To decrease the risk for future hearing loss, which action should the nurse who is working with college students at the on-campus health clinic implement?
a. Arrange to include otoscopic examinations for all patients.
b. Administer influenza immunizations to all students at the clinic.
c. Discuss the importance of limiting exposure to amplified music.
d. Perform tympanometry on all patients between the ages of 18 to 24.
Question 2A patient who has bacterial endophthalmitis in the left eye is restless, frequently asking whether the eye is healing, and whether removal of the eye will be necessary.
Based on the assessment data, which nursing diagnosis is most appropriate at this time?
a. Grieving related to current loss of functional vision
b. Anxiety related to the possibility of permanent vision loss
c. Situational low self-esteem related to loss of visual function
d. Risk for falls related to inability to see environmental hazards
Question 3A 72-year-old patient with age-related macular degeneration (AMD) has just had photodynamic therapy. Which statement by the patient indicates that the discharge teaching has been effective?
a. I will need to use bright lights to read for at least the next week.
b. I will use drops to keep my pupils dilated until my appointment.
c. I will not use facial lotions near my eyes during the recovery period.
d. I will cover up with long-sleeved shirts and pants for the next 5 days.
Question 4A patient with glaucoma who has been using timolol (Timoptic) drops for several days tells the nurse that the eye drops cause eye burning and visual blurriness for a short time after administration. The best response to the patient's statement is
a. Those symptoms may indicate a need for an increased dosage of the eye drops.
b. The drops are uncomfortable, but it is important to use them to retain your vision.
c. These are normal side effects of the drug, which should be less noticeable with time.
d. Notify your health care provider so that different eye drops can be prescribed for you.
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