Nokea
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.
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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.
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.
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.
Which may contribute to otitis media?
- A. Exposure to cigarette smoke
- B. Allergies
- C. Upper respiratory infections
- D. Swimming
- E. Trauma
- F. Prolonged exposure to loud noise
Correct Answer: A,B,C
Rationale: Otitis media is usually caused by an upper respiratory infection with gram-negative bacteria, such as Proteus, Klebsiella, and Pseudomonas. In addition, allergy, exposure to cigarette smoke, mycoplasma, and several viruses may be factors.
The nurse takes into consideration that the Weber test indicated a conductive hearing loss in a patient because the patient reported hearing the tone in which way?
- A. equally in both ears.
- B. as a shrill noise.
- C. louder in his affected ear.
- D. very faintly.
Correct Answer: C
Rationale: A conductive hearing loss can be diagnosed by the Weber test. A person with a conductive loss will hear the noise louder in his affected ear.