Final questions

Angiotensin-converting enzyme inhibitors can induce ________________

a mild to severe dry cough.

Adrenergic inhibitors can cause _________________

sedation and fatigue.

1. Which goal is a priority for a client who has undergone surgery for retinal detachment? a. Control pain b. Prevent an increase in intraocular pressure c. Cleanse the eye with soap and water d. Maintain a darkened environment.

b.

1. Eardrops have been prescribed to be instilled in the adult client's left ear to soften cerumen. To position the client, what should the nurse do? a. Have the client lie on the left side b. Pull the auricle lobe up and back c. Pull the ear lobe down and back d. Chill the eardrops prior to administering

b.

1. The nurse is to instill drops of phenylephrine hydrochloride into the client's eye prior to cataract surgery. Which is the expected outcome? a. Dilation of pupil and blood vessels b. Dilation of pupil and constriction of blood vessels c. Constriction of the pupil and constriction of blood vessels d. Constriction of the pupil and dilation of blood vessels

b.

1. The nurse is discharging a client who just had cataract removal and intraocular lens implantation. The nurse is confident that the client understands discharge instructions when the client states ( Select all that apply)? a. I understand the schedule of my eye drops and will use the medications b. I feel good and am ready to drive home now c. I will call in the morning if I cannot see clearly d. I will wear the eye shield at night to protect my eye e. I will avoid lifting or pulling anything over 15 lbs f. I will call if I still have eye pain after taking acetaminophen

a,d,e,f

1. The nurse has been assigned to a client who's hearing is impaired and reads speech. Which strategies should the nurse incorporate when communicating with the client? Select all that apply? a. Avoid being silhouetted against strong light b. Do not block out the person's view of the speaker's mouth c. Face the client when talking d. Have bright light behind so the individual can see e. Ensure the client is familiar with the subject material before discussing f. Talk to the client while doing other nursing procedures

a,b,c,e

1. The nurse is observing a spouse administer eye drops. What should the nurse instruct the spouse to do? a. Move the dropper to the inner canthus b. Have the client raise the eye brows c. Administer the drops in the center of the lower lid d. Have the client squeeze both eyes after the administration of drops

c

Choose the statements that correctly match the hypertensive medication with its side effect. Select all that apply. A. With ACE inhibitors, assess for bradycardia. b. Beta-blockers may cause sedation. c. Direct vasodilators may cause headache and tachycardia. d. Cough is a common side effect of adrenergic inhibitors. e. With thiazide diuretics, monitor serum potassium concentration.

e, c. -thiazide diuretics may deplete potassium; many clients will need potassium supplementation. -Direct vasodilators may cause headache and increased heart rate.

1. Which complication occur after cataract surgery? Select all that apply a. Acute bacterial endophthalmitis b. Retrobulbar hemorrhage c. Rupture of the posterior capsule d. Suprachoroidal hemorrgae e. Vision loss

e.

1. The nurse should assess clients with chronic open-angle glaucoma for: a. Eye pain b. Excessive lacrimation c. Colored light flashes d. Decreasing peripheral vision

d.

1. The client is having a cataract removed and will use eye glasses after the surgery. What information should the nurse include in the teaching plan? Select all that apply. a. Images will appear one third larger b. Look through the center of the glasses c. The changes will be immediate d. Use handrails when climbing stairs Stay out of the sun for 2 weeks

a,b,d

1. An older adult has vertigo accompanied with tinnitus as the result of Meniere's disease. The nurse should instruct the client to restrict which dietary element? a. Protein b. Potassium c. Fluids d. Sodium

d.

1. To approach a deaf client, what should the nurse do first? a. Knock on the room's door loudly b. Close and open the vertical blinds rapidly c. Talk while walking into the room Get the client's attention

d.

1. Which measure should the nurse teach the client with adult macular degeneration 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.

1. A 75 year old client who has been taking furesemide regularly for 4 months tells the nurse about trouble hearing. What should the nurse do? a. Tell the client that at age 75 years, it is inevitable that there will be hearing loss b. Report the hearing loss to the health care provider c. Schedule the client for audiometric testing and a hearing aid d. Tell the client that the hearing loss is only temporary, when the body adjusts to furosemide, hearing will improve.

b.

1. To decrease intraocular pressure following cataract surgery, the nurse should instruct the client to avoid: a. Lying position b. Coughing c. Deep breathing d. Ambulation

b.

A client who has been treated for chronic open-angle glaucoma for 5 years ask the nurse, " how does glaucoma damage my eyesight?" The nurse reply should be based on the knowledge that chronic open-angle glaucoma: a. Results from chronic eye inflammation b. Causes increased intraocular pressure c. Leads to detachment of retina d. Is caused by decreased blood flow to the retina

b.

The client with a cataract tells the nurse about being afraid of being awake during eye surgery. Which response by the nurse would be the 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 will not have any nausea and vomiting after the surgery d. There is really nothing to fear about being awake. You will be given a medication that will help you relax.

b.

1. What should the nurse instruct a client who has cerumen buildup in the ear to do? Select all that apply? a. Wash the external ear with a washcloth b. Instill cerumenolytic drops in the ear canal c. Use cotton tipped applicators to remove the wax from the ear canal d. Use small forceps to extract the wax e. Irrigate the ear with sterile water after softening the wax with a cerumenolytic solution

a,b,e,

1. A client with detachment of the retina is to patch both eyes. The expected outcome of patching is to: a. Reduce rapid eye movements b. Decrease the irritation caused by light entering the damaged eye c. Protect the injured eye from the infection. d. Minimize eye strain on the uninvolved eye

a.

1. The client is ready for discharge after surgery for deviated nasal septum. Which instruction would be appropriate? a. Avoid activities that elicit Valsalva's maneuver. b. Take aspirin to control nasal discomfort c. Avoid brushing the teeth until the nasal packing is removed d. Apply heat to the nasal area to control swelling

a.

1. A young adult is admitted for a deviated septum. Which sign would be an important indicator of bleeding even if the nasal drip pad remained dry and intact? a. Presence of nausea b. Repeated swallowing c. Rapid respiratory rate d. Feelings of anxiety

b.

1. The nurse is assisting a client who has new onset vision loss to transition to home from the hospital. The client can see shadow and light in the right eye only. When at home, the client is at greatest risk for: a. Loss of sensory perception b. Injury from falls c. Denial of changes in vision d. Isolation from social activities

b.

1. The nurse observes the client instill eye drops. The client says, " I just try to hit the middle of my eyeball so the drops do not run out of my eye". The nurse explains to the client that this method may cause : a. Scleral straining b. Corneal injury c. Excessive lacrimation d. Systemic drug absorption

b.

1. A client has a history of macular degeneration. While in the hospital, the priority nursing goal will be to: a. Provide education regarding community services for clients with adult macular degeneration b. Provide health care related to monitoring the eye condition c. Promote a safe, effective care environment d. Improve vision

c.

1. A client has been diagnosed with an acute episode of angle-closure glaucoma. The nurse plans the client's nursing care with the understanding that acute angle-closure glaucoma: a. Frequently resolves without treatment b. Is typically treated with sustained bed rest c. Is a medical emergency that can rapidly lead to blindness d. Is most commonly treated with steroid therapy

c.

1. A client uses timolol maleate eyedrops. 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 Improving the ability of the ciliary muscle to contract

c.

One day after cataract surgery, the client is having discomfort from bright light. The nurse should advice the client to: a. Dim lights in the house and stay inside for 1 week b. Attach sun shields to existing eyeglasses when in direct sunlight c. Use sunglasses that wrap around the side of the face when in bright light d. Patch the affected eye when in bright light

c.

1. A client who is prescribed by the HCP to take aspirin daily in order to prevent thrombus formation reports having ringing in the ears. The nurse advices the client to take which measure? a. Increase fluid intake b. Stop taking the aspirin c. Use acetaminophen instead d. Contact the HCP

d.

1. A short time after cataract surgery, the client has nausea. The nurse should first: a. Instruct the client to take a few deep breaths until the nausea subsides b. Explain that this is a common feeling that will pass quickly c. Tell the client to call the nurse promptly if vomiting occurs d. Medicate the client with an antiemetic, as prescribed.

d.

1. After cataract removal surgery, the client is instructed to report sharp pain in the operative eye because this could indicate which postoperative complication? a. Detached retina b. Prolapsed of the iris c. Extracapsular erosion d. Intraocular hemorrhage

d.

1. The client is diagnosed with a detached retina in the right eye. What should the nurse do 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.

1. Which clinical manifestation should the nurse assess when a client has acute angle-closure glaucoma a. Gradual loss of central vision b. Acute light sensitivity c. Loss of color vision d. Sudden eye pain

d.

A client tells the nurse about the vision being blurred and hazy through out the entire day. The nurse should recommend that the client: a. Purchase a pair of magnifying glasses b. Wear glasses with tinted lenses c. Schedule an appointment with optician d. Schedule an appointment with opthalmolosgist.

d.

Beta-blockers may induce ___________________.

decreased heart rate; pulse rate should be assessed before administration

1. The nurse is instructing the client about postoperative care following cataract removal. What position should the nurse teach the client to use? a. Remain in a semifowler's position b. Position the feet higher than the body c. Lie on the operative side d. Place the head in a dependent position

a.

1. The nurse should assess an older adult with macular degeneration for: a. Loss of central vision b. Loss of peripheral vision c. Total blindness d. Blurring of vision

a.

1. Which statement would provide the best guide for activity during the rehabilitation period for a client who has been treated for retinal detachment? a. Activity is resumed gradually, the client can resume usual activities in 5-6 weeks b. Activity level is determined by the client's tolerance, client can be as active as they wish c. Activity level will be restricted for several months, the client should plan on being sedentary d. Activity level can return to normal, client can resume regular aerobic exercises

a.

1. The son of an older adult reports that his father just " stares off into space" more and more in the last several months but then eagerly smiles and nods once the son can gets his attention. The nurse should assess the client further for: a. Dementia b. Hearing loss c. Anger d. Depression

b.