Exam 3- Mixed Questions MC

ati: disorder of the inner ear affecting balance and hearing- it is characterized by vertigo, hearing loss, and tinnitus. the patient should avoid any sudden movements

Meniere's disease

saunders: blurred vision, halos around lights, and ocular erythema

PACG

saunders: painless, and vision changes are slow; results in "tunnel vision"

POAG

ati: a nurse is assessing a patient for conductive hearding loss. when using the Rinne test, which of the following results should the nurse identify as an indication that the patient has conductive hearing loss of the left ear? a. air conduction is less than bone conduction in the left ear b. air conduction is greater than bone conduction in the left ear c. sound is lateralizing to the right ear d. sound is lateralizing to the left ear

a. air conduction is less than bone conduction in the left ear

a nurse is caring for a patient who has asthma and a prescription for zileuton. what lab value should the nruse monitor while the patient is taking this medication? a. Alaine aminotransferase- ALT b. WBC count c. potassium d. chloride

a. alanine aminotransferase- ALT

saunders: a nurse is preparing a teaching plant for a patient who hada cataract extraction with intraocular implantation. which home care measures would the nurse include in the plan? SATA a. avoid activities that require bending over b. contact he surgeon if eye scratchiness occurs c. take acetaminophen for minor eye discomfort d. expect episodes of sudden severe eye pain e. place an eye shield on the surgical eye at bedtime f. contact the surgeon if a decrease in visual acuity occurs

a. avoid activities that require bending over c. take acetaminophen for minor eye discomfort e. place an eye shield on the surgical eye at bedtime f. contact the surgeon if a decrease in visual acuity occurs (following eye surgery, some eye scratchiness and mild eye discomfort may occur in the operative eye; this is usually relieved by mild analgesics. if the eye pain becomes severe, the patient would notify the surgeon, because this may indicate hemorrhage, infection, or increased IOP)

ati: a nurse is administering brimonidine eye drops to a patient who has glaucoma. which of the following ocular effects should the nurse EXPECT? a. decreased IOP b. blocked growth of new blood vessels c. paralysis of accommodation d. mydriasis

a. decreased IOP

ati: a nurse is caring for a patint who has ashtma and advanced rheumatoid arthritis and deformity of the hands- the nurse should anticipate that the patient will receive which of the following medication-delivery devices for the treatment of asthma? a. dry-powered inhaler (DPI) b. metered-dose inhaler (MDI) with spacer c. respimat d. nebulizer

a. dry powder inhaler (DPI) the nurse should identify that DPIs do not require hand-breath coordination and are easier to use for patients who have deformities of the hands- DPIs are used to deliver medication in a dry, micronized powder directly to the lungs

a nurse at an ophthalmology clinic is assessing a patient referred by the provider for a potential cataract. which of the following patients reports is consistent with cataracts? a. halos when looking at lights b. loss of peripheral vision c. bright flashes of light and floaters d. eye strain and headaches with close work

a. halos when looking at lights

ati: a nurse is providing teaching to a parent of a child wiht asthma and a new prescription for a cromolyn sodium metered-dose inhaler. which of the following statements by the parent indicates the need for further teaching? a. i will give my child a dose as soon as wheezing starts b. my child should rinse out his mouth after using the inhaler c. my child should exhale completely before placing the inhaler in his mouth d. if my child has difficulty breathing in the dose, a spacer can be used

a. i will give my child a dose as soon as wheezing starts (cromolyn has a slow onset and is given for prophylactic treatment of asthma- it is NOT a rescue medication)

a nurse is teaching about a patient who has a severe allergy-related asthma and a new prescription for omalizumab. which of the following pieces of information should the charge nurse include to describe the medications mechanism of action? a. it reduces the number of IgE molecules on mast cells b. it stabilizes the cellular membrane of mast cells c. it decreases the synthesis and release of inflammatory mediators d. it relaxes the smooth muscles by blocking adenosine receptors

a. it reduces the number of IgE molecules on mast cells

the nurse is caring for a patient who has asthma and requires long-term treatment. the nurse should identify that which of the following medications used for long-term treatment places the patient as an increased risk of asthma- related death? a. salmeterol b. fluticasone c. budesonide d. theophylline

a. salmetrol

saunders: macular degeneration type that is caused by gradual blocking of retinal capillaries leading to an ischemic and necrotic macula; rod and cone photoreceptors die

age-related macular degeneration

the nurse is reviewing the medication history of a patient who has mild intermittent asthma. the nurse should anticipate a prescription for which of the following inhalers for the patient? a. ipratropium b. albuterol sulfate c. tiotropium d. budesonide

b. albuterol sulfate

ati: a nurse is reviewing the medical record of a patient who might have hearing loss. which of the following data from the patients medical record should the nurse identify as a risk factor for hearing loss? a. frequent use of steroids b. chronic use of salicylates c. intermittent use of antacids d. habitual use of laxatives

b. chronic use of salicylates

saunders: tonometry is performed on the pateint with a suspected diagnosis of glaucoma. the nurse looks at the documented test results and nots an IOP value of 23. what would be the nurses INITAL action? a. apply normal saline drops b. note the time of day the test was administered c. contact the PCP d. instruct the patient to lay flat

b. note the time of day the test was administered (tonometry is a method of measuring IOP. pressures between 10-21 are normal- however IOP is slightly elevated in the morning therefore the initial action is to note the time of day the test was administered)

a nurse is teaching a patient who has asthma and a prescription for a fluticasone dry powder inhaler (DPI). which of the following instructions should the nurse include in the teaching? a. this medication should be taken at the start of your symptoms b. rinse your mouth after administering this medication c. shake the canister prior to administering this medication d. this medication relaxes your airways to decrease your symptoms

b. rinse your mouth after administering this medication

ati: a nurse is providing discharge teaching to a patient who is postoperative following scleral buckling to repair a detached retina. which of the following instructions should the nurse include in the teaching? a. you can expect your vision to return immediately after the procedure b. you should avoid reading for 1 weeks c. you can remove eye shields when you are sleeping d. you should not lift objects that weigh more than 25lbs

b. you should avoid reading for at least 1 week

ati: a nurse is preparing to administer timolol eye drops to a patient who has primary open-angle glaucoma (POAG). Prior to administering the medication, the nurse should recognize that which of the following conditions in the patients medical history is a contraindication to receiving this medication? a. HTN b. peripheral vision loss c. asthma d. increased IOP

c. asthma

ati: the nurse is caring for a hard-of-hearing patient. what approach will facilitate communication? a. speaking loudly b. speaking frequently c. speaking at a normal volume d. speak directly into the impaired ear

c. speaking at a normal volume (if patient does not seem to understand, the nurse would express it differently)

a nurse is assessing the respiratory status of a patient who has COPD. which of the following manifestations should the nurse identify as an indication of impending respiratory failure? a. wheezing b. bradypnea c. tachycardia d. diaphoresis

c. tachycardia

a nurse is caring for a patient who has severe asthma and allergic rhinitis. the patient is taking theophylline. which of the following medications should the nurse identify as being incompatible with theophylline? a. cromolyn b. albuterol c. zadirlukast d. methlyprednisolone

c. zafirlukast

saunders: glaucoma type that results from blocking the outflow of aqueous humor into the trabecular meshwork; causes include lens or pupil dilation from medications or sympathetic stimulation

closed/narrow angle

saunders: a nurse is performing an admission assessment on a patient with a diagnosis of detached retina. which sign or symptom is associated with this eye problem? a. total loss of vision b. pain in the affected eye c. a yellow discoloration of the sclera d. a sense of a curtain falling across the field of vision

d. a sense of a curtain falling across the field of vision

saunders: the nurse is performing an assessment on a patient with suspected diagnosis of cataracts. what clinical manifestation would the nurse expect to note in the early stages of cataract formation? a. diplopia b. eye pain c. floating spots d. blurred vision

d. blurred vision

ati: a nurse is teaching a patient who has a new diagnosis of primary open-angle glaucoma (POAG). Which of the following pieces of information should the nurse include in the teaching SATA a. lost vision can improve with eye drops b. administer eye drops as needed for vision loss c. glasses will be necessary to correct the accompanying presbyopia d. driving can be dangerous due to the loss of peripheral vision e. laser surgery can help reestablish the flow of aqueous humor

d. driving can be dangerous due to the loss of peripheral vision e. laser surgery can help reestablish the flow of aqueous humor

a nurse is providing teaching to a patient with asthma who has a new prescription for short- acting beta 2 agonist (SABA) bronchodilator. which of the following pieces of information should the nurse share? a. the SABA will provide prolonged control of asthma attacks b. SABAs are also available in the oral form c. the SABA will have to be taken with an inhaled glucocorticoid d. notify the provider if the SABA is needed more than twice per week

d. notify the provider if the SABA is needed more than twice a week

a nurse is caring for a patient who is experiencing an acute asthma exacerbation. what medication should the nurse identify as being contraindicated for this patient? a. dextromethorphan b. monelukast c. cirpofloxacin d. propranolol

d. propranolol beta blocker that would adversely affect the potentiation of the beta2 agonist required to alleviate bronchospasm

ati: a nurse is reviewing the medical record of a patient who is experiencing tinnitus in both ears. which of the following pieces of information in the patients medical record should the nurse identify as a risk factor for tinnitus? a. use of hydrochlorothiazide b. chronic use of acetaminophen c. allergic external otitis d. sclerosis of the ossciles

d. sclerosis of the ossicles

saunders: macular degeneration type that is caused by serous detachment of pigment epithelium in the macular occurs fluid and blood collect under the macula resulting in scar formation and visual distortion

exudative macular degeneration

saunders: what should the patient with glaucoma report to their PCP?

eye pain, halos around the eyes, and changes in vision

ATI: a nurse is assessing a patient who is experiencing an obstruction of the flow of the vitreous humor in the eye. this manifestation is consistent with what eye disorder?

glaucoma

saunders: early signs include: decreased accommodation and increased IOP

glaucoma

saunders: ressults from obstruction to outflow of aqueous humor and is the most common type of glaucoma

open angle

saunders: what type of surgery should you prepare the patient for with PACG that allows aqueous humor to flow from the posterior to the anterior chamber

peripheral iridectomy

ati: a nurse is assessing a patient who reports an acute visual disturbance that he describes as a "curtain" pulled over his visual field with occasional flashes of light- the nurse should notify the provider that the patient may have what disorder?

retinal detachment

ati: a nurse is assessing a patient who reports vision loss. the patient describes the loss as beginning with a "flash" of light followed by a "curtain" across the visual field. the nurse should identify that these manifestations indicate what eye disorder?

retinal detachment

saunders: the nurse is preparing to test the visual acuity of a patient using a Snellen chart. which identifies the accurate procedure for this visual acuity test?

the right eye is tested, followed by the left eye, and then both are tested together