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NUR 2356 / NUR2356: Multidimensional Care I / MDC 1 2027 Exam 2 Test Questions and Verified Answers (Graded A+

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NUR 2356 / NUR2356: Multidimensional Care I / MDC 1 2027 Exam 2 Test Questions and Verified Answers (Graded A+

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NUR 2356 / NUR2356: Multidimensional Care I / MDC 1 2027
Exam 2 Test Questions and Verified Answers (Graded A+)

Question 1.
anisocoria

Correct Answer: a condition in which the pupils are unequal in size


Question 2.
exophthalmos

Correct Answer: protrusion of the eyeballs, as seen in Graves disease


Question 3.
enophthalmos

Correct Answer: sunken eyes, eyeballs are recessed


Question 4.
ptosis

Correct Answer: prolapse, downward displacement, dropping


Question 5.
- Put in lower conjunctival sac - Do not drop in center of eye - Stabilize hands on facial
structures (bony prominences) - Hold the inner eye to avoid systemic effects (punctal
occlusion) - Do not let dropper touch their eye - Wash hands before

Correct Answer: Patient education for instilling eye drops


Question 6.
punctal occlusion

Correct Answer: Drainage of topical drops from the eye and their systemic
absorption can be prevented by _________ _________?


Question 7.
· Blurred vision · Clouded vision · Decreased color perception · May think that glasses
are smudged · Double vision · Halos around objects · Problems with ADL'S · Affects
reading and driving · Impaired night vision · Frequents changes in eyeglass prescription ·
Without surgical intervention blindness follows

Correct Answer: Signs and symptoms of cataracts

,Question 8.
· Wear dark glasses and avoid bright sunlight · Do not drive · Develop a schedule for the
administration of post-op eye drops. Be sure client or family can demonstrate the
correct technique for administering the drops. · Report Worsening Vision · Observe for
increasing eye redness · Decrease in vision · Floaters · Sharp, or sudden pain in eye ·
Green or yellow drainage on the lids and lashes
***avoid anything that increases IOP like... · Do no bend at the waist · Lift more than 10
pounds · Sneeze or cough · Blow your nose · Strain to move bowels · Have sexual
intercourse · Vomit · Keep head in a dependent position · Wear tight shirt collars

Correct Answer: Patient Education for post-op cataract surgery


Question 9.
glaucoma

Correct Answer: When the intraocular pressure increases it leads to
compression of the retinal blood vessels and photoreceptors and their nerve
fibers resulting in hypoxemia and death of the tissue and permanent loss of
vision


Question 10.
- Sudden severe pain around the eyes radiating over the face - Headache or brow pain -
Nausea and vomiting - Seeing colored halos around lights - Sudden blurred vision -
Reddened sclera - Foggy cornea - Moderately dilated pupil that does not react to light -
Cupping and atrophy of the optic disc

Correct Answer: Signs and symptoms of glaucoma


Question 11.
10 mm Hg - 21 mm Hg

Correct Answer: What is the normal intraocular range pressure?


Question 12.
reduce intraocular pressure

Correct Answer: What is the goal of treatment for glaucoma?


Question 13.
tonometry - measures IOP
ultrasonic imaging of the retina and optic nerve - creates a three-dimensional view of
the back of the eye; tells us the TYPE of glaucoma

Correct Answer: How do you test for glaucoma?

, Question 14.
corneal staining

Correct Answer: dye outlines irregularities of corneal surface (used for corneal
trauma, problems caused by contacts, or presence of foreign bodies,
abrasions, ulcers, or other corneal disorders).


Question 15.
Assess vital signs (specifically BP and P)
These drugs (like timolol) potentiate the effects of systemic beta blockers and can cause
an unsafe drop-in heart rate and blood pressure

Correct Answer: Before administering eye drops, what must the nurse assess
and why?
• Meniere's disease -✓✓Abnormal condition within the labyrinth of the inner
ear that can lead to a progressive loss of hearing. The symptoms are dizziness
or vertigo, hearing loss, and tinnitus (ringing in the ears).
Patient should not drive Can be intermittent. Cause is unknown/genetic Can
be dangerous to patient (fall risk!)
***build-up of fluids


Question 16.
- Turn head slowly - Stop smoking - Reduce sodium intake (so less fluid
buildup/pressure) - Use medications as directed

Correct Answer: Patient education for Meniere's disease


Question 17.
monitor vital signs

Correct Answer: Post surgical care for tympanoplasty


Question 18.
Weber test

Correct Answer: The ________ test is performed by placing a vibrating tuning
fork on the middle of the patient's head and asking him or her to indicate in
which ear the sound is louder.


Question 19.
Sound heard equally in both ears

Correct Answer: What are normal results of the Weber test?

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