Nokea
When the patient stares at the black dot on an Amsler grid, which abnormality should the nurse ask him to report?
- A. Any color visible on the grid
- B. Fading of the edges of the grid
- C. Any distortion of the grid
- D. Movement of the black dot
Correct Answer: C
Rationale: Amsler grid, a diagnostic tool for retinal disorders, requires that the patient look at the dot on the grid and report any distortion in the grid lines.
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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.
The total removal of an eye is a(n) ___
Correct Answer: enucleation
Rationale: The surgical removal of the eyeball is an enucleation.
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.
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.
Which anatomical change is associated with diabetes retinopathy?
- A. Capillaries in retina hemorrhage
- B. Long-term overdosing of insulin
- C. Retinal detachment
- D. Aging
Correct Answer: A
Rationale: Retinopathy is caused when the capillaries in the retina have aneurysms or hemorrhage.