MS Week 10 ATI
"Rest in semi-fowlers position."
A home health nurse is assisting with the plan of care for an older adult client who has cataract surgery recently. Which of the following information should the nurse include in the plan of care?
The client should wear dark glasses while outdoors.
A nurse at an outpatient surgery center is reinforcing discharge teaching with a clients partner following surgical removal of a cataract. Which of the following information should the nurse include in the teaching?
Gradual hearing loss
A nurse collecting data from a client who has Menieres disease? Which of the following id an expected finding for this client?
Call the health care clinic to report that the tubes have fallen out.
A nurse is preparing a 4 year old child for discharge following a bilateral myringotomy with tympanovstomy tube placement. The mother asks what to do if the tube falls out. The nurse should give the parent which of the following instruction?
Hold the ophthalmic solution 2cm(3/4in) above the lower conjunctival sac.
A nurse is preparing to administer ophthalmic solution to a client. Which of the following actions should the nurse take?
Pull the pinna upward and backward.
The nurse is preparing to administer ear drops to an adult client. Which of the following actions should the nurse plan to take?
Allow the client to keep her hearing aid in.
a nurse is preparing a young adult client who has a hearing impairment for surgery. Which of the following actions should the nurse take?
"We do routine hearing screenings on newborns. You'll know the results before you leave the hospital."
A nurse is caring for a client who is postpartum. The client states, "I am concerned about my baby hearing because my mother was born deaf." Which of h=the following statements should the nurse make?
Place a patch over the eye.
A nurse is caring for a client who is unconscious and has lost the corneal reflex. Which of the following action should the nurse take?
"I need something for the horrible pain in my eye."
A nurse is caring for a client who just had cataract surgery. Which of the following comments from the client would the nurse report to the provider?
Withdrawing cord blood from a neonate. Suctioning secretions from a child's newly places tracheostomy tube.
A nurse is caring for a group of clients. For which of the following tasks should the nurse plan to wear protective eye equipment?
The client
A nurse is caring for an older adult client who is alert and competent and comes to the facility with her adult son for elective cataract extraction. After the provider explains the procedure, who should the nurse have sign the consent form.
"Please call for assistance when you wish to get out of bed."
A nurse is caring for the client who has Menieres disease. When asked by the client if he is allowed to ambulate independently, which of the following responses should the nurse make?
Decreased color perception
A nurse is collecting data for a client who has a possible cataract. Which of the following manifestations should the nurse expect the client to report?
The lens if the clients eye.
A nurse is collecting data from a client who has a suspected cataract. The nurse should collect data from which of the following areas to confirm the diagnosis
Loss of peripheral vision.
A nurse is collecting data from a client who has open angled glaucoma. Which of the following findings should the nurse expect?
Diarrhea
A nurse is collecting data from a client who self-administers pilocarpine ophthalmic drops. Which of the following findings by the nurse indicates a systemic adverse effect of this medication?
Lightly touch the eye with a wisp of cotton.
A nurse is collecting data from a client who was involved in a motor vehicle crash. Which of the following techniques should the nurse use to test for corneal reflexes?
Tugging on the affected ear lobe.
A nurse is collecting data from an infant who has otitis media. The nurse should expect which of the following findings?
Monitor clients cardinal field of vision.
A nurse is contributing to the plan of care for a client who has labyrinthitis. Which of the following interventions should the nurse include in the plane?
"I will take a stool softener until my eye is healed."
A nurse is evaluating discharge instructions for a client following a right cataract extraction. Which of the following client statements indicates the teaching is effective?
Drop prescribed amount of medication into the conjunctival sac.
A nurse is preparing to administer timolol ophthalmic drops to a client who has glaucoma. Which of the following actions should the nurse plan to take?
Lying on the unaffected side can prevent complications.
A nurse is providing discharge instructions for a client following outpatient cataract surgery with insertion of an intraocular lens. Which of the following should the nurse include?
Speak slowly while facing the child.
A nurse is attempting to obtain information from a child who is hearing impaired. Which of the following actions should the nurse take?
"Does anyone smoke in the same house as your daughter?"
A nurse is caring for a 3 year old client who has persistent otitis media. To help identify contributing factors, the nurse should ask the parents which of the following questions?
Minimize background noise to decrease distractions.
A nurse is caring for a client who has a hearing loss in her left ear. Which of the following nursing actions should the nurse take?
Bradycardia
A nurse is caring for a client who has a new diagnosis of primary open angled glaucoma and a prescription for timolol ophthalmia drops. For which of the following adverse effects should the nurse monitor the client?
Difficulty swallowing
A nurse is caring for a client who has burns to his face, ears, and eyelids. Which of the following is the priority finding to report to the provider?
Determine if the client uses a hearing aid
A nurse is admitting a client who has a partial hearing impairment. Which of the following actions is the nurses priority?
Instruct the client to avoid reading for long periods of time.
A nurse is assisting in the plan of care for a client who is one day postoperative for a repair of a detached retina. Which of the following actions should the nurse include in the plan?
Describe to the client the location of the food on the tray.
A nurse is assisting with the food tray for a client who is partially blind following a left-sided stroke. Which of the following nursing interventions promotes client independence?
Apply an eye shield during naps and at bedtime.
A nurse is assisting with the plan of care for a client who is postoperative following repair of a detached retina. Which of the following interventions should the nurse include in the plan of care?
Administer an opioid analgesic to the client 30 min prior to initiating CPM exercises.
A nurse is reinforcing discharge teaching to a client following arthroscopic surgery. To prevent postoperative complications which of the following actions should be reinforced during the teaching?
Avoid bending at the waist.
A nurse is reinforcing discharge teaching with a client following a cataract extraction. Which of the following should the nurse include in the teaching?
"I will change my eye patch dressing every other day."
A nurse is reinforcing discharge teaching with a client who is postoperative following a cataract extraction from the left eye with placement of an intraocular lens implant. Which of the following statements by the client indicates a need for further teaching?
"I will bend at my knees if I need to pick something up off the floor."
A nurse is reinforcing discharge teaching with a client who is postoperative following a cataract extraction. Which of the following statements by the client indicates an understanding of the teaching?
"You should expect your vision to improve within 2 weeks of surgery."
A nurse is reinforcing preoperative teaching with a client who is scheduled for cataract surgery. Which of the following statements should the nurse make?
Restrict head movements
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?
"This test will measure the intraocular pressure of the eye.
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?
"I will clean the hearing aids with alcohol wipes."
A nurse is reinforcing teaching with a client about how to use her new hearing aids. Which of the following statements should the nurse identify as an indication that the client needs further instruction?
"I should call the clinic before taking any over the counter medications."
A nurse is reinforcing teaching with a client who has been newly diagnosed with chronic open angle glaucoma. Which of the following statements by the client indicates an understanding of the teaching?
"Without treatment, glaucoma can cause blindness."
A nurse is reinforcing teaching with a client who has glaucoma. Which of the following statements should the nurse make?
"Apply the ointment in a thin line into the conjunctival sac."
A nurse is reinforcing teaching with a client with bacterial conjunctivitis of the right eye, and a prescription for an antibiotic ophthalmic ointment. Which of the following statements should the nurse make?
"I should expect to have blurred vision for up to two hours after using this medication."
A nurse is reinforcing with a client who has chronic open angle glaucoma. The client has been prescribed pilocarpine ophthalmic solution. Which of the following statements by the client demonstrates an understanding of the teaching?
Instill ophthalmic ointment into the lower lid.
A nurse notes that the left eyelid of a client who is unconscious remains partially open. To protect the eye, which of the following action should the nurse take?
