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Lewis_Med/Surg_Section 4_NCLEX Examination Review Questions

Lewis Medical Surgical, 7th Edition, NCLEX® Examination Review Questions, Section 4: Problems Related to Altered Sensory Input (Ch. 21-25) 21. Nursing Assessment: Visual and Auditory Systems 22. Nursing Management: Visual and Auditory Problems 23. Nursing Assessment: Integumentary System 24. Nursing Management: Integumentary Problems 25. Nursing Management: Burns

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A patient has ptosis secondary to myasthenia gravis. Which of the following assessment findings would the nurse expect to see in this patient?, Dropping of the upper lid margin in one or both eyes,
When assessing an adult patient's external ear canal and tympanum, the nurse would:, Gently pull the auricle up and backward to straighten the canal.,
When assessing an adult patient's external ear canal and tympanum, the nurse would:, Gently pull the auricle up and backward to straighten the canal.,
When planning care for a patient with disturbed sensory perception related to increased intraocular pressure caused by primary open-angle glaucoma, which of the following elements should the nurse focus upon?, Encouraging compliance with drug therapy for the glaucoma to prevent loss of vision.,
Which of the following statements is most appropriate when teaching a patient about timolol (Timoptic) eye drops in the treatment of glaucoma?, You may have some temporary blurring of vision after instilling these eye drops.,
Which of the following findings related to primary open-angle glaucoma would the nurse expect to find when reviewing a patient's history and physical examination report?, Absence of pain or pressure,
When teaching a patient about the pathophysiology related to open-angle glaucoma, which of the following statements made by the nurse is most appropriate?, There is decreased draining of aqueous humor in the eye, causing pressure damage to the optic nerve.,
Which of the following instructions is most appropriate for a patient using contact lenses who is diagnosed with bacterial conjunctivitis?, Discard current all opened or used lens care products.,
The nurse who is reinforcing medication teaching with a patient with glaucoma while administering a scheduled dose of pilocarpine would include which of the following statements?, It is important not to do activities requiring visual acuity immediately after administration.,
Before administration of timolol (Timoptic) eye drops or treatment of glaucoma, the nurse would assess the patient for which of the following contraindications for the use of this medicine?, Chronic obstructive pulmonary disease,
When administering eye drops to a patient with glaucoma, which of the following nursing measures is most appropriate to minimize systemic effects of the medication?, Have the patient put pressure on the inner canthus of the eye after administration.,
The nurse administering a scheduled dose of pilocarpine should place the drops in which of the following areas?, Lower conjuctival sac,
When admitting a patient with the diagnosis of labyrinthitis, the nurse would expect to find which of the following manifestations supporting this diagnosis? (Select all that apply.), 3 apply: Vertigo, Tinnitus, Nystagmus,
During change-of-shift report, the outgoing nurse reports a new finding of petechiae in a new patient admitted with a yet-to-be diagnosed hematologic disorder. On assessment of this patient, the incoming nurse may expect to find:, Tiny, purple spots on the skin,
Which of the following laboratory tests would be most important to check in a patient presenting with purpura?, Coagulation studies,
Which of the following clinical manifestations would the nurse expect to find on assessment of a patient admitted with cellulitis of the left foot?, Redness and swelling,
The nurse would assess a patient admitted with cellulitis for which of the following localized signs?, Pain,
Which of the following interventions would be most helpful in managing a patient newly admitted with cellulitis of the right foot?, Applying warm moist heat,
Which of the following laboratory results is the best indicator that a patient with cellulitis is recovering from this infection?, WBC of 8,200/ul,
The nurse is caring for a patient with second- and third- degree burns to 50% of the body. The nurse prepares the fluid resuscitation based on knowledge of the Parkland (Baxter) formula that includes which of the following recommendations?, One-half of the total 24-hour fluid requirement should be administered in the first 8 hours.,
The nurse is caring for a patient with superficial partial-thickness burns of the face sustained within the last 12 hours. Upon assessment, the nurse would expect to find which of the following symptoms?, Reddening of the skin,
The nurse is planning care for a patient with partial- and full-thickness skin destruction related to burn injury of the lower extremities. Which of the following interventions would the nurse expect to include in this patient's care? (Select all that apply.), All apply. Daily cleansing, debridement, diuretics, and a topical antimicrobial agent,
The nurse is planning care for a patient with partial- and full-thickness skin destruction related to burn injury of the lower extremities. Which of the following interventions would the nurse expect to include in this patient's care? (Select all that apply.), All apply. Daily cleansing, debridement, diuretics, and a topical antimicrobial agent,
The nurse is caring for a patient with partial- and full- thickness bums to 65% of the body. When planning nutritional interventions for this patient, the nurse uses which of the following dietary choices?, High caloric and protein foods,
A patient is admitted to the emergency department with first- and second-degree burns after in a house fire. Which of the following assessment findings would alert the nurse to the presence of an inhalation injury?, Singed nasal hair,
When caring for a patient with an electrical burn injury, the nurse would question a health care provider’s order for:, Lactated Ringer’s at 25 ml/hr,
When caring for a patient with an electrical burn injury, the nurse would question a health care provider’s order for:, Lactated Ringer’s at 25 ml/hr,
A patient is admitted with first- and second- degree bums covering the face, neck, entire right upper extremity, and the right anterior trunk area. Using the rule of nines, the nurse would calculate the extent of these burns as:, 27%,
A patient is admitted with first- and second- degree bums covering the face, neck, entire right upper extremity, and the right anterior trunk area. Using the rule of nines, the nurse would calculate the extent of these burns as:, 27%,


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