AMS Final Exam Review Part 1

A client with chronic open-angle glaucoma is prescribed pilocarpine eye drops. After using the medication, the client reports experiencing difficulty seeing in dim light. What is the most appropriate nursing response?

• Advise the client to stop using the medication immediately

• Reassure the client that this is a common side effect

• Instruct the client to rinse the eyes with water

• Contact the health care provider for an alternative medication

Mia has recently been diagnosed with glaucoma and is learning how to properly administer her prescribed eye drops. During her appointment, the nurse explains the best way to achieve maximum absorption of the medication. What action should the nurse teach Mia to perform?

• Instill the medication in the conjunctival sac

• Maintain a supine position for 10 minutes after administration

• Keep the eyes closed for 1-2 minutes after administration

• Apply the medication evenly to the sclera

A patient reports seeing occasional flashes of light in their vision during an eye check-up. What is the most appropriate interpretation of this subjective complaint by the nurse?

• This can be a normal finding associated with aging

• Wearing corrective lenses will resolve this issue

• This is a typical symptom of cataracts

• This is usually caused by eye strain

Anika, a nurse, is caring for a client diagnosed with mastoiditis. During her assessment, she performs an otoscopic examination. Based on the client’s condition, which finding would Anika expect to observe on the tympanic membrane?

• A pink-colored tympanic membrane

• A pearly colored tympanic membrane

• A transparent and clear tympanic membrane

• A red, dull, thick, and immobile tympanic membrane

Nora is a client diagnosed with otosclerosis and is experiencing significant hearing loss. As her nurse, what should you do to best facilitate communication with her?

• Sit or stand in front of the client when speaking

• Use exaggerated lip and mouth movements when talking

• Stand in front of a light or window when speaking

• Say the client's name loudly before starting to talk

Jackson visits an ENT clinic complaining of hearing difficulties. The doctor wants to determine whether Jackson's hearing loss is conductive or sensorineural. Which diagnostic test should the doctor use to distinguish between these two types of hearing loss?

• Audiometry

• Whisper test

• Rinne test

• Weber test

Grace has just been diagnosed with Meniere's disease. As her nurse, you are providing her with dietary education. Which foods should you advise Grace to avoid in her diet? Select all that apply.

• Monosodium glutamate (MSG)

• High-salt foods

• Caffeine

• Alcohol

• Milk

Grace is a nurse who has just finished evaluating a client's cranial nerves. She documents impairment of the right cervical nerves (CN IX and CN X). Based on these findings, what should Grace instruct the client to do?

• Wear any hearing aids while in the hospital

• Have their spouse bring in the client's glasses

• Refrain from eating or drinking for now

• Use the walker when walking

Michael has been feeling anxious and having trouble sleeping. His doctor explains that a certain neurotransmitter in his brain demonstrates inhibitory action, helps control mood and sleep, and inhibits pain pathways. Which neurotransmitter is the doctor referring to?

• Acetylcholine

• Norepinephrine

• Serotonin

• Enkephalin

James is startled by a loud noise while walking in a dark alley. Which is a sympathetic effect of the nervous system that he might experience?

• Increased peristalsis

• Decreased respiratory rate

• Dilated pupils

• Decreased blood pressure

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NGSS.HS-LS1-3