Nokea
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.
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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.
The nurse takes into consideration that the Weber test indicated a conductive hearing loss in a patient because the patient reported hearing the tone in which way?
- A. equally in both ears.
- B. as a shrill noise.
- C. louder in his affected ear.
- D. very faintly.
Correct Answer: C
Rationale: A conductive hearing loss can be diagnosed by the Weber test. A person with a conductive loss will hear the noise louder in his affected ear.
Which action do miotic eye drops have for a patient with glaucoma?
- A. Dilate the pupil and sharpen vision.
- B. Lubricate and moisten the dry eye.
- C. Irrigate the surface of the eye.
- D. Constrict the pupil and open the canal of Schlemm.
Correct Answer: D
Rationale: Miotic eye drops allow the pupil to constrict and open the canal of Schlemm to drain the excess fluid.
The patient complains of tearing and a feeling of dryness in the right eye. The nurse assesses that the eyelid is turned inward and the sclera is red. The nurse documents the presence of a(n) ___
Correct Answer: entropion
Rationale: An entropion is the abnormal turning in of the eyelid, causing irritation and tearing of the eye.
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.