ANP-650 MIDTERM ACTUAL 125

ANP-650 MIDTERM (ACTUAL / ) 125

QUESTIONS AND 100% VERIFIED CORRECT

ANSWERS

1.A client is diagnosed with strabismus. Which of the following will the client most likely experience with this disorder?

• Nystagmus
• Diplopia
• Aphakic vision
• Ptosis

ANS: 2

Diplopia, or double vision, is the primary symptom of strabismus. Nystagmus is a disorder that causes involuntarily rhythmic movements in the eye. Aphakic vision occurs when the lens of the eye is removed. Ptosis is drooping of the eyelid.

2.A client is experiencing a gradual blurring of vision in both eyes not associated with any pain. The nurse suspects the

client is experiencing:

• glaucoma.
• cataracts.
• macular degeneration.
• retinal detachment.

ANS: 2 1 / 4

Cataracts occur as the opacity of the lens becomes cloudy, blurring the vision. It occurs in both eyes but is usually worse in one eye. Gradual eye blurring is not associated with glaucoma, macular degeneration, or retinal detachment.

1.A client tells the nurse that he does not want to develop macular degeneration like his mother. Which of the following should the nurse instruct the client as being risk factors for the development of this disorder? (Select all that apply.)

• There is greater risk as people age.
• Women are at greater risk than men.
• African Americans are at greater risk than Caucasians.
• Family history of macular degeneration increases risk.
• Smoking does not increase risk.
• Alcohol prevents the onset of this disorder.

ANS: 1, 2, 4

Recent statistics show that macular degeneration is age related and that women are at greater risk than men. Family history and smoking are also significant risk factors.Caucasians are at greater risk than African Americans.Alcohol does not prevent the onset of this disorder.

2.A client is receiving tests to diagnose glaucoma. Which of the following diagnostic tests will be used to identify this disorder in the client? (Select all that apply.) 2 / 4

• Visual acuity
• Visual field test
• Tonometry
• Weber test
• Rinne test
• Electroencephalogram

ANS: 1, 2, 3

Glaucoma is determined through a comprehensive eye exam including a visual acuity test, visual fields test, dilated eye exam, and tonometry. The Weber and Rinne tests are used in an ear assessment. An electroencephalogram is not used to diagnose glaucoma.

1.The nurse is instructing a client diagnosed with otitis media on management during the acute phase. Which of the following should the nurse include in the teaching? (Select all that apply.)

• Take the antibiotics as ordered.
• Take over-the-counter analgesics for mild pain as

recommended.

• It is okay to go swimming.
• It is okay to go on vacation and trips that require flying.
• If excruciating pain develops, seek medical care.
• Limit fluids.

ANS: 1, 2, 5

Clients must complete the medication as ordered to kill the infection. Mild analgesics for pain are often needed. If 3 / 4

excruciating ear pain develops, the client should seek medical care to rule out perforation of the eardrum. It is important to keep the ear dry, so the client should not swim at this time.Flying is not recommended at this time. Limiting fluids is not necessary with otitis media.

2.When caring for a client with total hearing loss, the nurse is instructing the client about the many options that are available to function in a hearing world. Which of the following should the nurse include? (Select all that apply.)

• Flashing lights for alarms
• TV with closed captions
• Talking computer
• Lip reading and sign language
• Cell phones with headsets
• Loud ringers on telephones

ANS: 1, 2, 4

Patients who have no hearing have access to various mechanisms to alert them to various sounds. Flashing lights for alarms to phones and doorbells, TV with closed captions for the hearing impaired, and classes in lip reading and sign language are some options. Talking computers and cell phones with headsets are advancements for the hearing, not for the hearing impaired. Loud ringers on telephones would also be helpful to the client with some hearing and not a total hearing loss.

• / 4