Understanding Medical Surgical Nursing 5th Edition by Linda S. Williams Paula D. Hopper
Understanding Medical Surgical Nursing 5th Edition by Linda S. Williams Paula D. Hopper
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Chapter 52. Nursing Care of Patients With Sensory Disorders: Vision and Hearing
Complete Chapter Questions With Answers
Sample Questions Are Posted Below
Multiple Choice
Identify the choice that best completes the statement or answers the question.
____ 1. The nurse is collecting data from a patient with cataracts. Which symptom should the nurse expect because of this health problem?
| a. | Visual fatigue |
| b. | Loss of visual acuity |
| c. | Loss of central vision |
| d. | Floating filaments in vision |
____ 2. A patient diagnosed with cataracts asks how they develop. What should the nurse respond to this patient?
| a. | “Cataracts usually result from chronic systemic diseases.” |
| b. | “Cataracts usually result from the prolonged use of toxic substances.” |
| c. | “Cataracts are believed to result from eye injuries sustained early in life.” |
| d. | “Cataracts may form as a result of exposure to ultraviolet light over time.” |
____ 3. A patient with acute angle glaucoma and a fractured femur that is scheduled for surgery is prescribed the preoperative medications morphine 10 mg intramuscularly (IM), and atropine 0.4 mg IM. Which action should the nurse take?
| a. | Hold the morphine. |
| b. | Contact the physician. |
| c. | Give medications as ordered. |
| d. | Collect data on patient’s pain. |
____ 4. The nurse is reinforcing teaching provided to a patient with open-angle glaucoma. What is most important for the nurse to include in the patient teaching?
| a. | Regardless of treatment, peripheral vision will be eventually lost. |
| b. | Compliance with drug therapy is essential to prevent loss of vision. |
| c. | Damage to the eye caused by glaucoma is reversible in early stages. |
| d. | Eye pain is experienced until the optic nerve atrophies, causing blindness. |
____ 5. A patient with glaucoma is prescribed pilocarpine 1% eye drops every 6 hours. What outcome should the nurse expect from this medication?
| a. | Reduction of inflammation of the iris and choroids |
| b. | Prevention of dryness of the cornea and conjunctiva |
| c. | Dilation of the pupil by paralyzing the ciliary muscle |
| d. | Promotion of drainage of aqueous humor from the anterior chamber of the eye |
MULTIPLE CHOICE
Symptoms of cataract formation may include halos around lights, difficulty reading fine print or seeing in bright light, increased sensitivity to glare such as when driving at night, double or hazy vision, and decreased color vision. D. Floaters are associated with detached retina. C. Loss of central vision is associated with retinopathy and macular degeneration. A. Eye strain or visual fatigue is associated with refractive errors.
PTS: 1 DIF: Moderate
KEY: Client Need: Physiological Integrity—Physiological Adaptation | Cognitive Level: Application
Factors that contribute to cataract development may include age, ultraviolet radiation (sunlight), diabetes, smoking, steroids, nutritional deficiencies, alcohol consumption, intraocular infections, trauma, and congenital defects. A. Chronic systemic diseases do not cause cataracts. B. Toxic substances do not cause cataracts. C. Cataracts do not form because of eye injuries.
PTS: 1 DIF: Moderate
KEY: Client Need: Health Promotion and Maintenance | Cognitive Level: Application
Atropine is contraindicated for patients with acute angle glaucoma. It can cause blindness if given so the physician must be notified. A. There is no reason to hold the morphine. C. Giving the medications could cause blindness in the patient. D. The morphine is not being given for pain but rather for preoperative preparation.
PTS: 1 DIF: Moderate
KEY: Client Need: Physiological Integrity—Pharmacological and Parenteral Therapies | Cognitive Level: Analysis
Lifelong compliance with drug therapy is essential to prevent loss of vision. A. It is not definite that the patient will lose peripheral or any vision. C. Vision changes cannot be corrected with eyeglasses. D. Eye pain and optic nerve damage is associated with acute angle glaucoma.
PTS: 1 DIF: Moderate
KEY: Client Need: Physiological Integrity—Reduction of Risk Potential | Cognitive Level: Application
This medication promotions drainage of aqueous humor from the anterior chamber of the eye and reduces pressure in the eye as the fluid does not build up. A. B. C. This medication does not perform these actions.
PTS: 1 DIF: Moderate
KEY: Client Need: Physiological Integrity—Pharmacological and Parenteral Therapies | Cognitive Level: Analysis
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Original price was: $30.00.$20.00Current price is: $20.00.
Original price was: $30.00.$20.00Current price is: $20.00.
Original price was: $30.00.$20.00Current price is: $20.00.
Original price was: $30.00.$20.00Current price is: $20.00.