Nokea
A patient reports that the entire right side of the head hurts and being unable to chew without pain. The nurse recognizes the patient has symptoms of which disorder?
- A. mumps
- B. external otitis
- C. otitis media
- D. labyrinthitis
Correct Answer: B
Rationale: The symptoms of painful head, painful chewing, and pain when the auricle is moved all indicate external otitis, frequently caused by compacted cerumen.
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The patient tells the nurse that he is legally blind. In which way will this information impact the plan of care for this patient?
- A. The patient would be considered totally blind.
- B. This patient probably has some light perception, but no usable vision.
- C. This patient has some usable vision, which enables function at an acceptable level.
- D. The nurse would need to determine how this patient's visual impairment affects normal functioning.
Correct Answer: D
Rationale: Legal blindness' refers to individuals with a maximum visual acuity of 20/200 with corrective eyewear and/or visual field sight capacity reduced by 20 degrees. Categories have been established to help determine the exact extent of the vision loss and what assistive measures are appropriate for the individual. The nurse will need more information as to the exact extent of the vision loss for this patient.
Which action should a patient who has had a cataract repair avoid?
- A. The use of eye patches
- B. The use of sunglasses
- C. The lifting of heavy objects
- D. Reading for long periods of time
Correct Answer: C
Rationale: Postcataract patients should avoid any activity that increases the intraocular pressure, such as lifting heavy objects, stooping, and bending.
The nurse expects to see which aspect in the plan of care following a tympanoplasty?
- A. Elevating head of bed with operative side facing upward
- B. Enforcing bed rest for 72 hours
- C. Frequent turning, coughing, and deep breathing
- D. Continuous irrigation of the ear canal with antibiotic solutions
Correct Answer: A
Rationale: Postoperative management for patients who have had a tympanoplasty consists of bed rest until the next morning. The head of the bed is elevated 40 degrees, and the operative side faces upward.
The surgical incision into the eardrum with either a knife or a heated wire loop to relieve pressure in the middle ear is a(n) ___
Correct Answer: myringotomy
Rationale: The opening of the eardrum with a specialized knife or a heated wire loop to relieve pressure in the middle ear is a myringotomy.
When the patient in the emergency room reports seeing flashing lights and a curtain down over the right eye, the nurse recognizes this as a symptom of which condition?
- A. Detached retina
- B. Macular degeneration
- C. Early sign of cataract
- D. Diabetic retinopathy
Correct Answer: A
Rationale: The standard symptom of a detached retina is the report of seeing flashing lights and having a curtain being drawn over the eyes.