Nokea
The nurse is working with a nursing assistant who is communicating with a patient who is hearing impaired. Which action by the nursing assistant would cause the nurse to intervene?
- A. Overaccentuating words
- B. Facing the patient when speaking
- C. Speaking in conversational tones
- D. Speaking into the ear with the hearing aid
Correct Answer: A
Rationale: Do not overaccentuate words. Speak in a normal tone; do not shout or raise the pitch of voice.
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The nurse will provide which advise for a patient who has severe vertigo from labyrinthitis?
- A. Lean against a wall and not move the head forward until vertigo lessens.
- B. Bend at the waist and take several deep breaths.
- C. Drink an iced drink slowly.
- D. Lie immobile and hold the head in one position until the vertigo lessens.
Correct Answer: D
Rationale: Lying immobile and holding the head in one position will lessen vertigo.
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 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.
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.
In which way will the nurse explain the purpose of photocoagulation to a diabetic patient with diabetic retinopathy?
- A. The procedure will destroy the retina, which is not getting enough blood supply.
- B. The procedure will reduce edema in the macula of the eye.
- C. The procedure will vaporize fatty deposits that appear in the retina.
- D. The procedure will destroy new blood vessels, seal leaking vessels, and help prevent retinal edema.
Correct Answer: D
Rationale: Photocoagulation is useful in diabetic retinopathy to cauterize hemorrhaging vessels and to destroy new vessels.