Understanding Medical Surgical Nursing Chapter 51 & 52

Foods high in vitamin A - Carrots , sweet potatoes , Kale , Spinach and Broccoli Foods high in vitamin K - especially dark, leafy green vegetables A patient is taking aspirin. Which finding would indicate to the nurse that the patient is experiencing a toxic effect related to the medication? - Tinnitus- Ringing in ear. The nurse is caring for a patient who is diagnosed with otosclerosis. The patient asks the nurse what this disease is. Which is the most appropriate response by the nurse? - Otosclerosis is hardening of the stapes from new bone growth. The nurse is caring for a patient who is diagnosed with refractive error. The patient asks the nurse what this means. What would be the appropriate explanation by the nurse? - A refractory error requires corrective lenses to see clearly. A patient comes to the health clinic for a suspected ear infection. Which of the following data collection findings does the nurse expect with a external ear infection? - Pain is experienced with an external ear infection. A patient has been prepped for an internal eye examination. Anesthetic drops and a mydriatic drug have been administered. Which of the following should the patient be taught for eye safety following the examination? - Because the pupils are dilated, the eyes must be protected from bright light. The nurse cares for patients after eye surgery. Which of the following patients would the nurse provide specific positioning instructions to after eye surgery to prevent complications? - After pneumatic retinopexy, the patient is education on position to keep the air bubble in place. The nurse is caring for a patient with a history of acute angle-closure glaucoma. The nurse is preparing to administer the patient's medications. Which medications should the nurse question before administration? - Atropine and hydroxyzine are mydratics, which are contraindicated in acute angle-closure glaucoma to prevent increasing eye pressure. The nurse is assisting with discharge instructions for a patient. For which of the following medications would the nurse teach the patient that the medication can cause hearing loss? - Furosemide (Lasix) can cause hearing loss. The nurse is caring for a patient with macular degeneration. During date collection. which symptom would the nurse anticipate the patient to report? - Loss of central vision occurs with macular degeneration. The nurse is contribution to the plan of care for a patient which Meniere's disease that the nurse should recommend to include in the place of care? - Meniere's disease can cause vertigo, which could result in injury. The nurse is caring for a patient with presbycusis. Which technique is MOST important for the nurse to use to increase communication with the patient? - Which presbycusis, there is an inability to decipher high-frequency sounds, so a lower voice pitch is helpful. A patient with acute angle-closure glaucoma reports use of the following medications. The use of which of these medications indicates to the nurse that the patient requires further instruction? - Mydriatics such as anticholinergics and antihistamines (diphenhydramine) are contraindicated in acute angle-closure glaucoma. Which of the following explanations would the nurse give to the patient who had snellen chart finding of 20/80? - "You can see at 20 feet what those with normal vision can see at 80 feet." The examiner shines a light in the patient's eyes and notes that the pupils are round and constrict from 4 to 2 mm bilaterally. Next, the examiner asks the patient to focus on a far object, then on the examiner's finger as it is brought from a distance of 3 feet to 5 inches. The pupils constrict bilaterally and the eyes