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.
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The surgical incision into the eardrum with either a knife or a heated wire loop to relieve pressure in the middle ear is a(n) ___
Correct Answer: myringotomy
Rationale: The opening of the eardrum with a specialized knife or a heated wire loop to relieve pressure in the middle ear is a myringotomy.
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 nurse will advise the patient to take which action following a left vitrectomy?
- A. Remain flat in bed for 48 hours.
- B. Position self in a face-down position for 4 to 5 days.
- C. Assume a side-lying position with the left side down for 3 days.
- D. Keep head upright and cushioned with pillows for 24 hours.
Correct Answer: B
Rationale: Following a vitrectomy, the patient must assume a face-down position or turn the face to the right side for 4 to 5 days.
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.
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.
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