BAH quiz questions for Exam 2
A pt is ready to be discharged home after a cataract extraction with intraocular lens implant and the nurse is reviewing s/s that need to be reported to the ophthalmologist immediately. Which of the pt statements BEST demonstrates an adequate understanding?
"I will call if I see flashing lights"
The nurse is administering eye drops to a pt with glaucoma. After instilling the clients first med, how long should the nurse wait before instilling the pt second medication into the same eye?
5 mins
A client who presents for an eye examination is diagnosed as having a visual acuity of 20/40 the client asks the nurse what these numbers specifically mean. What is a correct response by the nurse?
A person whose vision is 20/40 can see an object from 20 feet away that a person with 20/20 vision can see from 40 feet away
A pt diagnosed with Bell's palsy is being cared for on an outpatient basis. During health education the nurse should promote which of the following actions?
Apply a protective eye shield at night
A pt has been Dx with serous otitis media for the 3rd time this past year. How should the nurse best interpret the pt health status?
Assess for nasal pharyngeal cancer
The nurse in the ED is caring for a 4 year old brought in by his parents who state that the child will not stop crying and pulling his ear. Based on information collected by the nurse, which of the following statements applies to a diagnosis of external otitis?
Aural tenderness
The nurse on the medical-surgical unit is reviewing discharge instructions with a client who has a history of glaucoma. The nurse should anticipate the use of what medications?
Cholinergics
A middle aged woman has sought care from her primary provider and undergone diagnostic testing that has resulted in a diagnosis of MS. What sign or symptom is most likely to have prompted the woman to seek care?
Difficulty in coordination
The clinic nurse caring for a pt with Parkinson's disease notes that the pt has been taking levodopa and carbidopa (Sinemet) for 7 years. For what common side effect should the nurse assess the pt?
Dyskinesia
A pt who was diagnosed with Parkinson's disease several months ago recently began treatment with levodopa-carbidopa. The pt and his family are excited that he has experienced significant symptom relief. The nurse should be aware of what implication of the pt medication regiment?
Effects of medication are diminished after 1-2 years of use
A pt, brought to the clinic by his wife and son, is diagnosed with Huntington's disease. When providing anticipatory guidance, the nurse should address the future possibility of what effect of Huntington's diease?
Emotional and personality change
The nurse is caring for a pt who is hospitalized with an exacerbation of MS. To ensure the pt safety, what nursing action should be performed?
Ensure that the suction apparatus is set up next to the bed
The nurse is admitting a 55-year-old male client diagnosed with a retinal detachment in his left eye. While assessing this pt, what characteristic symptom would the nurse expect to find?
Flashing lights in visual field
A pt has just returned to the surgical floor after undergoing a retinal detachment repair. The postoperative orders specify that the pt should be kept in a prone position until otherwise ordered. What should the nurse do?
Have pt stay in position to keep retinal repair intact
A nurse is planning the care of a 28 year old woman hospitalized with a diagnosis of myasthenia gravis. What approach would be most appropriate for the care and scheduling of diagnostic procedures for this pt?
In the morning with frequent rest periods
The nurse is caring for a boy with muscular dystrophy. When planning assistance with the pt ADLs, what goal should the nurse prioritize?
Maximizing the pt level of function
A pt with a new diagnosis of amyotrophic lateral sclerosis (ALS) is overwhelmed by his diagnosis and the known complications of the disease. How can the pt best make known his wishes for care as his disease progresses?
Prepare advanced directive
A pt with Gullain-Barre syndrome has experienced a sharp decline in vital capacity. What is the nurses most appropriate action?
Prepare to assist with intubation
A pt with Huntington's disease has just been admitted to a long term facility. The charge nurse is creating a care plan for this client. Nutritional management for a pt with Huntington's disease should be informed by what principle?
Pt is likely to have an increased appetite
The nurse is caring for a pt with multiple sclerosis. The pt tells the nurse the hardest thing to deal with is the fatigue. When teaching the pt how to reduce fatigue, what action should the nurse suggest?
Resting in air conditioned room whenever possible
The nurse is planning the care of a pt with Dx of vertigo. What nurse Dx risk should the nurse prioritize in the pt care?
Risk for falls
A client with otosclerosis has significant hearing loss. What should the nurse do to best facilitate communication with the client?
Sit or stand in front of the client when speaking
A client is exploring treatment options after being diagnosed with age-related cataracts that affect her vision. What treatment is most likely to be used in this client's care?
Surgical intervention
The nurse is providing discharge education for a pt with a new Dx of Meniere disease. What food should the pt be instructed to limit or avoid?
Sweet pickles
An advanced practice nurse has performed a RInne Test on a new client. During the test, the pt reports that air-conducted sounds is louder than bone-conducted sound. How should the nurse BEST interpret this assessment finding?
The client's hearing is likely normal
The nurse is developing a plan of care for a pt with Gullain-Barre syndrome. Which of the following interventions should the nurse prioritize for this pt?
Using incentive spirometer as prescribed
A 6 year old child is brought to the pediatric clinic for the assessment of redness and discharge from the eye and is diagnosed with viral conjunctivitis. What is the MOST important information to discuss with the parents and child?
Wash hands!
A pt with suspected Parkinson's disease is initially being assessed by the nurse. When is the best time to assess for the presence of a tremor?
When client is resting
A child goes to the school nurse and reports being unable to hear the teacher. What test could the school nurse perform that would preliminarily indicate hearing loss?
Whisper test
A pt diagnosed with bell's palsy is having decreased sensitivity to touch of the involved nerve. What should the nurse recommend to prevent atrophy of the muscles?
Whistling