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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.
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Which advice will the nurse provide the 20 year old who has been put on cefaclor for a resistant otitis media?
- A. Store suspension at room temperature.
- B. Discontinue drug when symptoms abate.
- C. Avoid alcoholic beverages.
- D. Take with meals only.
Correct Answer: C
Rationale: Drinking alcohol is discouraged while on cefaclor. The drug should be taken in its entirety and stored in the refrigerator. The drug can be taken with or without meals.
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.
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.
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.
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.