The nurse is assigned to care for a client hospitalized with Ménière's
disease. The nurse expects that which would most likely be prescribed for
the client? - ANS ✓Low-sodium diet
A client is diagnosed with glaucoma. Which data gathered by the nurse
indicate a risk factor associated with glaucoma? - ANS ✓Cardiovascular
disease
Betaxolol hydrochloride (Betoptic) eyedrops have been prescribed for the
client with glaucoma. Which nursing action is most appropriate related to
monitoring for the side/adverse effects of this medication? - ANS
✓Monitoring blood pressure
The nurse assists to prepare the client for ear irrigation as prescribed by
the health care provider. Which action should the nurse plan to take? - ANS
✓Warm the irrigating solution to 98° F.
In preparation for cataract surgery, the nurse is to administer
cyclopentolate (Cyclogyl) eyedrops. The nurse administers the eyedrops
knowing that the purpose of this medication is which? - ANS ✓Dilate the
pupil of the operative eye.
The nurse is providing instructions to a client who will be self-
administering eyedrops. To minimize the systemic effects that eyedrops
can produce, the client is instructed to perform which? - ANS ✓Occlude the
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,NCLEX
nasolacrimal duct with a finger over the inner canthus for 30 to 60 seconds after
instilling the drops.
The client is receiving an eyedrop and an eye ointment to the right eye.
Which action should the nurse take? - ANS ✓Administer the eyedrop first,
followed by the eye ointment
The nurse is caring for a client with glaucoma. Which medication
prescribed for the client should the nurse question? - ANS ✓Atropine sulfate
(Isopto Atropine)
The nurse is preparing to administer eyedrops. Which interventions should
the nurse take to administer the drops? Select all that apply - ANS ✓Wash
hands.
Put on gloves.
Place the drop in the conjunctival sac.
Pull the lower lid down against the cheekbone
A client was just admitted to the hospital to rule out a gastrointestinal (GI)
bleed. The client has brought several bottles of medications prescribed by
different specialists. During the admission assessment, the client states,
"Lately, I have been hearing some roaring sounds in my ears, especially
when I am alone." Which medication should the nurse determine to be the
cause of the client's complaint? - ANS ✓Acetylsalicylic acid (aspirin)
Pilocarpine hydrochloride (Isopto Carpine) is prescribed for the client with
glaucoma. Which medication should the nurse plan to have available in the
event of systemic toxicity? - ANS ✓Atropine sulfate
A miotic medication has been prescribed for the client with glaucoma. The
client asks the nurse about the purpose of the medication. The nurse
should tell the client which? - ANS ✓The medication causes the pupil to
constrict and will lower the pressure in the eye
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, NCLEX
The nurse is attempting to communicate with a hearing-impaired client.
Which strategy by the nurse would be least helpful when talking to this
client? - ANS ✓Smiling continuously during conversation
The nurse is reviewing the record of a client with mastoiditis. The nurse
should expect to note which documented characteristic regarding the
results of the otoscopic examination? - ANS ✓Red, dull, thick, and immobile
tympanic membrane
A client is diagnosed with a disorder involving the inner ear. The nurse
caring for the client understands that which is the most common client
complaint associated with a disorder involving the inner ear? - ANS
✓Tinnitus
The nurse is reviewing the health care record of a client with a diagnosis of
otosclerosis. The nurse should expect to note documentation of which early
symptom of this disorder? - ANS ✓Ringing in the ears
The nurse provides discharge instructions to the client who was
hospitalized for an acute attack of Ménière's disease. Which statement
made by the client indicates a need for further teaching? - ANS ✓It is not
necessary to restrict salt in my diet."
The nurse is reinforcing instructions to a client regarding the use of a
hearing aid. Which statement by the client indicates a need for further
teaching? - ANS ✓I should turn the hearing aid off after removing it from my ear
Tonometry is performed on the client with a suspected diagnosis of
glaucoma. The nurse reviews the test and determines that the intraocular
pressure is normal if which result is noted? - ANS ✓15 mm Hg
The nurse is assisting in developing a plan of care for the client scheduled
for cataract surgery. The nurse makes suggestions regarding the plan,
knowing that which problem is specifically associated with this type of
surgery? - ANS ✓Sensory perceptual alteration
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