What type of eye drops would be ordered for the patient who is being prepared for cataract surgery?
Answer(s): C
A mydriatic medication would be ordered for the patient who is being prepared for cataract surgery. This will produce mydriasis and dilation of the pupil. It will also constrict blood vessels.
Which of the following would be associated with detached retina?
A patient with a detached retinapatient would complain of a sense of a curtain falling across their field of vision There is no pain associated with retinal detachment, but it is an ophthalmic emergency in that immediate steps must be taken to protect the patient's vision.
What intervention would you need to take if your patient had a contusion of the eyeball following a traumatic injury?
The priority intervention for this patient would be to apply ice to the affected eye. The patient should then be seen by a physician to rule out any other eye injury. Do not irrigate the eye with cool water until it is examined by a physician.
What nursing action would the nurse take when caring for a patient with enucleation with bright red drainage?
Answer(s): A
The nurse's first priority would be to notify the physician. The presence of bright red drainage on the dressing is an indication of hemorrhage. The other options are inappropriate for this patient.
You are completing a hearing screening on a patient. You note that the sound lateralizes to the patient's left ear during a Weber test. What does this finding indicate?
This test indicates sensorineural or conductive loss in the right ear. The Weber test is done by placing a vibrating tuning fork at the middle of the forehead. The patient should hear sound by bone conduction equally in both ears; if not, then the patient has hearing loss in the ear that did not hear the sound.
When caring for a hearing impaired patient what approach will facilitate communication?
Answer(s): D
The nurse should speak in a normal tone of voice when addressing the patient. The nurse should talk directly to the patient while facing them. If the patient still does not understand then the nurse should move closer to the better ear to facilitate communication.
You have delegated care of a patient in restraints to a nursing assistant. How often should the nursing assistant assess skin integrity for this patient?
The nursing assistant should assess the patient's skin integrity every 30 minutes for as long as the patient is in restraints. In order to delegate this task to the nursing assistant the nurse must insure that the nursing assistant is clear on what care the patient requires.
You are working in the emergency department and find out that a tornado has hit the local area. Numerous casualties are being sent to the emergency department. What action should you take at this time?
The nurse should activate the agency disaster plan. All the other options may be part of the disaster plan, but the first priority of the nurse should be to activate the disaster plan. This will cover all the necessary steps that the will need to take.
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