Nokea
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.
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Which reminder should the nurse provide to the hearing aid wearer when the nurse hears a whistling hearing aid?
- A. Reinsert the ear mold.
- B. Change the battery.
- C. Recharge the hearing aid.
- D. Wash the ear mold with warm water.
Correct Answer: A
Rationale: The whistling hearing aid is usually caused by a poor fit of the ear mold. Reinsertion of the ear mold usually stops the whistling.
Which technique does the cataract treatment of phacoemulsification involve?
- A. Drying' the cataract with hypertonic saline
- B. Removing the lens through the anterior capsule
- C. The insertion of a new lens
- D. Breaking the cataract with ultrasound
Correct Answer: D
Rationale: Phacoemulsification uses ultrasound to break up the cataract.
Which action will the nurse take when the patient arrives to the nursing unit after a left stapedectomy?
- A. Turn the patient to the right side.
- B. Change dressing as it becomes soiled.
- C. Turn patient every 2 hours.
- D. Leave the bed flat.
- E. Contact the surgeon if the patient reports hearing is not improved
Correct Answer: A,D,E
Rationale: The bed is left in the flat position and the patient is positioned with the operated side facing up, the patient is not turned, and the dressing is not changed by the nurse. Hearing is not expected to return until the edema is reduced and the packing is removed by the health care provider.
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.
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.