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When the newly blind patient asks the nurse how to obtain assistance, who might the nurse suggest contacting?
- A. American Red Cross
- B. American Foundation for the Blind for a list of agencies
- C. Local hospital social worker
- D. The public health department
Correct Answer: B
Rationale: The American Foundation for the Blind has lists of agencies to assist and educate the visually impaired patient.
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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.
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.
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.
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.
The nurse clarifies that the difference between a photorefractive keratectomy (PRK) and a laser in-situ keratomileusis (LASIK) is that a LASIK is intended to improve vision in which way?
- A. reshapes the central cornea.
- B. makes partial-thickness radial incisions in the cornea.
- C. removes some internal layers of the cornea.
- D. implants intracorneal rings.
Correct Answer: C
Rationale: The LASIK procedure removes some of the internal layers of the cornea affecting the central zone of vision.