Medical Surgical Nursing II: Exam 3 EXAM
QUESTIONS WITH ACCURATE VERIFIED
ANSWERS (ACCURATE SOLUTIONS) A+
PASSED!!
Abnormal assessment findings after cataract surgery - ✔✔✔Increased swelling, redness or bruising
Pain with nausea or vomiting
Yellow or green drainage
Reduction of vision, new floaters (dots),flashing lights
Report abnormal findings to HCP immediately
Activities to Avoid that Increase IOP - ✔✔✔Bending from the waist
Lifting, pushing or pulling objects weighing more than 15 Ibs
Sneezing, coughing, vomiting, blowing the nose (open mouth)
Straining to have a bowel movement (stool softeners)
Having sexual intercourse
Wearing tight shirt collars/ties/necklaces
Acute Otitis Media - ✔✔✔Inflammation or infection of the middle ear.
Untreated repeated infections can lead to mastoid dx
Age-Related Macular Degeneration - ✔✔✔Deterioration of the macular (the area of central vision)
Central vision decline is common. Peripheral vision remains.
Aged-related macular degeneration (AMD) - dry or wet
Risk factors include smoking, HT, female, short stature, family history, diet poor in carotene and
vitamin E.
Assessment Findings in conductive hearing loss - ✔✔✔Evidence of obstruction with otoscope
Abnormality in tympanic membrane
Speaking softly
Hearing best in a noisy environment
Rinne test: air conduction greater than bone conduction
Weber test: lateralization to affected ear
Assessment Findings in sensorineural hearing loss - ✔✔✔Normal appearance of external canal and
tympanic membrane
Tinnitus common
Occasional dizziness
Speaking loudly
, Hearing poorly in loud environment
Rinne test: air conduction less than bone conduction
Weber test: lateralization to unaffected ear
Assessment of cataracts - ✔✔✔A leading cause of blindness in the world.
The aged-related cataract is the most common type.
Other predisposing factors include ocular conditions, trauma, congenital, exposure to toxic agents,
UV light, nutritional and physical factors, systemic diseases. (Risk factors) pg 1894)
Both eyes may have cataracts, but the rate of progression in each eye is different.
No pain or redness is associated with age-related cataract.
Visual acuity is not a perfect measure of visual impairment.
Astigmatism - ✔✔✔uneven curvature of cornea causing blurring of vision
Blindness - ✔✔✔Defined as having best corrected visual acuity ranging from 20/400 to no light
perception
Care of Patients with External Otitis (Otitis Externa) - ✔✔✔Relieving discomfort; reducing swelling
& eradicating infection
Comfort management - heat application; minimize head movement.
Instill topical antibiotic and steroid eardrops; Oral or IV antibiotics are used in severe cases. (READ
directions!)
Analgesics - opioids, NSAIDs
Keep the ear clean and dry - not to use cotton-tipped applicators; use earplugs when engaging in
water sports to avoid getting the canal wet.
If external otitis is diagnosed, refrain from any water sport activity for approx. 7-10 days.
Care of Patients with Impaired Vision - ✔✔✔Safety (major issue) - most at risk in an unfamiliar or
changing environment. Orient the pt to environment with the focal point. Use a normal tone of voice.
Teach the patient techniques to make better use of existing vision.
Communication - use adaptive devices to maintain independency.
Ambulation - offer the patient to grasp your arm just above the elbow and walk a half-step behind
you.
Self-care - always knock on the door before entering the room. Identify yourself as you approach the
person & before you make physical contact with the person.
Support - provide honest support.
Care of Patients with Otitis Media - ✔✔✔Nonsurgical management
Quiet environment; limit head movement; heat and cold application.
Systemic antibiotics, oral analgesics, antihistamines and decongestants.
QUESTIONS WITH ACCURATE VERIFIED
ANSWERS (ACCURATE SOLUTIONS) A+
PASSED!!
Abnormal assessment findings after cataract surgery - ✔✔✔Increased swelling, redness or bruising
Pain with nausea or vomiting
Yellow or green drainage
Reduction of vision, new floaters (dots),flashing lights
Report abnormal findings to HCP immediately
Activities to Avoid that Increase IOP - ✔✔✔Bending from the waist
Lifting, pushing or pulling objects weighing more than 15 Ibs
Sneezing, coughing, vomiting, blowing the nose (open mouth)
Straining to have a bowel movement (stool softeners)
Having sexual intercourse
Wearing tight shirt collars/ties/necklaces
Acute Otitis Media - ✔✔✔Inflammation or infection of the middle ear.
Untreated repeated infections can lead to mastoid dx
Age-Related Macular Degeneration - ✔✔✔Deterioration of the macular (the area of central vision)
Central vision decline is common. Peripheral vision remains.
Aged-related macular degeneration (AMD) - dry or wet
Risk factors include smoking, HT, female, short stature, family history, diet poor in carotene and
vitamin E.
Assessment Findings in conductive hearing loss - ✔✔✔Evidence of obstruction with otoscope
Abnormality in tympanic membrane
Speaking softly
Hearing best in a noisy environment
Rinne test: air conduction greater than bone conduction
Weber test: lateralization to affected ear
Assessment Findings in sensorineural hearing loss - ✔✔✔Normal appearance of external canal and
tympanic membrane
Tinnitus common
Occasional dizziness
Speaking loudly
, Hearing poorly in loud environment
Rinne test: air conduction less than bone conduction
Weber test: lateralization to unaffected ear
Assessment of cataracts - ✔✔✔A leading cause of blindness in the world.
The aged-related cataract is the most common type.
Other predisposing factors include ocular conditions, trauma, congenital, exposure to toxic agents,
UV light, nutritional and physical factors, systemic diseases. (Risk factors) pg 1894)
Both eyes may have cataracts, but the rate of progression in each eye is different.
No pain or redness is associated with age-related cataract.
Visual acuity is not a perfect measure of visual impairment.
Astigmatism - ✔✔✔uneven curvature of cornea causing blurring of vision
Blindness - ✔✔✔Defined as having best corrected visual acuity ranging from 20/400 to no light
perception
Care of Patients with External Otitis (Otitis Externa) - ✔✔✔Relieving discomfort; reducing swelling
& eradicating infection
Comfort management - heat application; minimize head movement.
Instill topical antibiotic and steroid eardrops; Oral or IV antibiotics are used in severe cases. (READ
directions!)
Analgesics - opioids, NSAIDs
Keep the ear clean and dry - not to use cotton-tipped applicators; use earplugs when engaging in
water sports to avoid getting the canal wet.
If external otitis is diagnosed, refrain from any water sport activity for approx. 7-10 days.
Care of Patients with Impaired Vision - ✔✔✔Safety (major issue) - most at risk in an unfamiliar or
changing environment. Orient the pt to environment with the focal point. Use a normal tone of voice.
Teach the patient techniques to make better use of existing vision.
Communication - use adaptive devices to maintain independency.
Ambulation - offer the patient to grasp your arm just above the elbow and walk a half-step behind
you.
Self-care - always knock on the door before entering the room. Identify yourself as you approach the
person & before you make physical contact with the person.
Support - provide honest support.
Care of Patients with Otitis Media - ✔✔✔Nonsurgical management
Quiet environment; limit head movement; heat and cold application.
Systemic antibiotics, oral analgesics, antihistamines and decongestants.
