Chapter 22: Care of Patients with Alterations in Health

Chapter 22: Care of Patients with Alterations in Health

 

Complete Chapter Questions With Answers

 

Sample Questions Are Posted Below

 

MULTIPLE CHOICE

 

1. Why should the nurse instill eye irrigation from the inner to the outer canthus?

a.	To avoid harming the sclera
b.	To include the conjunctiva in the irrigation
c.	To keep the pupil constricted
d.	To protect the nasolacrimal ducts

 

 

ANS:  D

The irrigation flow is directed to the outer canthus to protect the nasolacrimal ducts from contaminants.

 

DIF:    Cognitive Level: Application           REF:   Page 525        OBJ:   1

TOP:   Eye irrigation                                  KEY:  Nursing Process Step: Implementation

MSC:  NCLEX: Physiological Integrity

 

2. When an order for eye irrigation is received, to whom can the nurse delegate the procedure to?

a.	The patient
b.	Another nurse
c.	A nursing assistant
d.	A family member

 

 

ANS:  B

Performing eye irrigation requires the skills of a licensed nurse.

 

DIF:    Cognitive Level: Comprehension     REF:   Page 525        OBJ:   1

TOP:   Delegation      KEY:  Nursing Process Step: Planning

MSC:  NCLEX: Safe, Effective Care Environment

 

3. To what temperature should water for eye compress be heated?

a.	95° F
b.	110° F
c.	115° F
d.	120° F

 

 

ANS:  D

Water for an eye compress may be heated to no more than 120° F.

 

DIF:    Cognitive Level: Comprehension     REF:   Page 527, Skill 20-2

OBJ:   2                    TOP:   Eye compress

KEY:  Nursing Process Step: Implementation

MSC:  NCLEX: Safe, Effective Care Environment

 

4. When a patient complains of progressive hearing loss, crackling and ringing noises in his ear, and progressive ear pain, what should the nurse assess for?

a.	A dead battery in the patient’s hearing aid
b.	Cerumen impaction
c.	Sinus congestion
d.	A middle ear infection

 

 

ANS:  B

Symptoms of cerumen impaction are progressive hearing loss, bothersome noises in the ear, and progressive ear pain.

 

DIF:    Cognitive Level: Application           REF:   Page 529        OBJ:   1

TOP:   Cerumen impaction                         KEY:  Nursing Process Step: Assessment

MSC:  NCLEX: Physiological Integrity