The triage nurse at an ambulatory clinic receives a call from an individual with possible metal fragments in both eyes. Which instructions would the nurse provide for emergency care of this possible eye injury? 1."Remove any visible metal fragments." 2."Apply a loose dressing over your eyes." 3."Ri...
NUR 347 Final Exam Questions and
Correct Answers
The triage nurse at an ambulatory clinic receives a call from an individual with possible
metal fragments in both eyes. Which instructions would the nurse provide for
emergency care of this possible eye injury?
1."Remove any visible metal fragments."
2."Apply a loose dressing over your eyes."
3."Rinse your eyes immediately with water."
4."Keep your eyes open to allow tears to form." ✅2
An acoustic neuroma is removed from a patient. The nurse instructs the patient about
tumor recurrence. What should the nurse instruct the patient to monitor (select all that
apply.)?
Select all that apply.
1.Lack of coordination
2.Episodes of dizziness
3.Worsening of hearing
4.Inability to close the eye
5.Clear drainage from the nose ✅2,3,4
A patient is diagnosed with severe myopia. Which type of correction is the patient
planning to have if they state, "I can't wait to be able to see after they implant a contact
lens over my lens"?
1.Photorefractive keratectomy (PRK)
2.Phakic intraocular lenses (phakic IOLs)
3.Refractive intraocular lens (refractive IOL)
4.Laser-assisted in situ keratomileusis (LASIK) ✅2
The nurse instructs a patient prescribed dipivefrin eye drops to manage chronic open-
angle glaucoma. Which statement, if made by the patient to the nurse, indicates that
further teaching is needed?
1."The eye drops could cause a fast heart rate and high blood pressure."
2."I will need to take the eye drops twice a day for at least 2 to 3 months."
3."I may experience eye discomfort and redness from the use of these eye drops."
4."I will apply gentle pressure on the inside corner of my eye after each eye drop." ✅4
When teaching a patient about the pathophysiology related to open-angle glaucoma,
which statement is most appropriate?
1."The retinal nerve is damaged by an abnormal increase in the production of aqueous
humor."
2."There is decreased draining of aqueous humor in the eye, causing pressure damage
to the optic nerve."
,3."The lens enlarges with normal aging, pushing the iris forward, which then covers the
outflow channels of the eye."
4."There is a decreased flow of aqueous humor into the anterior chamber by the lens of
the eye blocking the papillary opening." ✅2
The nurse is providing discharge teaching to a patient with type 2 diabetes after a
scleral buckling procedure. Which statement, if made by the patient, indicates that the
discharge teaching is effective?
1."I doubt my other eye will ever be affected."
2."I can expect severe pain after this procedure."
3."I should avoid lifting heavy objects and straining."
4."The procedure will correct my vision immediately." ✅3
When administering eye drops to a patient with glaucoma, which nursingmeasure is
most appropriate to minimize systemic effects of the medication?
1.Apply pressure to each eyeball for a few seconds after administration.
2.Have the patient close the eyes and move them back and forth several times.
3.Have the patient put pressure on the inner canthus of the eye after administration.
4.`Have the patient try to blink out excess medication immediately after administration.
✅3
When administering a scheduled dose of pilocarpine, in which area should the nurse
place the drops?
1.Inner canthus
2.Outer canthus
3.Center of the eyeball
4.Lower conjunctival sac ✅4
The nurse is teaching a patient about timolol eye drops for the treatment of glaucoma.
What statement made by the patient demonstrates that teaching was effective?
1."I may feel some palpitations after instilling these eye drops."
2."I should withhold this medication if my blood pressure becomes elevated."
3."I should keep my eyes closed for 15 minutes after instilling these eye drops."
4."I may have some temporary blurring of vision after instilling these eye drops." ✅4
A patient is recovering from a motor vehicle crash that resulted in blindness. The patient
is withdrawn and refuses to get out of bed. What is the nurse's priority goal for this
patient?
1.Use suitable coping strategies to reduce stress.
2.Identify patient's strengths and support system.
3.Verbalize feelings related to visual impairment.
4.Transition successfully to the sudden vision loss. ✅3
A patient is scheduled for a corneal transplant and is concerned regarding the difficulty
with vision that may last for up to 12 months after the transplant. What is the best
response by the nurse?
,1.If the transplant is done soon after the donor dies, there will not be as much trouble
recovering vision.
2.The astigmatism the patient is experiencing may be corrected with glasses or rigid
contact lenses.
3.Increasing the amount of light and using a magnifier to read will be helpful if a
transplant is not wanted.
4.There are newer procedures in which only the damaged cornea epithelial layer is
replaced, and they have a faster recovery. ✅4
A patient with poor visual acuity is diagnosed with age-related macular degeneration
(AMD). Which nursing action should be the nurse's priority?
1.Teach about visual enhancement techniques.
2.Teach nutritional strategies to improve vision.
3.Assess coping strategies and support systems.
4.Assess impact of vision on normal functioning. ✅4
The nurse is preparing to administer timolol eye drops for treatment of glaucoma. What
statement made by the patient would cause the nurse to hold the medication and report
to the health care provider?
1."I have sinusitis."
2."I have migraine headaches a lot."
3."I have chronic obstructive pulmonary disease."
4."I have a history of chronic urinary tract infections." ✅3
When planning care for a patient with disturbed sensory perception related to increased
intraocular pressure caused by primary open-angle glaucoma, what nursing action
would be a priority?
1.Recognizing that eye damage caused by glaucoma can be reversed in the early
stages
2.Giving anticipatory guidance about the eventual loss of central vision that will occur
3.Encouraging compliance with drug therapy for the glaucoma to prevent loss of vision
4.Managing the pain experienced by patients with glaucoma that persists until the optic
nerve atrophies ✅3
The nurse is examining a patient's ear in the clinic to determine if recent treatment for
acute otitis media has been effective. Which assessment finding indicates resolution of
the middle ear infection?
1.Fenestrations are visible in the tympanic membrane.
2.Tympanic membrane is gray, shiny, and translucent.
3.Cone of light is not visible on the tympanic membrane.
4.Tympanic membrane is blue and bulging with no landmarks. ✅2
Which finding related to primary open-angle glaucoma would the nurse expect to find
when reviewing a patient's history and physical examination report?
1.Absence of pain or pressure
2.Blurred vision in the morning
, 3.Seeing colored halos around lights
4.Eye pain accompanied with nausea and vomiting ✅1
The nurse is providing discharge instructions for a patient using contact lenses who is
diagnosed with bacterial conjunctivitis. What is most important for the nurse to include in
the instructions?
1.Discard all opened or used lens care products.
2.Disinfect contact lenses by soaking in a cleaning solution for 48 hours.
3.Put all used cosmetics in a plastic bag for 1 week to kill any bacteria before reusing.
4.Disinfect all lens care products with the prescribed antibiotic drops for 1 week after
infection. ✅1
A patient with septic shock is receiving multiple medications. Which intravenous (IV)
medication is most likely to cause a hearing loss?
1.Dopamine
2.Ampicillin
3.Aspirin
4.Vancomycin ✅4
The nurse is providing care for a patient with loss of hearing acuity over the past several
years. Which statement by the nurse is most accurate?
1."This is often due to an infection that will resolve on its own."
2."Many people experience an age-related decline in their hearing."
3."This is likely an effect of your medications. Try stopping them for a few days."
4."You can likely accommodate for your hearing loss with a few small changes in your
routine." ✅2
The patient informs the nurse that he has a "sty" that has been present for some time
on the upper eyelid and reports using warm moist compresses with no improvement.
What is the best response by the nurse?
1."Go to the pharmacy to get some eye drops."
2."Come in so the ophthalmologist can assess the lesion."
3."The health care provider will need to inject it with an antibiotic."
4."Wash the eyelid margins with baby shampoo to remove the crusting." ✅2
A patient with Ménière's disease had decompression of the endolymphatic sac to
reduce the frequent and incapacitating attacks being experienced. What should the
nurse include in the discharge teaching for this patient?
1.Airplane travel will be more comfortable now.
2.Avoid sudden head movements or position changes.
3.Cough or blow the nose to keep the Eustachian tubes clear.
4.Take antihistamines, antiemetics, and sedatives for recovery. ✅2
The patient has been diagnosed with benign paroxysmal positional vertigo. The nurse
knows that which anatomic area of the ear contributes to this disturbance?
1
The benefits of buying summaries with Stuvia:
Guaranteed quality through customer reviews
Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.
Quick and easy check-out
You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.
Focus on what matters
Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!
Frequently asked questions
What do I get when I buy this document?
You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.
Satisfaction guarantee: how does it work?
Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.
Who am I buying these notes from?
Stuvia is a marketplace, so you are not buying this document from us, but from seller twishfrancis. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $18.49. You're not tied to anything after your purchase.
