Lewis Chapter 22 - (Pre-test, Bridge NCLEX, NCLEX
Review) questions with verified answers
A 32-year-old patient is prescribed IV gentamicin (Garamycin) after
repair of an intestinal perforation. The nurse should assess for which
adverse effect of this medication?
A. Hearing loss
B. Exophthalmos
C. Conjunctivitis
D. Recurrent fever Ans✓✓✓A.
Aminoglycosides such as gentamicin are drugs that are potentially
ototoxic and may cause damage to the auditory nerve. When this drug is
used, careful monitoring for hearing and balance problems (e.g., hearing
loss, tinnitus, vertigo) is essential.
A male patient is recovering from a motor vehicle accident that left him
blind. He is withdrawn and refuses to get out of bed. What is the nurse's
priority goal for this patient?
A. Use suitable coping strategies to reduce stress.
B. Identify patient's strengths and support system.
C. Verbalize feelings related to visual impairment.
D. Transition successfully to the sudden vision loss. Ans✓✓✓C.
The nurse's priority is to help the patient express his feelings about his
vision loss because he is not coping effectively with his situation. Until
,the patient expresses how he feels, he will be unable to progress in his
rehabilitation process.
A patient has severe myopia. Which type of correction is the patient
planning to have if she tells you, "I can't wait to be able to see after they
implant a contact lens over my lens"?
A. Photorefractive keratectomy (PRK)
B. Phakic intraocular lenses (phakic IOLs)
C. Refractive intraocular lens (refractive IOL)
D. Laser-assisted in situ keratomileusis (LASIK) Ans✓✓✓B.
Phakic intraocular lenses (phakic IOLs) is the implantation of a contact
lens in front of the natural lens. PRK is used with low to moderate
amounts of myopia, and the epithelium is removed and the laser sculpts
the cornea to correct the refractive error. Refractive IOL is also for
patients with a high degree of myopia or hyperopia and involves
removing the natural lens and implanting an intraocular lens. LASIK
surgery is similar to PRK except that the epithelium is replaced after
surgery.
A patient with poor visual acuity is diagnosed with age-related macular
degeneration (AMD). Which nursing intervention should be the nurse's
priority?
A. Teach about visual enhancement techniques.
B. Teach nutritional strategies to improve vision.
C. Assess coping strategies and support systems.
, D. Assess impact of vision on normal functioning. Ans✓✓✓D.
The most important nursing intervention is to assess the patient's ability
to function with the visual impairment. The nurse will use this
information to plan nursing care including assessment of the patient's
coping strategies and teaching about vision enhancement techniques and
nutrition.
A patient with septic shock is receiving multiple medications. Which IV
medication is most likely to cause a hearing loss?
a. Dopamine (Intropin)
b. Ampicillin (Principen)
c. Aspirin (Bayer Aspirin)
d. Vancomycin (Vancocin) Ans✓✓✓D.
The IV medication in use that is most likely to cause a hearing loss is
vancomycin (Vancocin) because it is an ototoxic medication. For that
reason, serum drug levels are monitored to maintain therapeutic levels
and reduce the risk of ototoxicity. Aspirin can also cause hearing loss,
but it is not administered IV. Neither dopamine nor ampicillin is likely
to cause hearing loss.
An acoustic neuroma is removed from a patient, and the nurse instructs
the patient about tumor recurrence. What should the nurse instruct the
patient to monitor (select all that apply)?
A. Episodes of dizziness
B. Lack of coordination
Review) questions with verified answers
A 32-year-old patient is prescribed IV gentamicin (Garamycin) after
repair of an intestinal perforation. The nurse should assess for which
adverse effect of this medication?
A. Hearing loss
B. Exophthalmos
C. Conjunctivitis
D. Recurrent fever Ans✓✓✓A.
Aminoglycosides such as gentamicin are drugs that are potentially
ototoxic and may cause damage to the auditory nerve. When this drug is
used, careful monitoring for hearing and balance problems (e.g., hearing
loss, tinnitus, vertigo) is essential.
A male patient is recovering from a motor vehicle accident that left him
blind. He is withdrawn and refuses to get out of bed. What is the nurse's
priority goal for this patient?
A. Use suitable coping strategies to reduce stress.
B. Identify patient's strengths and support system.
C. Verbalize feelings related to visual impairment.
D. Transition successfully to the sudden vision loss. Ans✓✓✓C.
The nurse's priority is to help the patient express his feelings about his
vision loss because he is not coping effectively with his situation. Until
,the patient expresses how he feels, he will be unable to progress in his
rehabilitation process.
A patient has severe myopia. Which type of correction is the patient
planning to have if she tells you, "I can't wait to be able to see after they
implant a contact lens over my lens"?
A. Photorefractive keratectomy (PRK)
B. Phakic intraocular lenses (phakic IOLs)
C. Refractive intraocular lens (refractive IOL)
D. Laser-assisted in situ keratomileusis (LASIK) Ans✓✓✓B.
Phakic intraocular lenses (phakic IOLs) is the implantation of a contact
lens in front of the natural lens. PRK is used with low to moderate
amounts of myopia, and the epithelium is removed and the laser sculpts
the cornea to correct the refractive error. Refractive IOL is also for
patients with a high degree of myopia or hyperopia and involves
removing the natural lens and implanting an intraocular lens. LASIK
surgery is similar to PRK except that the epithelium is replaced after
surgery.
A patient with poor visual acuity is diagnosed with age-related macular
degeneration (AMD). Which nursing intervention should be the nurse's
priority?
A. Teach about visual enhancement techniques.
B. Teach nutritional strategies to improve vision.
C. Assess coping strategies and support systems.
, D. Assess impact of vision on normal functioning. Ans✓✓✓D.
The most important nursing intervention is to assess the patient's ability
to function with the visual impairment. The nurse will use this
information to plan nursing care including assessment of the patient's
coping strategies and teaching about vision enhancement techniques and
nutrition.
A patient with septic shock is receiving multiple medications. Which IV
medication is most likely to cause a hearing loss?
a. Dopamine (Intropin)
b. Ampicillin (Principen)
c. Aspirin (Bayer Aspirin)
d. Vancomycin (Vancocin) Ans✓✓✓D.
The IV medication in use that is most likely to cause a hearing loss is
vancomycin (Vancocin) because it is an ototoxic medication. For that
reason, serum drug levels are monitored to maintain therapeutic levels
and reduce the risk of ototoxicity. Aspirin can also cause hearing loss,
but it is not administered IV. Neither dopamine nor ampicillin is likely
to cause hearing loss.
An acoustic neuroma is removed from a patient, and the nurse instructs
the patient about tumor recurrence. What should the nurse instruct the
patient to monitor (select all that apply)?
A. Episodes of dizziness
B. Lack of coordination
