Nokea
One of the housekeepers splashes a chemical in the eyes. Which action should be the first priority?
- A. Transport to a health care provider immediately.
- B. Cover the eyes with a sterile gauze.
- C. Irrigate with H2O for 5 minutes.
- D. Irrigate with normal saline solution for 20 minutes.
Correct Answer: D
Rationale: Burns are medically treated with a prolonged, 15- to 20-minute or longer normal saline flush immediately after burn exposure.
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The nurse explains that a pneumatic retinopexy is a repair of a retinal detachment using a bubble of ___ to put pressure on the damaged retina.
Correct Answer: gas
Rationale: A pneumatic retinopexy uses a bubble of gas to put pressure on the damaged retina.
Which term describes the process when the lens of the eye changes its curvature to focus on the retina?
- A. Accommodation
- B. Constriction
- C. Convergence
- D. Refraction
Correct Answer: A
Rationale: The ability of the lens to alter its curvature as it focuses on the retina is accommodation.
For which reason is otitis media found more frequently in children 6 to 36 months?
- A. Eustachian tubes in children are shorter and straighter.
- B. Infection descends via the eustachian tube to the throat.
- C. Children's eustachian tubes are more vertical and longer.
- D. Otitis media is seen equally in both children and adults.
Correct Answer: A
Rationale: Children's shorter and straighter eustachian tubes provide easier access of the organisms from the nasopharynx to travel to the middle ear.
The 62-year-old patient reports a feeling of 'grittiness' in the eye and is having blurred vision. The eyes are reddened and have stringy mucus. Which disorder do these symptoms indicate?
- A. Sjögren syndrome
- B. Early cataracts
- C. Macular degeneration
- D. Retinal detachment
Correct Answer: A
Rationale: The Sjögren syndrome of 'dry eye' is associated with advancing age. There is insufficient production of tears. Excessive use of antihistamines, antidepressants, and decongestants may cause this syndrome to appear.
A patient who had an enucleation of the right eye has been admitted postoperatively to the nursing unit. Which aspect does the nurse expect to see in the plan of care?
- A. Turn, cough, and deep breathe every 3 hours.
- B. Apply a pressure dressing over the right eye socket.
- C. Document dressing Data Collection every 2 hours.
- D. Turn on the affected side.
Correct Answer: B
Rationale: A pressure dressing will be applied to the right eye socket and the dressing should be checked every hour for the first 24 hours.