Which action should a patient who has had a cataract repair avoid?
- A. The use of eye patches
- B. The use of sunglasses
- C. The lifting of heavy objects
- D. Reading for long periods of time
Correct Answer: C
Rationale: Postcataract patients should avoid any activity that increases the intraocular pressure, such as lifting heavy objects, stooping, and bending.
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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 is the first nursing intervention step for the immediate care of a patient with a penetrating wound of the eye?
- A. Assess eye, do not remove object.
- B. Cover both eyes with an eye shield or cup.
- C. Check for the irregularity of the pupil.
- D. Obtain medical attention immediately.
Correct Answer: C
Rationale: The patient should be placed on his back to prevent loss of the aqueous humor, assessment of the eye for the location of the object and whether the pupil is regular, cover the eye to prevent movement, and obtain medical attention immediately.
Which condition may cause conductive hearing loss.
- A. Buildup of cerumen
- B. Foreign bodies
- C. Otosclerosis of external auditory canal
- D. Trauma
- E. Exposure to ototoxic drugs
- F. Otitis media with effusion
Correct Answer: A,B,C,F
Rationale: Common causes of conductive hearing loss are buildup of cerumen and otitis media with effusion (escape of effusion). Other conditions that may result in conductive hearing loss are foreign bodies, otosclerosis, and stenosis of the external auditory canal. Sensorineural hearing loss is usually due to trauma, infectious processes, or exposure to ototoxic drugs.
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.
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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