ATI questions for Sensory perception unit

A nurse at an ophthalmology clinic is assessing a client referred by the provider for a potential cataract. which of the following client reports is consistent with cataracts? A.) Halos when looking at lights B.) loss of peripheral vision C.) bright flashes of light and floaters D.) Eyestrain and headaches with close work

A.

A nurse is caring for a child who has otitis media. Which of the following assessment findings should the nurse expect? A.) tugging on the affected ear lobe B.) clear drainage from the affected ear C.) pain when manipulating the affected ear lobe D.) erythema and edema of the affected ear.

A.

A nurse is preparing to administer an otic antibiotic to an adult client who has otitis media. Which of the following actions should the nurse plan to take? A.) Hold the dropper 1cm (0.5 in) above the ear canal during administration. B.) Apply pressure to the nasolacrimal duct following administration. C.) Place a cotton ball into the inner ear canal for 30 mins. following administration. D.) Straighten the ear canal by pulling the auricle down and back prior to administration.

A.

A nurse is preparing to administer eye drops to a client following surgery. Which of the following actions should the nurse take when instilling the eye drops? A.) Drop the eye medication into the lower conjunctival sac. B.) Apply gentle pressure to the outer opening of the eye for 2 min. C.) Hold the eyedropper 0.5 cm (0.2in) from the cornea D.) Instruct the client to close the eyes tightly after administration.

A.

What administration considerations apply to cholinergic agonists, cholinesterase inhibitors, and beta-adrenergic blockers ophthalmic drops?

All eye drops: hold pressure on puncta (inner corner of eye) and nasolacrimal sac at least 60 seconds after instillation. Be sure not to touch or drop the eye dropper; when instilling eye drops for a client, apply clean gloves and instruct client to wash hands before instilling eye drops. Also don't apply with contact lens in place.

A nurse is assessing a client who has cataracts. Which of the following findings should the nurse expect? A.) Pupils nonreactive to light B.) Opacity visible behind the pupil C.) white circle around the outside border of the iris D.) increased intraocular pressure

B.

A nurse is assessing a client who is experiencing an obstruction of the flow of the vitreous humor in the eye. This manifestation is consistent with which of the following eye disorders? A.) retinopathy B.) glaucoma C.) cataracts D.) macular degeneration

B.

A nurse is assessing a client who reports vision loss. the client describes the loss as beginning with a "flash" of light followed by a "curtain" across the field of vision. The nurse should ID that these manifestations indicate which of the following eye disorders? A.) glaucoma B.) retinal detachment C.) macular degeneration D.) cataracts.

B.

A nurse is caring for a client who has Meniere's disease. The nurse should ID that Meniere's disease affects which structure of the ear? A.) Eustachian tube B.) cochlea C.) perichondrium D.) eardrum

B.

A nurse is providing discharge teaching to a client who is postop 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 week C.) You can remove eye shields when you're sleeping D.) you should not lift objects that weigh more than 25 Ib.

B. The client should avoid reading and any activity that can cause rapid movement of the eye due to the risk of detachment of the retina.

A nurse is administering timolol eye drops to a client who has glaucoma. Which of the following actions should the nurse take? A) apply pressure to the bridge of the nose after administration B) wipe the eye from the outer canthus to the inner canthus before instillation C) drop prescribed amount of medication into the conjunctival sac. D) Protect the distal portion of the eyedropper using clean technique.

C.

A nurse is assessing a client 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 this client might have which of the following disorders? A.) cataracts B.) angle-closure glaucoma C.) retinal detachment D.) macular degeneration.

C.

A nurse is caring for a 4 month old child who has acute otitis media and a fever of 38.3 C ( 101 F) which of the following medications should the nurse administer? A) diphenhydramine B) Furosemide C) Amoxicillin D Ibuprofen

C.

A nurse is providing teaching to a client who has a new dx of Meniere's disease. Which of the following instructions should the nurse include in the teaching? A.) Avoid bearing down B.) Increase caffeine intake C.) Avoid sudden movements D.) increase sodium intake

C.

A nurse is preparing to administer timolol eye drops to a client who has primary open -angle glaucoma (POAG). Prior to administering the medication, the nurse should recognize that which of the following conditions in the client's medical history is a contraindication to receiving this medication? A.) HTN B.) Peripheral vision loss C.) Asthma D.) Increased intraocular pressure (IOP)

C. Asthma is a contraindication to receiving timolol. Timolol is a beta blocker than can cause blocking of the beta2- receptors, causing bronchospasm.

A nurse is preparing to administer eye drops for a client who has glaucoma. When instilling the medication, which of the following actions should the nurse take? A.) Instruct the client to blink several times after instilling the medication. B.) Ask the client to look straight ahead during instillation of the medication. C.) Apply pressure to the puncta after instilling the medication. D.) Place each drop of the medication directly onto the client's cornea.

C. The nurse should instill the medication into the conjunctival sac and apply pressure to the puncta for 1 to 2 minutes afterwards to prevent systemic absorption of the medication.

A client who has glaucoma of the right eye self-administers timolol eye drops by lookin at the ceiling, instilling a drop onto the center of the conjunctival sac, and applying gentle pressure to the lower lid with a facial tissue. After observing this process, which of the following actions should the nurse take? A.) Confirm that the client performed the procedure correctly. B.) Instruct the client to look at the floor while instilling the eye drop. C.) Remind the client to avoid using a facial tissue after instillation. D.) Instruct the client to apply pressure to the inside corner of the eye after instillation.

D.

A nurse is providing postoperative teaching to a client who is scheduled for cataract surgery. which of the following information should the nurse include? A) bloodshot eyes on the day of surgery should be reported to the provider. B.) warm compress should be applied to the eye T.I.D C.) photophobia is expected for 2 to 3 days D.) Vision will be greatly improved on the day of surgery.

D.

What administration considerations apply to gentamicin?

ophthalmic drops: gently press the inner canthus for 1 to 2 min after instilling drops to prevent systemic absorption. Instruct the client to keep eyes shut for 1 to 2 min. to maximize local absorption. Topical cream: Don't apply it to large skin areas. There is a risk for toxicity with systemic absorption. IM: inject it deeply into a large muscle IV: give it as an intermittent infusion, using recommendations for rate and dilution. Intrathecal: use a preservative-free form for intrathecal; discard portions you didn't use.