Nokea
Which anatomical part is the most interior part of the eye?
- A. Choroid
- B. Cornea
- C. Aqueous humor
- D. Retina
- E. Lens
- F. Iris
Correct Answer: A
Rationale: The cornea is the outermost, followed by the aqueous humor, iris, lens, retina, and the choroid.
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Which factor must the nurse consider when assessing readiness to learn when teaching health promotion practices for the visually and hearing impaired?
- A. Cultural beliefs
- B. Values
- C. Habits
- D. Income
- E. Occupation
Correct Answer: A,B,C
Rationale: The nurse must consider the patient's culture, beliefs, values, and habits, as well as the special needs of the older adult.
A patient reports that the entire right side of the head hurts and being unable to chew without pain. The nurse recognizes the patient has symptoms of which disorder?
- A. mumps
- B. external otitis
- C. otitis media
- D. labyrinthitis
Correct Answer: B
Rationale: The symptoms of painful head, painful chewing, and pain when the auricle is moved all indicate external otitis, frequently caused by compacted cerumen.
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.
Which action should the nurse take when assisting a blind person to walk in an unfamiliar hospital environment?
- A. Discourage the use of the cane.
- B. Advise the patient to walk quickly.
- C. Describe the surroundings.
- D. Encourage the patient to ask for verbal cues.
- E. Place patient hand on nurse's shoulder or elbow.
Correct Answer: C,D,E
Rationale: The patient should be given verbal cues about the environment. Allow the patient to hold the nurse's shoulder or elbow while the nurse walks in front and encourage the use of a cane to let the patient 'examine' the boundaries and obstacles.
A patient who had an enucleation of the right eye has been admitted postoperatively to the nursing unit. Which aspect does the nurse expect to see in the plan of care?
- A. Turn, cough, and deep breathe every 3 hours.
- B. Apply a pressure dressing over the right eye socket.
- C. Document dressing Data Collection every 2 hours.
- D. Turn on the affected side.
Correct Answer: B
Rationale: A pressure dressing will be applied to the right eye socket and the dressing should be checked every hour for the first 24 hours.