Med Surge 2- QUIZ 9 Chapter Questions & Answers Verified

1. The difference between open-angle and angle-closure glaucoma is that the former type: a. Occurs secondarily to ocular inflammation or trauma b. Rarely causes early symptoms c. Is a hereditary structural defect d. Involves narrowing of the angle between the iris and the anterior chamber 2. The patient has had anterior nasal packing placed for severe epistaxis. The nurse notes that he is swallowing frequently and suspects that: a. he is bleeding. b. his throat is dry. c. he is having difficulty coping with the packing. d. he has excess saliva production. 3. When teaching the patient with Ménière's disease about managing the disease, the nurse will stress: a. using antiemeticssparingly. b. limiting fluid intake. c. staying active during the day. d. avoiding use of alcohol and tobacco. Use of alcohol and tobacco products affect the amount of fluid in the middle ear, making the symptoms of Ménière's worse. The patient with Ménière's disease should drink adequate fluid, use antiemetics as needed, and conserve energy during the day. D 4. When developing a nursing care plan for a tonsillectomy patient, an appropriate implementation is: a. taking aspirin to help with throat pain. b. frequent use of citrus juices, because vitamin C helps with healing. c. drinking 8 to 12 glasses of fluid daily. d. resuming activity as before surgery, with no restrictions. Drinking 8 to 12 glasses of fluid daily is recommended in the postoperative period to replenish fluid loss. No citrus juices or aspirin should be used. C 5. Which assessment alerts the nurse to the possible presence of a macular degeneration in a client? a. Blurred vision and pain b. Loss of central vision c. Dull aching in the eye and brow areas d. Loss of peripheral vision Macular degenerations produce loss of central vision. A 6. The nurse instructs a family member how to guide a visually impaired person when ambulating by: a. holding the visually impaired person by his or her non-dominant arm and walking side by side. b. holding the non-dominant hand, wrapping the arm around his or her waist, and walking side by side. c. allowing the visually impaired person to hold the shoulder of the helper and walk slightly behind the helper. d. allowing the visually impaired person to hold the helper's arm, with the helper slightly ahead. Allowing the visually impaired person to walk slightly behind the helper and holding the helper's arm is the most effective way to guide someone who is visually impaired. D