Nokea
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.
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Which finding is a sign of acute angle closure glaucoma (AACG)?
- A. Large fixed pupil
- B. Nystagmus
- C. Bluish color in sclera
- D. Drooping eyelid
Correct Answer: A
Rationale: Signs of AACG would be eye pain, large fixed pupil with reddened sclera, decreased vision, nausea, and vomiting.
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 term describes the process when the lens of the eye changes its curvature to focus on the retina?
- A. Accommodation
- B. Constriction
- C. Convergence
- D. Refraction
Correct Answer: A
Rationale: The ability of the lens to alter its curvature as it focuses on the retina is accommodation.
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 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.