Eyes and Ears NCLEX Study questions

A myringotomy is performed on a client in the ambulatory care center. The ambulatory care nurse calls the client 24 hours after the procedure to evaluate the status of the client. The client reports to the nurse that a small amount of brownish drainage has been coming from the ear. Which instruction would the nurse provide to the client?

"Continue to monitor the drainage because this is normal and may occur for 24 to 48 hours following the surgery."

A miotic medication has been prescribed for the client with glaucoma. The client asks the nurse about the purpose of the medication. The nurse would tell the client which purpose?

"The medication causes the pupil to constrict and will lower the pressure in the eye."

Tonometry is performed on the client with a suspected diagnosis of glaucoma. The nurse reviews the test and determines that the intraocular pressure is normal if which result is noted?

15 (Pressures between approximately 10 and 21 mm Hg are considered within the normal range )

The nurse is assigned to administer the prescribed eye drops for a client preparing for cataract surgery. Which type of eye drops would the nurse expect to be prescribed?

A mydriatic medication(A mydriatic medication produces mydriasis or dilation of the pupil)

Pilocarpine hydrochloride is prescribed for the client with glaucoma. Which medication would the nurse plan to have available in the event of systemic toxicity?

Atropine sulfate

The nurse is caring for a client with glaucoma. Which medication prescribed for the client would the nurse question?

Atropine sulfate (is a mydriatic and cycloplegic medication, and its use is contraindicated in clients with glaucoma.)

Betaxolol hydrochloride eye drops have been prescribed for the client with glaucoma. Which nursing action is most appropriate related to monitoring for the side/adverse effects of this medication?

Blood pressure (Hypotension, dizziness, nausea, diaphoresis, headache, fatigue, constipation, and diarrhea are systemic effects of the medication. Nursing interventions include monitoring the blood pressure for hypotension and assessing the pulse for strength, weakness, irregular rate, and bradycardia.)

A client is diagnosed with glaucoma. Which data gathered by the nurse indicate a risk factor associated with glaucoma?

Cardiovascular disease (Hypertension, cardiovascular disease, diabetes mellitus, and obesity are associated with the development of glaucoma)

The nurse is caring for a client with glaucoma who is receiving acetazolamide daily. Which sign/symptom indicates to the nurse that the client is experiencing an adverse effect related to the medication?

Low back pain and dysuria (Acetazolamide is a carbonic anhydrase inhibitor. Nephrotoxicity and hepatotoxicity can occur and are manifested by dark urine and stools, jaundice, pain in the lower back, dysuria, crystalluria, renal colic, and calculi. Bone marrow depression also may occur.)

A client has been diagnosed with cataracts. Which signs and symptoms would the nurse expect to note?

Photophobia, blurred vision, decreased color perception

The nurse is assigned to care for a client diagnosed with cytomegalovirus retinitis and acquired immunodeficiency syndrome (AIDS) who is receiving foscarnet. The nurse would monitor the results of which laboratory study while the client is taking this medication?

Serum creatinine level (Foscarnet is toxic to the kidneys.)

These are signs and symptoms of glaucoma. Which sign or symptom is found only in narrow-angle glaucoma?

Severe pain in and around eye (its an medical emergency)

In preparation for cataract surgery, the nurse is to administer cyclopentolate eye drops. The nurse administers the eye drops knowing that which is the purpose of this medication?

To dilate the pupil of the operative eye

The nurse in the outpatient unit is preparing a client who is scheduled for a laser trabeculoplasty for the treatment of primary open-angle glaucoma. Which instructions would the nurse reinforce to the client?

You may return to work 1 or 2 days following the procedure." (Laser trabeculoplasty is performed in the outpatient setting and requires about 30 minutes. The client will experience little discomfort and may resume all normal activities including returning to work within 1 or 2 days. The treatment prevents further visual loss, but the lost vision cannot be restored.)

The nurse is reviewing the health record of a client diagnosed with a cataract. Which are signs and symptoms of cataract formation?

floaters in visual field, Difficulty in night vision, and Decreased color perception