ago arrived at the hospital for a regular checkup. The nurse anticipates the priority assessment would be performing the eye examination. Which medication in the treatment leads the nurse to this decision? A. Capsaicin B. Naproxen C. Hydrocodone D. Hydroxychloroquine
D Hydroxychloroquine is an antimalarial medication used to treat SLE, as the medication may lead to retinal toxicity with long-term use, the priority assessment would be an eye exam
