A patient has been taking oral corticosteroids for several weeks to a treat a chronic inflammatory skin condition. When performing health education with this patient, the nurse should emphasize the need to:
A) Supplement the corticosteroids with nonsteroidal anti-inflammatory drugs (NSAIDs)
B) Avoid stopping the drug abruptly
C) Take the drug only during an acute exacerbation of the condition
D) Monitor fluid intake and output for the duration of treatment
Question 2A nurse is aware of the relationship between the maintenance of normal intraocular pressure (IOP) and the maintenance of vision. IOP is primarily maintained by:
A) Selective secretion of tears by the lacrimal glands
B) Constriction and dilation of the pupils in response to light
C) Close regulation of the production and distribution of aqueous humor
D) Continual replenishment of the corneal epithelium
Question 3Prior to a clinical placement in an ambulatory ophthalmology clinic where cataract repairs and corneal transplants are performed, a nursing student is conducting a review of the anatomy and physiology of the eye.
Which of the following descriptions is most accurate?
A) The muscles controlling the eye are innervated by several different cranial nerves.
B) The primary function of the conjunctiva is to focus incoming light.
C) The anterior chamber of the eye is filled with air that is matched to atmospheric pressure.
D) The pupil is a highly vascularized, pigmented collection of fibers.
Question 4A 42-year-old man with a history of pheochromocytoma is being treated in the intensive care unit after experiencing an acute exacerbation of his condition.
This patient will require the nurse to perform which of the following assessments most frequently?
A) Motor and sensory function
B) Orientation and cognition
C) Urine testing for osmolality
D) Blood pressure (BP) and heart rate
Question 5A child goes to the school nurse and complains of not being able to hear her teacher. What test could the school nurse perform to make a general estimate of hearing loss?
A) Chiming clock test
B) Rinne test
C) Whisper test
D) Weber test
Question 6A patient who is postoperative day 1 following neck dissection surgery has rung his call bell complaining of numb fingers, stiff hands, and a tingling sensation in his lips and around his mouth.
The nurse should anticipate that this patient may require the IV administration of:
A) Potassium chloride
B) Calcium gluconate
C) Magnesium sulfate
D) Sodium phosphate
Question 7A patient with multiple sclerosis is admitted to the unit. When the nurse assesses the patient, he notes that the patient is demonstrating involuntary rhythmic eye movements.
What term will the nurse use when documenting these involuntary oscillations of the eye?
A) Vertigo
B) Tinnitus
C) Nystagmus
D) Dizziness
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