Cellulitis/Ear/Eye trauma
After cataract removal surgery on the left eye, the client sits up and reports having sharp pain in the operative eye. What should the nurse do next?
Contact the health care provider.
To decrease intraocular pressure following cataract surgery, what should the nurse instruct the client to avoid?
Coughing.
The nurse is to instill drops of phenylephrine hydrochloride into the client's eye prior to cataract surgery. Which is the expected outcome?
Dilation of the pupil and constriction of blood vessels.
What is the most common type of macular degeneration?
Dry macular degeneration; caused by a gradual blockage in retinal capillary arteries, which results in the macula becoming ischemic and necrotic due to lack of retinal cells.
A nurse is reviewing the health record of a client who has severe otitis media. Which of the following are expected findings?
Enlarged adenoids; Report of recent colds.
A nurse is performing an otoscopic examination of a client. Which of the following is an unexpected finding?
Fluid or bubbles seen behind the TM.
A nurse is caring for a male older client who has a new diagnosis of glaucoma. Which of the following should the nurse recognize as risk factors associated with this disease?
Genetic predisposition; Hypertension; Age; Diabetes Mellitus.
A client is having a cataract removed and will use eyeglasses after the surgery. What information should the nurse include in the teaching plan?
Images will appear one-third larger; Look through the center of the glasses; Use handrails when climbing stairs.
A nurse is providing teaching for a client who has a new diagnosis of dry macular degeneration. Which of the following instructions should the nurse include in the teaching?
Increase intake of deep yellow and orange vegetables.
After insertion of bilateral tympanostomy tubes in a toddler, which instructions should the nurse include in the child's discharge plan for the parents?
Insert ear plugs into the canalas when the child bathes.
What is a common cause of vision loss in older adults?
Macular degeneration.
A short time after cataract surgery, the client has nausea. What should the nurse do first?
Medicate the client with an antiemetic, as prescribed.
A nurse is caring for a client who has diabetes mellitus and reports a gradual loss of peripheral vision. The nurse should recognize this as a manifestation of which of the following diseases?
Open-angle glaucoma.
A nurse in a clinic is caring for a client who has been experiencing mild to moderate vertigo due to benign paroxysmal vertigo for several weeks. Which of the following actions should the nurse recommend to help control the vertigo?
Reduce exposure to bright light; Move head slowly when changing positions; Plan evenly-spaced daily fluid intake.
The nurse is placing patches on both eyes of client with detachment of the retina. What is the expected outcome of patching?
Reduced rapid eye movements.
The nurse is instructing the client about postoperative care following cataract removal. What position should the nurse teach the client to use?
Remain in a semi-Fowler's position.
A nurse is assessing an infant. Which of the following findings are clinical manifestations of acute otitis media?
Rolling head side to side; Loss of appetite; Crying.
A client tells the nurse about the vision being blurred and hazy throughout the entire day. What should the nurse recommend that the client do?
Schedule an appointment with an ophthalmologist.
A nurse is caring for a toddler who has had three ear infections in the past 5 months. Which of the following long-term complications is the child at risk for developing?
Speech delays.
A toddler is scheduled to have tympanostomy tubes inserted. When approaching the toddler for the first time, which should the nurse do?
Talk to the mother first so that the toddler can get used to the new person.
Which statement would provide the best guide for activity during the rehabilitation period for a client who has been treated for retinal detachment?
The activity level is increased gradually; the client can resume usual activities in 5 to 6 weeks.
A nurse is caring for a client who has suspected Meniere's disease. Which of the following is an expected finding?
Unilateral hearing loss.
The client has had a cataract removed. When explaining discharge instructions, what should the nurse tell the client to do?
Use an eye shield at night.
One day after cataract surgery, the client is having discomfort from bright light. What should the nurse advise the client to do?
Use sunglasses that wrap around the side of the face when in bright light.
A nurse is assessing a toddler for possible hearing loss. Which of the following findings are indications of a hearing impairment?
Uses monotone speech; Speaks loudly; Appears shy.
What is the lesser common type of macular degeneration?
Wet macular degeneration; caused by the new growth of blood vessels that have thin walls that leak blood and fluid.
The nurse is discharging a client who just had cataract removal and intraocular lens implantation. What statements indicate that the client understands discharge instructions?
"I understand the schedule for mu eye drops and will use the medications."; "I will wear the eye shield at night to protect my eye."; "I will avoid lifting or pulling anything over 15 lbs."; "I will call if I still have eye pain after taking acetaminophen."
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?
"What is it that disturbs you about the idea of being awake?"
A nurse is providing postoperative teaching to a client following cataract surgery. Which of the following statements should the nurse include in the teaching?
"You need to limit your housekeeping activities."
A nurse is caring for a toddler who has had rhinitis, cough, and diarrhea for 2 days. Upon assessment, it is noted that the tympanic membrane has an orange discoloration and decreased movement. Which of the following statements should the nurse make?
"Your child could experience transient hearing loss."
Expected reference range for IOP is...
10-21 mm/Hg
A nurse is completing discharge teaching to a client following middle ear surgery. Which of the following statements by the client indicates understanding of the teaching?
"I should restrict rapid movements and avoid bending from the waist for several weeks."
A nurse is assessing a child who has myopia. Which of the following findings should the nurse expect?
Headaches; Difficulty reading; Poor school performance.
The client with retinal detachment in the right eye is extremely apprehensive and tells the nurse, "I am afraid of going blind. It would be so hard to live that way." What factor should the nurse consider before responding to this statement?
Optimism is justified because surgical treatment has a 90% to 95% success rate.
Which goal is a priority for a client who has undergone surgery for retinal detachment?
Prevent an increase in intraocular pressure.
After returning home, a client who has had cataract surgery will need to continue to instill eye drops in the affected eye. The client is instructed to apply slight pressure against the nose at the inner canthus of the eye after instilling the eye drops. What is the expected outcome of applying pressure?
Prevents the medication from entering the tear duct.
The client is diagnosed with a detached retina in the right eye. What should the nurse do first?
Promote measures that limit mobility.
Glaucoma is...
A disturbance of the functional or structural integrity of the optic nerve.
Acute otitis media....
A viral or bacterial infection of the middle ear.
A nurse is caring for a toddler who has acute otitis media. Which of the following is the priority action for the nurse to take?
Administer analgesics.
The nurse is observing a spouse administer eye drops. What should the nurse instruct the spouse to do?
Administer the drops in the center of the lower lid.
A cataract is...
An opacity in the lens of an eye that impairs vision.
A nurse is caring for an infant who has manifestations of acute otitis media. Which of the following factors places the infant at risk for otitis media?
Attends day care 4 days per week; History of a cleft palate repair; Parents smoke cigarettes outside.
A nurse is caring for a client who has a new diagnosis of cataracts. Which of the following manifestations should the nurse expect?
Blurred vision; white pupils.
Sensorineural hearing loss...
Caused by damage to cranial nerve VIII (Vestibulocochlear nerve)
The nurse caring for a 3-year-old with otitis media notes that the client has an allergy to amoxicillin that causes wheezing. Which prescription should the nurse question?
Cephalexin
