MEDICAL SURGICAL TEST BANK AND STUDY GUIDE EXAM 250+ QUESTIONS AND CORRECT ANSWERS//ALREADY GRADED A+
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Pn adult medical surgical 2023
Institution
Pn Adult Medical Surgical 2023
MEDICAL SURGICAL TEST BANK AND STUDY GUIDE
EXAM 250+ QUESTIONS AND CORRECT
ANSWERS//ALREADY GRADED A+
MEDICAL SURGICAL TEST BANK AND STUDY GUIDE
EXAM 250+ QUESTIONS AND CORRECT
ANSWERS//ALREADY GRADED A+
MEDICAL SURGICAL TEST BANK AND STUDY GUIDE
EXAM 250+ QUESTIONS AND CORRECT
ANSWER...
MEDICAL SURGICAL TEST BANK AND STUDY GUIDE
EXAM 250+ QUESTIONS AND CORRECT
ANSWERS//ALREADY GRADED A+
1. To evaluate the effectiveness of the prescribed bifocals for a patient with myopia and presbyopia, the
nurse in the eye clinic will check the patient for
a.strength of the eye muscles.
b.both near and distant vision.
c.cloudiness in the eye lenses.
d.intraocular pressure changes. - CORRECT ANSWER-ANS: B
The lenses are prescribed to correct the patient's near and distant vision. The nurse also may assess for
cloudiness of the lenses, increased intraocular pressure, and eye movement, but these data will not
evaluate whether the patient's bifocals are effective.
2. A patient is seen in the ophthalmology clinic and diagnosed with recurrent staphylococcal and
seborrheic blepharitis. The nurse will plan to teach the patient about
a.saline irrigation of the eyes.
b. surgical removal of the lesion.
c.using baby shampoo to clean the lids.
d.the use of cool compresses to the eyes. - CORRECT ANSWER-ANS: C
Baby shampoo is used to soften and remove crusts associated with blepharitis. The other interventions
are not used in treating this disorder.
3. Which action should the nurse take when assisting a totally blind patient to walk to the bathroom?
a.Take the patient by the arm and lead the patient slowly to the bathroom.
b.Have the patient place a hand on the nurse's shoulder and guide the patient.
c.Stay beside the patient and describe any obstacles on the path to the bathroom.
d. Walk slightly ahead of the patient and allow the patient to hold the nurse's elbow. - CORRECT
ANSWER-ANS: D
When using the sighted-guide technique, the nurse walks slightly in front and to the side of the patient
and has the patient hold the nurse's elbow. The other techniques are not as safe in assisting a blind
patient.
,4. A patient is seen at a clinic for repeated hordeolum of the eyes during the last 6 months. To help
prevent further infection, the nurse advises the patient to
a. apply cold compresses at the first sign of recurrence.
b.discard all open or used cosmetics used near the eyes.
c.wash the scalp and eyebrows with an antiseborrheic shampoo.
d.be evaluated for the presence of sexually transmitted diseases (STDs). - CORRECT ANSWER-ANS: B
Hordeolum (styes) are commonly caused by Staphylococcus aureus, which may be present in cosmetics
that the patient is using. Warm compresses are recommended to treat hordeolum. Antiseborrheic
shampoos are recommended for seborrheic blepharitis. Patients with adult inclusion conjunctivitis,
which is caused by Chlamydia trachomatis, should be referred for STD testing.
5. Which topic will the nurse plan to include when teaching the patient with herpes simplex keratitis of
the left eye about management of the infection?
a.How to apply an occlusive dressing to the affected eye
b.Need for frequent hand washing and avoiding touching the eyes
c.Application of antibiotic drops to the left eye several times daily
d.Use of corticosteroid ophthalmic ointment to decrease inflammation - CORRECT ANSWER-ANS: B
The best way to avoid the spread of infection from one eye to another is to avoid rubbing or touching
the eyes and to use careful hand washing when touching the eyes is unavoidable. Occlusive dressings
are not used for herpes keratitis. Herpes simplex is a virus and antibiotic drops will not be prescribed.
Topical corticosteroids typically are not ordered because they can contribute to a longer course of
infection and more complications.
6. A new patient with 20/200 vision (with the use of corrective lenses) is being cared for by the nurse in
the eye clinic. The nurse will plan to teach the patient about
a.how to use a cane safely.
b.how to access audio books.
c.where Braille instruction is available.
d. where to obtain specialized magnifiers. - CORRECT ANSWER-ANS: D
Various types of magnifiers can enhance the remaining vision enough to allow the performance of many
tasks and activities of daily living (ADLs). Audio books, Braille instruction, and canes usually are reserved
for patients with no functional vision.
,7. A patient is diagnosed with adult inclusion conjunctivitis (AIC) caused by Chlamydia trachomatis.
Which of these actions will be included in the plan of care?
a.Discussing the need for sexually transmitted disease testing
b.Applying topical corticosteroids to prevent further inflammation
c.Assisting with applying for community visual rehabilitation services
d.Educating about the use of antiviral eyedrops to treat the infection - CORRECT ANSWER-ANS: A
Patients with AIC have a high risk for concurrent genital Chlamydia infection and should be referred for
STD testing. AIC is treated with antibiotics; antiviral and corticosteroid medications are not appropriate
therapies. Although some types of Chlamydia infection do cause blindness, AIC does not lead to
blindness, so referral for visual rehabilitation is not appropriate
8. Which topic will the nurse include in patient teaching after a patient has had outpatient cataract
surgery and lens implantation?
a.Use of oral opioids for pain control
b.Administration of antibiotic eyedrops
c.Importance of coughing and deep breathing exercises
d.Need for bed rest for the first 24 hours after the surgery - CORRECT ANSWER-ANS: B
Antibiotic and corticosteroid eyedrops are commonly prescribed after cataract surgery, and the patient
should be able to administer them using safe technique. Pain is not expected after cataract surgery and
opioids will not be needed. Coughing and deep breathing exercises are not needed since a general
anesthetic agent is not used. There is no bed rest restriction after cataract surgery.
9. In reviewing a 50-year-old patient's medical record, the nurse notes that the last eye examination
revealed an intraocular pressure of 28 mm Hg. The nurse will plan to assess
a.visual acuity.
b.pupil reaction.
c.color perception.
d.peripheral vision - CORRECT ANSWER-ANS: D
The patient's increased intraocular pressure indicates glaucoma, which decreases peripheral vision.
Because central visual acuity is unchanged by glaucoma, assessment of visual acuity could be normal
even if the patient has worsening glaucoma. Color perception and pupil reaction to light are not affected
by glaucoma.
, 10. A patient with a left retinal detachment has a pneumatic retinopexy procedure. Which information
will be included in the discharge teaching plan?
a. The use of bilateral eye patches to reduce movement of the operative eye
b.The need to wear dark or tinted glasses to protect the eyes from bright light
c.The procedure for sterile dressing changes when the eye dressing is saturated
d.The purpose of maintaining the head in a prescribed position for several weeks - CORRECT ANSWER-
ANS: D
Following pneumatic retinopexy, the patient will need to position the head so the air bubble remains in
contact with the retinal tear. The dark lenses and bilateral eye patches are not required after this
procedure. Saturation of any eye dressings would not be expected following this procedure.
11. A patient with age-related macular degeneration has just had photodynamic therapy. Which
statement by the patient indicates that the discharge teaching has been effective?
a. "I will need to use bright lights to read for at least the next week."
b."I will use drops to keep my pupils dilated until my appointment."
c."I will not use facial lotions near my eyes during the recovery period."
d."I will keep covered with long-sleeved shirts and pants for the next 5 days." - CORRECT ANSWER-ANS:
D
The photosensitizing drug used for photodynamic therapy is activated by exposure to bright light and
can cause burns in areas exposed to light for 5 days after the treatment. There are no restrictions on use
of facial lotions, medications to keep the pupils dilated would not be appropriate, and bright lights
would increase the risk for damage caused by the treatment.
12. To determine whether treatment is effective for a patient with primary open-angle glaucoma
(POAG), the nurse will evaluate the patient for improvement in
a.eye pain.
b.visual field.
c.blurred vision.
d.depth perception. - CORRECT ANSWER-ANS: B
POAG develops slowly and without symptoms except for a gradual loss of visual field. Acute closed-angle
glaucoma may present with excruciating pain, colored halos, and blurred vision. Problems with depth
perception are not associated with POAG.
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