Quiz 10 MS 2

What is the most important assessment question to ask a patient who is newly prescribed an adrenergic drug, apraclonidine (Iopidine) for glaucoma? A. "How long have you had glaucoma?" B. "What other medications are you currently taking?" C. "Have you had any difficulty with retaining urine?" D. "Do you have asthma or any chronic respiratory problem?

"What other medications are you currently taking?"

The nurse is assigned to care for a client with a diagnosis of detached retina. Which finding would indicate that bleeding has occurred as a result of retinal detachment? A. Total loss of vision. B. A erythematous conjunctiva. C. A sudden sharp pain in the eye D. Complaints of a burst of black spots or floaters

D. Complaints of a burst of black spots or floaters

What significant instruction should a nurse include to a patient being discharged after ear surgery? A. Avoid blowing your nose B. Use stool softeners with caution C. Assume your usual activities D. Shampoo your hair with baby shampoo

A. Avoid blowing your nose

A nurse is caring for a client who has a new diagnosis of primary open-angle glaucoma and a prescription for timolol ophthalmic drops. For which of the following adverse effects should the nurse monitor the client? A. Bradycardia B. Hypertension C. Seizures D. Anemia

A. Bradycardia Timolol is a beta adrenergic blocking agent used to treat glaucoma. Decreased heart rate is an adverse effect of beta adrenergic blockers, and timolol applied topically to the eye sometimes causes systematic effects. Therefore, the nurse should monitor for bradycardia

A nurse assessing the results of a Rinne test sees the notation of BC > AC. How should the nurse translate this result? A. Conductive hearing loss B. Sensorineural hearing loss C. Normal hearing D. Cochlear defect

A. Conductive hearing loss

Which class of drugs for glaucoma therapy generally is used short term to prevent or reduce increases in intraocular pressure (IOP) after eye surgery? A. adrenergic drug B. beta adrenergic blocker C. cholinergic drug D. prostaglandin agonist

A. adrenergic drug

A patient in the emergency department complains of severe pain in the eye and is seeing halos around lights and feeling nauseous. Which diagnosis should the nurse suspect? A. Open-angle glaucoma B. Angle-closure glaucoma C. Cataracts D. Retinal detachment

B. Angle-closure glaucoma

What is an appropriate nursing action to implement when performing eye irrigation? A. Ask the patient to tip her head and run the irrigation fluid over her open eye. B. Direct the irrigating fluid from the inner canthus to the outer canthus. C. Not allow the patient to blink D. Place the irrigating syringe directly onto the corner of the eye and allow the fluid to move across the eye

B. Direct the irrigating fluid from the inner canthus to the outer canthus.

A nurse is reinforcing preoperative teaching with a client who is scheduled for retinal detachment repair. Which of the following instructions should the nurse include in the teaching? A. Keep the unaffected eye patched. B. Restrict head movement. C. Lie flat as much as possible. D. Apply cool compresses

B. Restrict head movement.

When being interviewed, a 50-year-old patient says that he cannot see the newspaper as well as he used to. What is the reason this patient's vision has changed from near to far? A. The ciliary muscle changes the pupil size. B. The lens of the eye changes shape as the ciliary muscle contracts and relaxes. C. Nearsightedness has set in. D. Clouding of the vitreous humor has occurred

B. The lens of the eye changes shape as the ciliary muscle contracts and relaxes.

A patient undergoing a Weber test says that the sound is louder in her left ear. What should this result indicate? A. Normal hearing. B. Nerve damage from listening to loud music. C. Blocked ear canal in the right ear. D. Conductive hearing loss in the left ear

D. Conductive hearing loss in the left ear

How do beta-adrenergic blocking agents (antagonists) lower intraocular pressure? A. They increase the rate that the vitreous humor is reabsorbed. B. They slow the production of aqueous humor inside the eye. C. They reduce systemic blood pressure, which results in lower intraocular pressure. D. They increase the movement of aqueous humor from the posterior chamber into the anterior chamber

B. They slow the production of aqueous humor inside the eye.

.A nurse is assisting with the preparation of an instructional plan for a client who has vision loss. Which of the following strategies should the nurse include in the plan? A. Use of a slow, deliberate speech pattern. B. Use of auditory or tactile materials. C. Provision of written information. D. Use of captioned video materials

B. Use of auditory or tactile materials.

A patient who has has surgery this morning for cataracts is now going home. What should the nurse include when providing discharge instructions? (Select all that apply A. Sleep on the operated side. B. Use stool softeners C. Avoid bending over D. Avoid lifting anything heavier than 5 lbs. E. Do not wear an eye shield at night

B. Use stool softeners C. Avoid bending over D. Avoid lifting anything heavier than 5 lbs

A patient is prescribed with losartan, aspirin, simvastatin and multivitamins. He/she is now complaining of ringing from both ears. The nurse is aware that this may be a sign of overdose from which drug? A. losartan B. aspirin C. simvastatin D. multivitamins

B. aspirin

Which is most important to assess before administering a prostaglandin agonist to a patient who has glaucoma? A. corneal color changes B. excessive eyelash growth C. cataracts D. none of the above

B. excessive eyelash growth

A nurse collecting data from a client who has Meniere's disease? Which of the following is an expected finding for this client? A. bilateral otalgia B. gradual hearing loss C. impacted cerumen D. retracted tympanic membrane

B. gradual hearing loss

During an intake physical examination, a patient reports that he has been taking 10 aspirin tablets a day for his arthritis. What question should the nurse ask based on this information? A. "Can you hear high-pitched sounds?" B. "Have you noticed deafness in just one ear?" C. "Do you have ringing in your ears?" D. "Do you experience dizziness when you stand?"

C. "Do you have ringing in your ears?"

As related to caloric test, which of the following patient responses indicates a problem in the labyrinth? A. Blinking B. Grimacing C. Headache D. Nystagmus

D. Nystagmus

When a patient has a suspected vestibular disorder, the physician orders an electronystagmography test. Which instruction should the nurse include when educating the patient about this test? A. Use tea or coffee on the morning of the test. B. Electrodes will be placed on the scalp. C. Air will be blown in the external ear. D. The patient should have nothing to eat or drink (NPO) 3 hours before the test

D. The patient should have nothing to eat or drink (NPO) 3 hours before the test

What teaching point must be included for a patient who is taking cholinergic drugs for glaucoma treatment? A. Wear sunglasses when reading fine print indoors. B. Limit fluid intake to less than 2000 mL/day. C. Apply pressure to the inner canthus for 10 minutes to avoid systemic effects. D. Use caution in dim lighting to prevent falls and injury

D. Use caution in dim lighting to prevent falls and injury

Which of the following drugs is a carbonic anhydrase inhibitor? A. latanoprost B. timolol C. pilocarpine D. acetazolamide

D. acetazolamide

A nurse assesses an 80-year-old patient for age-related changes to the eye. What potential changes should the nurse anticipate? (Select all that apply) A. Decreased tear production. B. sunken eyeballs. C. Hyperopia D. less eyelashes E. Arcus senilis

A. Decreased tear production. B. sunken eyeballs. C. Hyperopia E. Arcus senilis

A patient has an allergic reaction to trimethoprim-sulfamethoxazole (Bactrim). This indicates that the patient may have allergy to which ophthalmic medication? A. carbonic anhydrase inhibitors B. prostaglandin agonists C. adrenergic blockers D. cholinergic agonists

A. carbonic anhydrase inhibitors

Which of the following types of glaucoma requires surgical intervention to correct? A. open angle glaucoma B. closed angle glaucoma C. congenital glaucoma D. secondary glaucoma

A. open angle glaucoma

What are the layers of the eye? A. retina B. choroid C. iris D. sclera E. aqueous humor F. optic nerve

A. retina B. choroid D. sclera

Which drug for glaucoma control would be the best choice for a patient who has only one arm and whose daughter visits every evening? A. travoprost B. acetaminophen C. apraclonidine D. pilocarpine

A. travoprost

. A patient is prescribed an ophthalmic beta blocking agent for the treatment of glaucoma. Which precaution is most important to teach the patient to prevent systemic effects? A. Change positions slowly. B. Take your pulse rate at least four times each day." C. Apply pressure to the inside corner of your eye after putting the drops into the eye." D. Be sure to lie down for at least 10 minutes after putting the drops into your eyes."

C. Apply pressure to the inside corner of your eye after putting the drops into the eye.

A 75-year-old patient reports to a nurse that although she has cleaned her ears with cotton-tipped applicators for weeks, she still cannot hear her television unless the volume is loud, and she misses a great deal of conversations. What should the nurse anticipate when examining her ears? A. Otitis externa B. Purulent drainage C. Dry cerumen across the canal D. Pearly tympanic membrane

C. Dry cerumen across the canal

Which of the following statements best describes open angle glaucoma? A. It is caused by paralysis of the ciliary muscle. B. It is the sudden increase in IOP as caused by an obstruction in the iridocorneal angle. C. It develops slowly and causes changes in the iridocorneal angle. D. It is a condition associated with lens opacity

C. It develops slowly and causes changes in the iridocorneal angle

What nursing action should be implemented when irrigating a patient's ear? A. Straighten the ear canal and irrigate with a large-tipped bulb syringe. B. Direct the solution to the middle of the canal to avoid damaging the ear. C. Use a body temperature solution and have the patient hold a basin under the ear while directing the solution toward the top of the canal D. Repeat the irrigation with hotter water

C. Use a body temperature solution and have the patient hold a basin under the ear while directing the solution toward the top of the canal

What are systemic adverse effects of anticholinergic agents like tropicamide? Select all that apply. A. bradycardia B. diarrhea C. blurred vision D. dry mouth E. urinary retention F. bronchoconstriction

C. blurred vision D. dry mouth E. urinary retention F. bronchoconstriction

Which assessment finding is most likely associated with the use of travoprost (Travatan) eye drops for glaucoma? A. lens cloudiness B. periorbital edema C. darkening of the iris D. unequal pupil size

C. darkening of the iris

A nurse is reinforcing teaching about a tonometry examination with a client who has manifestations of glaucoma. Which of the following statements should the nurse include in the teaching? A. "Tonometry is performed to evaluate peripheral vision." B. "This test will diagnose the type of your glaucoma." C. "Tonometry will allow inspection of the optic disc for signs of degeneration." D. "This test will measure the intraocular pressure of the eye.

D. "This test will measure the intraocular pressure of the eye.