Final Nursing 3

What is a common mistake that hinders communication when communicating with the hearing impaired?

Over accentuating words

what is the first indication of macular degeneration?

The loss of central vision

what is the process when the lens of the eye changes its curvature to focus on the retina

accommodation

what is the visual disorder characterized by slow, progressive loss of central and near vision?

age-related macular degeneration

Which question is likely to elicit the most valid response from the patient who is being interviewed about a neurologic problem

can you describe the sensations you are having

what does diabetes retinopathy result from

capillaries in retina hemorrhage

The nurse explains to the patient who has had a knee replacement that warfarin (Coumadin) is ordered to

prevent formation of emboli

The condition that may cause conductive hearing loss

1. Foreign bodies 2. otosclerosis of external auditory canal 3. buildup of cerumen 4. otitis media with effusion

Place the nursing intervention in appropriate order for the immediate care of the patient with a penetrating wound of the eye.

1. Lay the patient down flat 2. assess eye do not remove object 3. check for irregularity of the pupil 4. cover both eyes with an eye shield or cup 5. obtain medical attention immediately

Which may contribute to otitis media?

1. Upper respiratory infections 2. allergies 3. exposure to cigarette smoke

The nurse will implement which of these nursing intervention for the patient with increased intracranial pressure?

1. suction only as necessary, but no longer than 10 seconds 2. position patient to avoid flexion of hips , waist, and neck 3. Place neck in neutral position 4. Teach patient to avoid Valsalva maneuver

What factors must the nurse consider when assessing readiness to learn when teaching health promotion practices for the visually and hearing impaired?

1. values 2. cultural beliefs 3. habits

what neurotransmitter primarily affects motor function and is involved in gross subconscious movements of the skeletal muscles?

Dopamine

What is the movement of an extremity away from the midline of the body called?

Abduction

what is the ability of the eye to focus on objects at various distances?

Accommodation

What is the first priority nursing intervention for an impending fat embolism?

Administer oxygen in a respiratory emergency

A female Patient diagnosed with osteoarthritis has numerous questions for the nurse about the disorder. In answering her questions, what does the nurse relay regarding osteoarthritis?

Almost considered to be an inevitable consequence of aging

The nurse is aware that when assessing a patient by the FOUR score coma scale, the patient is assessed in four categories: eye response, brainstem reflexes, motor response, and respiration. How are these results reported?

As individual scores in each category

What term most accurately describes age- related changed of the neurologic system?

As neurons are lost with aging, there is deterioration in neurologic function

what is the nurse assessing when asking the patient , "who is the president of the US? during a level of consciousness assessment?

Fund of knowledge

What are the two divisions of the nervous system

Central and peripheral

What is the earliest sign of increased intracranial pressure?

Change in LOC

Arrange the parts of the eye from the exterior to the most interior.

Cornea, Aqueous Humor, Iris, Lens, Retina, Choroid

When the patient in the ER complains of seeing flashing lights and a curtain down over this right eye, the nurse recognizes this as a symptom of which condition?

Detached retina

When taking care of a patient with newly diagnosed type 1 diabetes mellitus, the nurse notes the patient is expressing some fears about long-term complications of the disease. She states "I know I'll go blind within 10 years. Why should i bother controlling my blood sugar?" On what knowledge can the nurse's best response be bases?

Diabetic retinopathy occurs more frequently in patients with long-standing, poorly controlled diabetes mellitus.

Which complaint made by a 64 year old patient during a health interview would alert the nurse to the possibility of cataracts?

Difficulty driving at night

A patient is undergoing a diagnostic procedure in which needle electrodes are inserted into skeletal muscle to record electrical activity. what is this test called?

Electromyogram (EMG)

The nurse is caring for a patient with MS. What appropriate nursing care should be implemented?

Encouraging a well-balanced diet high in fiber and adequate fluids?

Why is otitis media found more frequently in children 6 to 26 months?

Eustachian tubes in children are shorter and straighter.

Forty-eight hours after a patient sustained a fractured femur in a car accident, the nurse assessed a pulse of 110, resp. at 25, and labored crackles in both lung fields. The nurse immediately reports to the charge nurse the probability on an:

Fat embolism

A patient with a chronic musculoskeletal disorder and is asking the nurse about alternative therapies for her condition. On what knowledge does the nurse base the response?

Glucosamine supplements have been linked with reduced articular pain, lessened joint tenderness, and less restricted joint movement in persons with arthritis

You are caring for a recently admitted patient who has suffered a pelvic fracture. Which of the following is the most serious physical assessment finding for the nurse to reporst

Hypotension, tachycardia, and hematura

The nurse is caring for a 75 year old patient who has experience some sensory deficits. What change might be explained by age-related changed of the sesnory system?

Increased difficulty focusing on close objects

The nurse clarifies to a patient who is being evaluated for possible rheumatoid arthritis that they elevated erythrocyte sedimentation rate indicated the presence of:

Increased inflammatory reaction in the body.

One of the housekeepers splashes a chemical in the eyes. What should be the first priority?

Irrigate with normal saline solution for 20 minutes.

A patient who has had a right below the knee amputation continues to complain of unpleasant sensation in the right foot. What can the nurse explain about this "Phantom Pain"?

It is related to the severed nerves that are still sending messages to the brain

Which foods should the home health nurse suggest for the patient with osteoporosis to help slow the disease

Leafy green vegetables

What are the effects of normal aging on the nervous system?

Lipofuscin Decrease in oxygen use loss of neurons reduction of cerebral blood flow

A patient is going for a diagnostic test. The nurse listens as the physician explains the procedure to the patient. The physician states that the test involves the use of differential signal characteristics of flowing blood to evaluate extra-cranial and intracranial blood vessels. In preparing to answer the patient's questions further, what diagnostic test will the nurse address

Magnetic resonance angiography (MRA)

What are the three vital functions muscles perform when they contract?

Maintenance of posture Production of heat Motion

What is fibromyalgia syndrome

Musculoskeletal chronic pain syndrome of unknown etiology

After which of the following diagnostic studies is it important that they patient lie quietly in a semi- Fowler position for approximately 8 hours (12 hours if oil- based dye is used

Myelogram

The newly admitted patient to the ER 30 minutes ago after a fall off a ladder has gradually decreased in consciousness and has slowly reacting pupils, a widening pulse pressure, and verbal responses that are slow and unintelligible. what is the most appropriate position for the patient?

Neck paced in neutral postion

The nurse is taking care of a patient who is suddenly beings to have a seizure. What is the appropriate nursing response?

Observe and record the seizure activity

A male patient has been recently diagnosed with Parkinson disease. His wife asks the nurse numerous questions about the disease. What information is correct in addressing this wife's questions?

Parkinson disease is a syndrome of bradykinesia, rigidity, tremor, and impaired postural reflexes

what is the large, fan-shaped muscle that covers the anterior chest from the sternum to the proximal end of the humerus and acts on the joint of the shoulder to flex, adduct, and rotate

Pectoralis major

The nurse is caring for a patient who is bieng evaluated for a neurologic disorder. She is not able to comprehend the written or spoken word. Which term would the nurse use to document this problem?

Receptive aphasia

What should the nurse instruct the patient before a magnetic resonance imaging (MRI) procedure?

Remove all metal, such as jewelry, glasses, and hair clips

A patient with rheumatoid arthritis asks the nurse about her condition. On what knowledge does the nurse base patient teaching?

Rheumatoid arthritis is thought to be an autoimmune disorder.

What is the thick, white, opaque connective tissue that is part of the outermost layer of the eyeball?

Sclera

What type of hearing loss involves normal sound conduction through the external and middles ear, but distortion in the inner ear, making discrimination difficult?

Sensorineural hearing loss

the 62 year old home health patient who is recovering from eye surgery complains of a feeling of "grittiness" in the eye and is having blurred vision. The eyes are reddened and have stringy mucus. What do these complaints indicate?

Sjogren syndrome

What is an example of a flat bone?

Skull and sternum

What factors have been associated with the formation of cataracts

Smoking Exposure to maternal rubella diabetes mellitus ultraviolet light aging

Which of the following are risk factors for osteoporosis?

Steroid use Anticonvulsant therapy for seizure disorder Postmenopausal Female White or Asian Woman High intake of caffeine

the patient tells the nurse that he is legally blind. How would this information impact the nurse's plan of care for this patient?

The nurse would need to determine how this patients visual impairment affects normal functioning.

What is the cranial nerve that supplies most of the organs in the thoracic and abdominal cavities and also carries motor fibers to glands that produce digestive juices and other secretions

Vagus nerve

what is the reticular activating system (RAS) essential to

Wakefulness concentration attention introspection

the nurse is caring for a patient who has had functional blindness for 10 years. which statement is true?

a comprehensive approach to patient care is essential with blind patients.

what is the autoimmune disease of the neuromuscular junction characterized by fluctuating weakness of certain muscle groups

myasthenia gravis

When caring for a patient who has just undergone a corneal transplant (keratoplasty) what is the most important nursing intervention?

reporting any sever or progressive pain to the surgeon immediately

Following a myelogram the nurse should include in the post procedure care assessment for

sensation in lower extremities

what type of hearing loss involves normal sound conduction through the external and middle ear, but distortion in the inner ear making discrimination difficult?

sensorineural hearing loss

The nurse explains that the triad signs of Parkinson disease is

tremor, rigidity, bradykinesia

what are the most appropriate nursing care and patient teaching for the patient with external otitis?

washing hands before and after changing cotton plugs

what will the nurse include in postoperative nursing care for a patient who has undergone a hip fracture repair?

wound assessment with special attention paid to color, amount, and odor exudate: frequent monitoring of vital signs, suture line assessment: and accurate intake and output recording