Adult 1 Finale Flashcards
mydriatic medications are for:
dilation of the eye
cycloplegic medications are for:
paralyzing the eye
A client has had hydrochloric acid splashed in their eye. Which of the following are steps the nurse should instruct the client to do? (2 answers)
Assess visual acuity
Flush eye with sterile saline
Primary open-angle glaucoma is less common and can be acute: true or false
false
main s/s of cataracts
glare
main s/s of glaucoma
peripheral vision loss
main s/s of retinal detachment
“curtain” coming across vision
main s/s of age-related macular degeneration (AMD)
central vision loss (black dot in middle of vision)
risks of retinal detachment?
age
eye trauma
for cataracts, the first treatment is surgery: true or false?
false
Scleral buckling
Band placed around the globe and silicone implant sutured against sclera
Pneumatic retinopexy
Gas bubble inserted into the eye to form a bubble to close retinal breaks
Vitrectomy
Removal of vitreous to relieve traction on the retina
Laser photocoagulation
Laser photocoagulation
For retinal tears or holes without detachment; seals with laser and cryotherapy
sensorineural hearing loss what is it and what can cause it?
INNER ear hearing loss
Meniere’s disease
Noise exposure
what is normal intraocular pressure (IOP)?
10-20ish
cause of Cataract:
Caused by accumulation of water and alterations in the lens fiber structure
cause of Retinal detachment:
Caused by the separation of the sensory retina and the underlying pigment epithelium
cause of Glaucoma:
Caused by increased intraocular pressure
cause of Age-related macular degeneration:
Cause of irreversible central vision loss in older adults
cause of Meniere’s disease:
Caused by the accumulation of endolymph inside the membraneous labyrinth
The nurse is caring for a client who is scheduled for surgery with regional anesthesia. The client asks, “Will I be awake during surgery?” Which is the most appropriate statement by the nurse?”
“It will seem like you are awake, however, you will not be aware.”
“During the surgery, you will have a loss of consciousness.”
“You will receive medication that will make you sleepy.”
“There will be a loss of sensation, but you will be awake.”
“There will be a loss of sensation, but you will be awake.”
A nurse is reviewing the laboratory results of a client who is preoperative knee surgery. The nurse should notify which results to the healthcare provider?
WBC count 20,000/mm3
Potassium 3.9 mEq/L
Hematocrit 40%
Creatinine 0.9 mg/dL
WBC count 20,000/mm3
The nurse is assessing a client who is postoperative day 5 and notes the client’s oral temperature is 100.9 F. Which action should the nurse take first?
provide the client with a cooling blanket
request a prescription for an antibiotic
assess the surgical wound site
administer prescribed acetaminophen
assess the surgical wound site
The nurse is collecting the health history from a client who is scheduled for surgery. Which statement by the client would a priority for the nurse to follow up?
“My mother had a reaction during a surgery.”
“I am concerned about the pain after the surgery.”
“My father had an infection after surgery.”
“I got very nauseous the last time I had surgery.”
“My mother had a reaction during a surgery.”
The nurse is educating a client about how to prepare for abdominal surgery. Which statement by the client would require follow up by the nurse?
“I should bathe with the chlorhexidine gluconate solution the morning of the surgery.”
“I need to continue taking my prescribed antiplatelet medication up to the day of surgery.”
“I can practice my breathing exercises the day before the surgery.”
“I will avoid eating and drinking for 8 hours before the surgery.”
“I need to continue taking my prescribed antiplatelet medication up to the day of surgery.”
The preoperative nurse is witnessing a client sign consents for surgery. The client states, “I am not sure I want to have the surgery.” Which statement would be appropriate for the nurse to make?
“This is a hard decision for you to make.”
“Tell me more about what makes you think you do not want the surgery.”
“I will ask your provider to come back to discuss your concerns.”
“You should talk to your family about your concerns.”
“I will ask your provider to come back to discuss your concerns.”
The nurse is monitoring a client who received prescribed fentanyl during a bronchoscopy. The nurse notes the client’s respiratory rate is 10 breaths per minute. Which is the priority action for the nurse to take?
alert the rapid response team
administer IV morphine
reassess the client in 30 minutes
begin rescue breathing with bag-mask-valve
begin rescue breathing with bag-mask-valve
The nurse is teaching a client who had surgery how to cough effectively. Which instructions should the nurse include in the teaching?
“Hold a pillow over the incision.”
“You should cough when you are not experiencing pain.”
“Decrease the amount of fluids you drink before coughing.”
“Get up and walk before you try to cough.”
“Hold a pillow over the incision.”
The post-anesthesia care nurse is monitoring a client following a surgical procedure. Which findings should the nurse report immediately to the healthcare provider?
pain at the incision site
cold, clammy skin
non-productive cough
clear emesis
cold, clammy skin
The perioperative nurse is planning care for a client. Which interventions would be the PRIORITY for the nurse in the operating room?
Verify if the client received teaching.
Provide updates to the client’s family members.
Apply eye patches to client’s eyes for longer procedures
Ensure safe client position.
ensure safe client position
hyponatremia s/s
Nausea/vomiting, lethargy, confusion, muscle cramps, muscle twitching, seizures, coma
hyponatremia nursing interventions
Monitor fluid loss/gains
Assess GI/neuro symptoms
Administer isotonic sodium-containing solutions
Encourage oral intake
Seizure precautions
Avoid “free water”
hypernatremia s/s
Thirst, dry mucous membranes, disorientation, hallucinations, lethargy, irritability, seizures, coma
