Sensory and neuro PrepU Adaptive Quizzing

The nurse is educating a patient with glaucoma about medications. What medications will the nurse educate the patient about that decrease aqueous production? Select all that apply.

Alpha-adrenergic agonists Carbonic anhydrase inhibitors Beta-blockers

The physician suggests that a client use meclizine as treatment for his motion sickness. The nurse explains the rationale for this drug based on an understanding of which of the following as the drug's action?

Blocks conduction of the vestibular pathways

Which is be an accurate clinical manifestation of a retinal detachment?

Bright flashing lights

An elderly client with macular degeneration has received injections of angiogenesis inhibitors. Which assessment finding would indicate the condition is worsening?

Central vision impairment

A client is newly diagnosed with benign paroxysmal positional vertigo. Which is the priority nursing intervention?

Encourage bed rest.

Which of the following is the leading cause of blindness in the United States?

Glaucoma

Which precaution should the nurse take when a client is at risk of injury secondary to vertigo and probable imbalance?

Have the client wait for help before moving

A patient with epilepsy is having a seizure. Which of the following should the nurse do after the seizure?

Keep the patient to one side.

Which are included as marker(s) of medication effectiveness in glaucoma control? Select all that apply.

Lowering intraocular pressure to target pressure

Which part of the retina is responsible for central vision?

Macula

A patient presents to an eye clinic with a number of symptoms related to his diminished vision. An initial history leads the nurse practitioner to suspect that the patient has acute angle-closure glaucoma. Which of the following symptoms would apply to this diagnosis? Select all that apply.

Severe eye pain Reddening of the eye Sudden onset of visual disturbance Nausea and vomiting

A client is having a tonic-clonic seizure. What should the nurse do first?

Take measures to prevent injury.

A client with meningitis has a history of seizures. Which should the nurse do to safely manage the client during a seizure? Select all that apply.

Turn the client to the side. Provide verbal reassurance.

A client is sitting in a chair and begins having a tonic-clonic seizure. The most appropriate nursing response is to:

carefully move the client to a flat surface and turn him on his side.

A patient is being seen in the ophthalmology clinic for a suspected detached retina. What clinical manifestations does the nurse recognize as significant for a retinal detachment? Select all that apply.

A visual field of floating particles A definite area of blank vision Momentary flashes of light

Which of the following precautions should the nurse take when a patient is at risk of injury secondary to vertigo and probable imbalance?

Have the patient sit in a wheelchair when moving.

Which of the following would not be included as a marker of medication effectiveness in glaucoma control?

Opacity of the lens

A hospital client has experienced a seizure. In the immediate recovery period, what action best protects the client's safety?

Place the client in a side-lying position.

A client experiences a seizure while hospitalized for appendicitis. During the postictal phase, the client is yelling and swings a closed fist at the nurse. Which is the appropriate action by the nurse?

Reorient the client while gently holding their arms.

A patient is diagnosed with glaucoma. When reviewing the patient's history and physical examination, the nurse finds the following information documented: Age: 42 years Thick cornea Asian-American ancestry History of diabetes mellitus Farsightedness Prolonged periods of systemic corticosteroid use for Crohn's disease Which of the findings would the nurse identify as possible risk factors for glaucoma for this patient? Select all that apply.

Use of systemic corticosteroids History of diabetes

Which would be an advanced stage finding in a client with wet macular degeneration?

inability to see images by looking at them directly

A client with epilepsy is having a seizure. During the active seizure phase, the nurse should:

place the client on his side, remove dangerous objects, and protect his head.