Chapter 53 and 54 quiz.docx

A. B. C. D. 2. The patient tells the nurse that he is legally blind. How would this information impact the nurse's plan of care for this patient? E. F. G. H. 3. 3. One of the housekeepers splashes a chemical in the eyes. What should be the first priority? I. J. K. L. 4. 4. W...

A. B. C. D. 2. The patient tells the nurse that he is legally blind. How would this information impact the nurse's plan of care for this patient? E. F. G. H. 3. 3. One of the housekeepers splashes a chemical in the eyes. What should be the first priority? I. J. K. L. 4. 4. What does a tympanoplasty correct? M. N. O. P. 5. 5. The 62-year-old home health patient who is recovering from eye surgery complains of a feeling of "grittiness" in the eye and is having blurred vision. The eyes are reddened and have stringy mucus. What do these complaints indicate? Q. R. S. T. 6. 6. Four hours after a stapedectomy, the patient complains that hearing has not improved at all. What knowledge would the nurse use to shape a response? U. V. W. X. 7. 7. What is a common mistake that hinders communication when communicating with the hearing impaired? Y. Z. A. B. 8. 8. What is the process when the lens of the eye changes its curvature to focus on the retina? C. D. E. F. 9. 9. When the newly blind male home health patient asks the nurse how he might get assistance, who might the nurse suggest he contact? G. H. I. J. 10. 10. The nurse clarifies that the difference between a photorefractive keratectomy (PRK) and a laser in-situ keratomileusis (LASIK) is that a LASIK: K. L. M. N. 11. 11. What does the cataract treatment of phacoemulsification involve? O. P. Q. R. 12. 12. Which complaint made by a 64-year-old patient during a health interview would alert the nurse to the possibility of cataracts? S. T. U. V. 13. 13. What should a patient who has had a cataract repair avoid? W. X. Y. Z. 14. 14. What does diabetes retinopathy result from? A. B. C. D. 15. 15. When the patient in the emergency room complains of seeing flashing lights and a curtain down over his right eye, the nurse recognizes this as a symptom of which condition? E. F. G. H. 16. 16. The nurse will assess for \_\_\_\_\_\_\_\_\_\_\_\_\_ when the older adult home health patient complains that the entire right side of his head hurts and he cannot chew without pain. I. J. K. L. 17. 17. The nurse takes into consideration that the Weber test indicated a conductive hearing loss in a patient because the patient reported hearing the tone: M. N. O. P. 18. 18. What should the nurse remind the hearing aid wearer to do when the nurse hears a whistling hearing aid? Q. R. S. T. 19. 19. What should the nurse advise the 20 year old to do who has been put on cefaclor (Ceclor) for a resistant otitis media? U. V. W. X. 20. 20. How should the nurse advise a patient who has severe vertigo from labyrinthitis? Y. Z. A. B. 21. 21. What do miotic eye drops do for a patient with glaucoma? C. D. E. F. 22. 22. What should the nurse include in the plan of care following a tympanoplasty? G. H. I. J. 23. 23. When the patient stares at the black dot on an Amsler grid, what should the nurse ask him to report? K. L. M. N. 24. 24. A patient who had an enucleation of the right eye has been admitted PACU. What should the nurse include in the plan of care? O. P. Q. R. 25. 25. What must a patient do following a left vitrectomy? S. T. U. V. 26. 26. How would the nurse explain the purpose of photocoagulation to a diabetic patient with diabetic retinopathy? W. X. Y. Z. 27. 27. What is the first indication of macular degeneration? A. B. C. D. 28. 28. Which is a sign of acute angle closure glaucoma (AACG)? E. F. G. H. 29. 29. Why is otitis media found more frequently in children 6 to 36 months? I. J. K. L. 30. 30. Why would the nurse encourage a group of teenagers to protect their eyes with dark sunglasses while using a UV lamp? M. N. O. P. 31. 31. The nurse counsels the 16-year-old boy that playing his music at high volume can result in impairment in hearing related to: Q. R. S. T. 32. 32. What is the most interior part of the eye? U. V. W. X. Y. Z. 33. 33. What is the first nursing intervention step for the immediate care of a patient with a penetrating wound of the eye? A. B. C. D. E. 34. 34. Select all the conditions that may cause conductive hearing loss. *(Select all that apply.)* F. G. H. I. J. K. 35. 35. Which may contribute to otitis media? *(Select all that apply.)* L. M. N. O. P. Q. 36. 36. What factors must the nurse consider when assessing readiness to learn when teaching health promotion practices for the visually and hearing impaired? *(Select all that apply.)* R. S. T. U. V. 37. 37. Which of the following are causes of cataracts? *(Select all that apply.)* W. X. Y. Z. A. B. 38. 38. What would a nurse do when the patient arrives in the PACU after a left stapedectomy?* (Select all that apply.)* C. D. E. F. G. 39. 39. What should the nurse do when assisting a blind person to walk in an unfamiliar hospital environment? *(Select all that apply.)* H. I. J. K. L. 40. 40. The home health patient complains of tearing and a feeling of dryness in the right eye. The nurse assesses that the eyelid is turned inward and the sclera is red. The nurse documents the presence of a(n)\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_. 41. 41. 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. 42. 42. The total removal of an eye is a(n) \_\_\_\_\_\_\_\_\_\_\_. 43. 43. The surgical incision into the eardrum with either a knife or a heated wire loop to relieve pressure in the middle ear is a(n) \_\_\_\_\_\_\_\_\_\_\_. 44. 44. Progressive deafness caused by the ankylosis of the stapes is the condition of\_\_\_\_\_\_\_\_\_\_. **Questions** 1. 1. What are the two divisions of the nervous system? A. B. C. D. 2. 2. What is the cranial nerve that supplies most of the organs in the thoracic and abdominal cavities and carries motor fibers to glands that produce digestive juices and other secretions? E. F. G. H. 3. 3. The newly admitted patient to the emergency room 30 minutes ago after a fall off a ladder has gradually decreased in consciousness and has slowly reacting pupils, a widening pulse pressure, and verbal responses that are slow and unintelligible. What is the most appropriate position for the patient? I. J. K. L. 4. 4. Which question is likely to elicit the most valid response from the patient who is being interviewed about a neurologic problem? M. N. O. P. 5. 5. What is the cardinal sign of increased intracranial pressure in a brain injured patient? Q. R. S. T. 6. 6. The nurse is aware that when assessing a patient by the FOUR score coma scale, the patient is assessed in four categories: eye response, brainstem reflexes, motor response, and respiration. How are these results reported? U. V. W. X. 7. 7. As the result of a stroke, a patient has difficulty discerning the position of his body without looking at it. In the nurse's documentation, which would best describe the patient's inability to assess spatial position of his body? Y. Z. A. B. 8. 8. A patient, age 45, is to have a myelogram to confirm the presence of a herniated intervertebral disk. Which nursing action should be planned with respect to this diagnostic test? C. D. E. F. 9. 9. A patient has recently suffered a stroke with left-sided weakness and has problems with choking, especially when drinking thin liquids. What nursing interventions would be most helpful in assisting this patient to swallow safely? G. H. I. J. 10. 10. What are surgical navigational systems? K. L. M. N. 11. 11. A family member of a patient who has just suffered a tonic-clonic seizure is concerned about the patient's deep sleep. What is this behavior called? O. P. Q. R. 12. 12. How would a nurse record the behavior when a patient with Alzheimer's disease attempts to eat using a napkin rather than a fork? S. T. U. V. 13. 13. Which symptom is specific to migraine headaches? W. X. Y. Z. 14. 14. The nurse assures an anxious family member of a 92-year-old patient who is demonstrating signs of dementia that many causes of dementia are reversible and preventable. What is one example? A. B. C. D. 15. 15. What is the nurse assessing when asking the patient, "Who is the president of the United States?" during a level of consciousness assessment? E. F. G. H. 16. 16. What Glasgow Coma Scale rating would a patient receive who opens the eyes spontaneously, but has incomprehensible speech and obeys commands for movement? I. J. K. L. 17. 17. What is the nurse aware of when assessing a person with a craniocerebral injury? M. N. O. P. 18. 18. The nurse is caring for a home health patient who had a spinal cord injury at C5 3 years ago. The nurse bases the plan of care on the knowledge that the patient will be able to: Q. R. S. T. 19. 19. A frantic family member is distressed about the flaccid paralysis of her son following a spinal cord injury several hours ago. What does the nurse know about this condition? U. V. W. X. 20. 20. A patient with a spinal cord injury at T1 complains of stuffiness of the nose and a headache. The nurse notes a flushing of the neck and "goose flesh." What should be the primary nursing intervention based on these assessments? Y. Z. A. B. 21. 21. The nurse is aware that the characteristic gait of the person with Parkinson disease is a propulsive gait, which causes the patient to: C. D. E. F. 22. 22. What does the nurse know about the stroke patient who has expressive aphasia? G. H. I. J. 23. 23. The nurse is aware that the drug t-PA (Activase), a tissue plasminogen activator, must be given in hours of the onset of symptoms to have maximum benefit. K. L. M. N. 24. 24. An 83-year-old patient has had a stroke. He is right handed and has a history of hypertension and "little" strokes. He presents with right hemiplegia. To afford him the best visual field, the nurse should approach him: O. P. Q. R. 25. 25. The newly admitted patient to the emergency room after a motorcycle accident has serosanguineous drainage coming from the nose. What is the most appropriate nursing response to this assessment? S. T. U. V. 26. 26. How would the nurse instruct a patient with Parkinson disease to improve activity level? W. X. Y. Z. 27. 27. What is the basic problem that prompts most of the early signs of Alzheimer's disease? A. B. C. D. 28. 28. A patient is in which stage of Alzheimer's disease when she demonstrates "sundowning"? E. F. G. H. 29. 29. Why are the drugs neostigmine (Prostigmin) and pyridostigmine (Mestinon) helpful to the person with myasthenia gravis? I. J. K. L. 30. 30. What should the nurse do when the child arrives on the floor with the diagnosis of bacterial meningitis? M. N. O. P. 31. 31. What is the purpose of a "drug holiday" in the treatment of Parkinson disease? Q. R. S. T. 32. 32. What is the first sign of Bell's palsy? U. V. W. X. 33. 33. Following a myelogram the nurse should include in the postprocedure care assessment for: Y. Z. A. B. 34. 34. Why is the patient with suspected Guillain-Barre Syndrome (GBS) hospitalized immediately? C. D. E. F. 35. 35. The nurse explains that the two divisions of the autonomic nervous system work to maintain homeostasis. Which is the first autonomic event? G. H. I. J. K. 36. 36. Which foods should the person who suffers from migraine headaches avoid? *(Select all that apply.)* L. M. N. O. P. Q. 37. 37. What are the three signs of Cushing response? *(Select all that apply.)* R. S. T. U. V. W. 38. 38. Which of the following techniques are necessary for safely feeding a hemiplegic patient? *(Select all that apply.)* X. Y. Z. A. B. C. 39. 39. What is the reticular activating system (RAS) essential to? *(Select all that apply.)* D. E. F. G. H. I. 40. 40. What are the effects of normal aging on the nervous system? *(Select all that apply.)* J. K. L. M. N. O. 41. 41. \_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_ is/are responsible for the transmission of impulses between synapses. 42. 42. A \_\_\_\_\_\_\_\_\_\_\_ is a diagnostic procedure used to identify lesions by observing the flow of radiopaque dye through the subarachnoid space. 43. 43. The nurse explains that the triad of signs of Parkinson disease is: \_\_\_\_\_\_\_, rigidity, and bradykinesia. 44. 44. Involuntary rhythmic movement of the eyes, with oscillations that may be horizontal, vertical, or mixed movements, is called \_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_. 45. 45. The waxy substance that covers the neuron fibers and increases the rate of transmission of impulses is the \_\_\_\_\_\_\_\_.