Excelsior College NUR 109 Final Exam Questions With Answers
Which actions performed by the RN while administering eye drops will
... [Show More] decrease the risk of infection? Select all that apply.
Wash hands.
Avoid touching dropper to eye. Apply pressure to inner canthus. Position the patient.
Identify the patient.
The RN is teaching a parent how to care for a 2-year-old with external otitis. Which statement made by the parent indicates the parent needs additional teaching?
“I will pull the pinnae down and back to insert ear drops.” “Acetaminophen can be used for pain management.” “Permanent hearing loss is a common complication.”submitted “My child needs to avoid getting his head wet until this heals.”
The patient states “I am having changes in my vision.” Which is the RNs best response? “Visual changes are normal when you age.”submited
“Adults age 65 and older should have routine screening examination every six months.”
“Call a healthcare provider for an examination.”
“Have you considered adaptive devices to help with poor vision?"
a healthcare provider should evaluate Changes in vision, drainage, bleeding or pain.
Which of the following interventions would the RN implement when working with a patient with presbycusis?
Provide large print materials for teaching. Speak in a high pitched voice.
Encourage hearing evaluation every four years. Speak into the less impaired ear.submitted
The RN preparing a patient for an eye exam with tonometry teaches the patient to avoid which of the following during the procedure?
Deep breathingsubmitted Mouth breathing
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Nasal breathing
Holding their breath
Reference: Hinkle text (14th edition) page 1881; Feedback: Review those behaviors that increase intraocular pressure - squeezing eyelids closed, holding ones breath or the valsalva maneuver.
Which nursing intervention is most appropriate for the RN to use when assisting a patient with low vision?
Keep all necessary objects close to patient.submitted Inform the patient of general location of items.
Offer their hand to the patient to guide them. Engage the service dog to establish a relationship.
A patient is seen in the eye clinic for glaucoma and is ordered treatment with a beta- adrenergic blocking agent. Which of the patient’s pre-existing medical conditions must be reported to the physician before the new eye drop is started?
Heart blocksubmitted Hypertension Dehydration
Hepatic disease
The RN is teaching the older adult to check their Amsler grid test for age-related macular degeneration changes. What frequency would the RN teach the client to do the checks?
1 time per year 1 time per week 1 time per month
1 time per daysubmitted
The RN has selected Acute confusion as a nursing diagnosis label for a newly admitted 80-year-old patient who is disoriented. What would be an appropriate outcome for this patient with this nursing diagnosis?
Patient will be independent in self-care activities, in three days. Patient’s vital signs will be within normal range, in one day.
Patient will demonstrate return to baseline orientation status, in two days.submitted Patient will report feeling more comfortable in new situations, in four days.
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