Chap 52 study guide and book questions

The nurse is teaching the patient ear care after ear surgery. The nurse would evaluate the patient as understanding the teaching if the patient stated which of these ways to care for the ear after surgery? 1. "I will blow my nose very gently for the first week after surgery." 2. "I should blow both sides of my nose at the same time." 3. "I will avoid sneezing for 2 weeks." 4. "I will cough with my mouth open for 1 week after surgery." 5. "I will not fly for 1 week after surgery." 6. "I will change the cotton plug daily."

"I will blow my nose very gently for the first week after surgery.", "I will cough with my mouth open for 1 week after surgery.", "I will not fly for 1 week after surgery.", and "I will change the cotton plug daily."

A patient has been prepped for an internal eye examination. Anesthetic drops and a mydriatic drug have been administered. Which instruction should the patient be taught for eye safety following the examination? 1. "Wear sunglasses after the exam." 2. "Rub your eye hourly to increase blood circulation." 3. "You may reapply contact lenses when the eye exam is completed." 4. "Flush your eye with water to remove the eye drops."

"Wear sunglasses after the exam."

The nurse is caring for a patient with acute angle-closure glaucoma. Which symptoms would the nurse expect to find during data collection for this patient? Select all that apply. 1. Flashing lights 2. Lens opacity 3. Photophobia 4. Rainbows around lights 5. Severe pain over eye 6. Steamy-appearing cornea

Photophobia, Rainbows around lights, Severe pain over eye, and Steamy-appearing cornea

What is barotrauma?

Pressure in the middle ear caused by atmospheric changes

The nurse is contributing to the plan of care for a patient with Ménière disease. What is the primary goal for this patient that the nurse should recommend to include in the plan of care? 1. Prevent dehydration. 2. Decrease pain. 3. Prevent injury. 4. Preserve hearing.

Prevent injury.

A patient comes to the health clinic for a suspected ear infection. Which of these data collection findings does the nurse expect with an external ear infection? Select all that apply. 1. Dizziness 2. Fullness in ears 3. Redness 4. Pain 5. Pruritus 6. Swelling

Redness, Pain, Pruritus, and Swelling

The nurse is caring for a patient with a history of acute angle-closure glaucoma. The nurse is preparing to administer the patient's medications. Which medications should the nurse question before administration? Select all that apply. 1. cefazolin (Kefzol) 2. cyclopentolate (Cyclogyl) 3. hydroxyzine (Vistaril) 4. ranitidine (Zantac) 5. morphine 6. warfarin (Coumadin)

cyclopentolate (Cyclogyl) and hydroxyzine (Vistaril)

The nurse is assisting with discharge instructions for a patient. Which of these medications would the nurse teach the patient can cause hearing loss? Select all that apply. 1. acetaminophen (Tylenol) 2. erythromycin (E-Mycin) 3. furosemide (Lasix) 4. gentamicin (Garamycin) 5. aspirin (Bayer) 6. tobramycin (Tobrex)

erythromycin (E-Mycin), furosemide (Lasix), gentamicin (Garamycin), aspirin (Bayer), and tobramycin (Tobrex)

Which procedure does the nurse understand is used to drain fluid from the inner ear? 1. Myringotomy 2. Myringoplasty 3. Mastoidectomy 4. Stapedectomy

none of the above

The nurse is caring for a patient who is diagnosed with otosclerosis and asks what the disease is. Which is the most appropriate response by the nurse? 1. "Infection of the external ear commonly caused by moisture." 2. "It is a tumor of the eighth cranial nerve." 3. "Hardening of the stapes due to new bone growth." 4. "Inflammation of the inner ear caused by pathogens."

"Hardening of the stapes due to new bone growth."

The nurse is reinforcing teaching for the patient with vertigo. Which of the following statements by the patient for actions to take for vertigo would indicate that further teaching is needed? Select all that apply. 1. "I will avoid noise." 2. "I should avoid sudden movements." 3. "I will increase my fluid intake." 4. "I will take analgesics." 5. "I will lie down for safety." 6. "I should walk frequently."

"I will avoid noise.", "I will increase my fluid intake.", "I will take analgesics.", and "I should walk frequently."

The nurse is assisting a patient who has recently received a hearing aid. Which response by the patient would indicate further teaching is required about the care of the hearing aid? 1. "Turning off the hearing aid when not in use saves the battery." 2. "The hearing aid can be washed daily in a basin of warm water." 3. "A small brush can be used to clean in the ear mold." 4. "I should remove the hearing aid before showering."

"The hearing aid can be washed daily in a basin of warm water."

The nurse is teaching a patient with newly diagnosed glaucoma. The nurse would evaluate the patient as understanding the teaching if the patient stated which of these definitions for glaucoma? 1. "The rate of production of aqueous humor decreases." 2. "There is an increase in the pressure within the eye." 3. "There is a decrease in the amount of aqueous humor." 4. "There is an increase in the amount of vitreous humor."

"There is an increase in the pressure within the eye."

The nurse is caring for a patient who is diagnosed with a refractive error and asks what this means. What would be the appropriate explanation by the nurse? 1. "You are losing your vision and will become blind." 2. "You will need corrective lenses to see clearly." 3. "The pressure in your eyes is higher than normal." 4. "Your vision was measured as 20/20."

"You will need corrective lenses to see clearly."

The nurse cares for patients after eye surgery. Which of these patients would the nurse provide specific positioning instructions to after eye surgery to prevent complications? 1. 19-year-old after removal of congenital cataract 2. 30-year-old woman after pneumatic retinopexy 3. 52-year-old man after trabeculectomy 4. 82-year-old man after corneal transplant

30-year-old woman after pneumatic retinopexy

The nurse is caring for a patient after cataract surgery. Which safety instruction should the nurse give this patient? Select all that apply. 1. Elevate the head of your bed 45 degrees. 2. Avoid swimming after surgery. 3. Avoid caffeinated beverages. 4. Report sudden sharp pain to the health care provider. 5. Report increased drainage to the health care provider. 6. Keep follow-up appointment after surgery.

Avoid swimming after surgery, Report sudden sharp pain to the health care provider, Report increased drainage to the health care provider, and Keep follow-up appointment after surgery.

What medications are used for Ménière disease?

Antiemetic for nausea and meclizine (Antivert) for vertigo.

The nurse understands that labyrinthitis is treated primarily with which drug category? 1. Antihistamines 2. Antispasmodics 3. Anti-inflammatories 4. Antiemetics

Antihistamines

A patient with acute angle-closure glaucoma reports use of the following medications. The use of which of these medications indicates to the nurse that the patient requires further instruction? Select all that apply. 1. Acetaminophen 2. Atropine (Isopto Atropine) 3. Diphenhydramine (Benadryl) 4. Digoxin (Lanoxin) 5. Furosemide (Lasix) 6. Timolol (Timoptic)

Atropine (Isopto Atropine) and Diphenhydramine (Benadryl)

What is mastoiditis?

Complication of otitis media

Which of the following types of hearing loss does the nurse understand is most improved with the use of a hearing aid? 1. Conductive 2. Sensorineural 3. Mixed 4. Central

Conductive

What effect of Ménière disease did Jan experience that can be a safety concern?

Balance

The nurse is caring for a patient after eye surgery. Which activities would the nurse teach a patient to avoid so that intraocular pressure is not increased after eye surgery? Select all that apply. 1. Bending over 2. Chewing food vigorously 3. Coughing 4. Reading 5. Sitting upright in bed 6. Sneezing

Bending over, Coughing, and Sneezing

The nurse is collecting data on a patient with a cataract. What is usually the first symptom of a cataract that the nurse would expect a patient to report? 1. Dry eyes 2. Eye pain 3. Blurring of vision 4. Loss of peripheral vision

Blurring of vision

The nurse is assisting with data collection for a patient with macular degeneration. Which symptoms would the nurse expect to be present? Select all that apply. 1. Decreased distinction of colors 2. Sudden loss of vision 3. Loss of near vision 4. Loss of central vision 5. Loss of peripheral vision 6. Increased periodic dizziness

Decreased distinction of colors, Loss of near vision, and Loss of central vision

What is a cholesteatoma?

Epithelial cystlike sac filled with skin and sebaceous material

What is a safety concern for those with Ménière disease?

Falling without warning.

What is presbycusis?

Hearing loss caused by aging

The nurse is reinforcing teaching for a patient with Ménière disease. Which of the following would the nurse explain to the patient is the triad of symptoms associated with Ménière disease? Select all that apply. 1. Hearing loss 2. Headache 3. Nausea 4. Tinnitus 5. Vertigo 6. Vomiting

Hearing loss, Vertigo, and Tinnitus

What is labyrinthitis?

Inflammation or infection of the inner ear

The nurse is caring for a patient with macular degeneration. During data collection, which symptom would the nurse anticipate the patient to report? 1. Loss of peripheral vision 2. Sudden darkness 3. Dull ache in the eyes 4. Loss of central vision

Loss of central vision

The nurse is caring for a patient with presbycusis. Which technique is most important for the nurse to use to increase communication with this patient? 1. Talk in a very loud voice. 2. Lower voice pitch. 3. Do not smile or chew gum when talking to the patient. 4. Allow extra time for patient to respond.

Lower voice pitch.

The nurse would teach the patient that otitis media occurs in which part of the ear? 1. Outer ear 2. Inner ear 3. Middle ear 4. Semicircular canal

Middle ear

Which type of eye drop does the nurse understand is given to constrict the pupil, permitting aqueous humor to flow around the lens? 1. Osmotic 2. Myotic 3. Mydriatic 4. Cycloplegic

Myotic

In providing patient teaching for acute bacterial conjunctivitis, the nurse would evaluate the patient as understanding the teaching if the patient stated that this condition is more commonly known as which of the following? 1. Astigmatism 2. Color blindness 3. Glaucoma 4. Pink eye

Pink eye

The nurse is caring for a patient after eye surgery. Which nursing intervention would have the highest priority in the plan of care for the postoperative eye patient? 1. Do not leave the patient unattended at any time. 2. Teach the patient not to bend over. 3. Report sudden onset of acute pain. 4. Apply sandbags to either side of the head.

Report sudden onset of acute pain.

What is a carbuncle?

Several hair follicles forming an abscess

What symptoms of Ménière disease did Jan experience?

Vertigo, unsteadiness, and nausea.