Nokea
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.
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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 report made by a 64-year-old patient during a health interview would alert the nurse to the possibility of cataracts?
- A. Pain in the eyes
- B. Difficulty driving at night
- C. Loss of peripheral vision
- D. Dry eyes
Correct Answer: B
Rationale: Blurring of vision and difficulty driving at night is often the first subjective symptom reported by a patient who has cataracts.
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.
In which way will the nurse explain the purpose of photocoagulation to a diabetic patient with diabetic retinopathy?
- A. The procedure will destroy the retina, which is not getting enough blood supply.
- B. The procedure will reduce edema in the macula of the eye.
- C. The procedure will vaporize fatty deposits that appear in the retina.
- D. The procedure will destroy new blood vessels, seal leaking vessels, and help prevent retinal edema.
Correct Answer: D
Rationale: Photocoagulation is useful in diabetic retinopathy to cauterize hemorrhaging vessels and to destroy new vessels.
The nurse explains that a pneumatic retinopexy is a repair of a retinal detachment using a bubble of ___ to put pressure on the damaged retina.
Correct Answer: gas
Rationale: A pneumatic retinopexy uses a bubble of gas to put pressure on the damaged retina.