Chapter 22 Care of Patients with Alterations in Health

Chapter 22  Care of Patients with Alterations in Health

Complete Chapter Questions And Answers
 

Sample Questions

MULTIPLE CHOICE

1. Why should the nurse instill eye irrigation from the inner to the outer canthus?
a.
To avoid harming the sclera
b.
To include the conjunctiva in the irrigation
c.
To keep the pupil constricted
d.
To protect the nasolacrimal ducts

ANS: D
The irrigation flow is directed to the outer canthus to protect the nasolacrimal ducts from contaminants.

DIF: Cognitive Level: Application REF: Page 525 OBJ: 1
TOP: Eye irrigation KEY: Nursing Process Step: Implementation
MSC: NCLEX: Physiological Integrity

2. When an order for eye irrigation is received, to whom can the nurse delegate the procedure to?
a.
The patient
b.
Another nurse
c.
A nursing assistant
d.
A family member

ANS: B
Performing eye irrigation requires the skills of a licensed nurse.

DIF: Cognitive Level: Comprehension REF: Page 525 OBJ: 1
TOP: Delegation KEY: Nursing Process Step: Planning
MSC: NCLEX: Safe, Effective Care Environment

3. To what temperature should water for eye compress be heated?
a.
95° F
b.
110° F
c.
115° F
d.
120° F

ANS: D
Water for an eye compress may be heated to no more than 120° F.

DIF: Cognitive Level: Comprehension REF: Page 527, Skill 20-2
OBJ: 2 TOP: Eye compress
KEY: Nursing Process Step: Implementation
MSC: NCLEX: Safe, Effective Care Environment

4. When a patient complains of progressive hearing loss, crackling and ringing noises in his ear, and progressive ear pain, what should the nurse assess for?
a.
A dead battery in the patient’s hearing aid
b.
Cerumen impaction
c.
Sinus congestion
d.
A middle ear infection

ANS: B
Symptoms of cerumen impaction are progressive hearing loss, bothersome noises in the ear, and progressive ear pain.

DIF: Cognitive Level: Application REF: Page 529 OBJ: 1
TOP: Cerumen impaction KEY: Nursing Process Step: Assessment
MSC: NCLEX: Physiological Integrity

5. When a patient asks if he can keep the heating pack on his leg all the time, the nurse reminds him of which of the following complication of long-term heat application?
a.
The heat can cause extreme vasoconstriction.
b.
The heat can increase the possibility of infection.
c.
The heat can cause the blood pressure to increase.
d.
The heat can damage epithelial cells.

ANS: D
Prolonged contact with heat can cause damage to the epithelial cells.

DIF: Cognitive Level: Application REF: Page 531 OBJ: 2
TOP: Heat applications KEY: Nursing Process Step: Implementation
MSC: NCLEX: Safe, Effective Care Environment