555-Lippincott's Review for Medical-Surgical Nursing Certification, Fifth Edition-Lippincott-1451

Review questions ❍ 329◆ Show the patient how to administer eye medications and change dressings using sterile technique todecrease the risk of infection◆ Tell the patient to wear the eye shield at night or when napping to prevent accidental injury to the eye◆ Discuss when the patient can return to work, resume ADLs, and drive or perform strenuousactivitiesReview questions1. The nurse is caring for a patient who underwent stapedectomy. To prevent postoperative complications,the nurse should instruct the patient to: A. sneeze with her mouth open. B. frequently blow her nose. C. clean her operated ear with a cotton-tipped applicator twice a day. D. resume bending and straining when she’s no longer experiencing ear pain.Correct answer: A If sneezing can’t be avoided, the patient should sneeze with her mouth open. Thiswill prevent changes of air pressure in the middle ear, which can dislodge the prosthesis and graft.Option B is incorrect because blowing the nose and coughing should be avoided. Option C is incorrectbecause small objects, such as cotton-tipped applicators, shouldn’t be inserted into the ear. Option D isincorrect because straining during a bowel movement and bending should be avoided for at least 2 to3 weeks, or as instructed by the practitioner.2. The nurse is assessing a 32-year-old patient with otosclerosis. The nurse should be aware that the patient’shearing loss: A. will resolve in 4 to 6 weeks without intervention. B. typically affects both ears. C. occurred suddenly. D. is associated with ear pain.Correct answer: B The hearing loss associated with otosclerosis is typically bilateral, although one earmay show a greater impairment. Option A is incorrect because otosclerosis is a progressive disorder thatis not self-limiting. Option C isn’t correct because otosclerosis develops slowly over time. Because otosclerosisdoesn’t cause ear pain, Option D is incorrect.3. The nurse is teaching a patient with a detached retina who underwent scleral buckling on the left eye. Theprocedure included gas injection into the vitreous. Which of the following statements indicates that the patientunderstands the nurse’s instructions? A. “I should lie on my abdomen with my head turned to the right.” B. “I’ll lie face down with my head turned to the left.” C. “I’ll lie face up with my head turned to the right.” D. “I should lie on my back with my head turned to the left.”Correct answer: B In a scleral buckling, the sclera is flattened against the retina. A piece of silicone isattached to the sclera with a band that encircles the eye to keep the retina in contact with the choroidand sclera. Air or other gases may be injected into the vitreous to float up against the retina and promoteretinal reattachment. When a gas is used, the patient is positioned on his abdomen with the head turnedto the affected eye (in this situation, the left side) so that the gas will float up against the retina and aid inreattachment. The positions in Options A, C, and D don’t allow the gas to float up against the retina.