Nokea
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.
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The nurse is aware that the patient has 20/40 vision. This means that the patient can see at 20 feet what the normal eye can see at which distance?
- A. 10 feet
- B. 20 feet
- C. 30 feet
- D. 40 feet
Correct Answer: D
Rationale: The Snellen Eye Chart tests visual acuity. A vision evaluation of 20/40 means that the patient can see at 20 feet what the person with normal vision can see at 40 feet.
Which advice will the nurse provide the 20 year old who has been put on cefaclor for a resistant otitis media?
- A. Store suspension at room temperature.
- B. Discontinue drug when symptoms abate.
- C. Avoid alcoholic beverages.
- D. Take with meals only.
Correct Answer: C
Rationale: Drinking alcohol is discouraged while on cefaclor. The drug should be taken in its entirety and stored in the refrigerator. The drug can be taken with or without meals.
Which anatomical part is the most interior part of the eye?
- A. Choroid
- B. Cornea
- C. Aqueous humor
- D. Retina
- E. Lens
- F. Iris
Correct Answer: A
Rationale: The cornea is the outermost, followed by the aqueous humor, iris, lens, retina, and the choroid.
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.
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.