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MDC1 Exam 2 Review Flashcards | StudBud
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MDC1 Exam 2 Review
MDC1 Exam 2 Review
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1
A patient with a cast states that "it is so loose now and falling off." What should the nurse say?
"Keep your arm above heart level."
"I will wrap a bandage on it to help the cast stay on"
"As muscles atrophy, it is expected to loosen."
"You need a new cast now that swelling has decreased"
2
How can cataracts be prevented? Select all that apply.
Wear sunglasses
Drink less caffeine
Wear eye protection
Avoid smoking
Increase protein and carbs
Get 8 hours of sleep
3
Why is skeletal traction used?
Traction decreases muscle spasms
This prevents back pain and future complications
It assists in realigning the bone
Skeletal traction minimizes damage with healing fractures
4
What symptoms are consistent with retinal detachment? Select all that apply.
Pain in the eye- throbbing sensation
Decreased visual field
Gradual vision changes
Bright flashes of light
Feeling like a curtain over the eye
5
After a myringotomy, what teaching is appropriate?
No flying for a month
Drink liquids through a straw
Hot showers in the ear will help the pain
Use dry shampoo for about a week
6
What patient teaching should be given for Meniere's Disease? Select all that apply.
Avoid MSG
Move your head slowly to prevent vertigo
Avoid standing on stairs, step stools, or ladders
Quit smoking
Apply heat to the ear daily
Avoid caffeine
7
A patient has mastoiditis. What is the MOST important teaching you should give?
Report a stiff neck or headache
Keep all follow-up appointments
Take antibiotics on an empty stomach
Take antibiotics with a full glass of water
8
Which condition can contribute to osteopenia?
Hypothyroid
Addison's Disease
Rheumatoid Arthritis
Osteoarthritis
9
What is the most important nursing intervention for a patient with Meniere's Disease?
Dim the lights in the room
Assess vitals every 15 mins
Put a cool cloth on the patient's face
Put the upper side rails up on the bed
10
Which medications frequently cause tinnitus?
Beta blockers
NSAIDs
Cephalosporins
Diuretics
11
What is the first thing to do for a patient with shortness of breath who has a femur fracture?
Put the patient in high fowlers position
Start O2 at 2L nasal cannula
Document the O2 sat
Contact PCP
12
When using a cane, it should be used on the unaffected side
False
True
13
What comfort measure can be taken for otitis externa?
A heating pad or warm towel to the ear
A home humidifier
Putting vinegar and water into the ear
Applying ice four times daily
14
After having an ear tumor removed, it is expected to have some hearing loss
False
True
15
Which dietary components can contribute to osteoporosis? Select all that apply.
Caffeine
Carbonated beverages
Vitamin D
Alcohol
Fatty foods
16
What is a complication of a pelvic fracture?
Hematuria
Hypertension
Diarrhea
Nausea
17
What would the nurse anticipate the provider to order for a patient who "feels like something is in their eye."
Ophthalmology
Fluorescein angiograph
Corneal staining
Tonometry
18
Which assessment finding requires immediate intervention?
Pain 4-10
Swollen extremity at injury site
Paresthesia
Feeling cold while lying in bed
19
Eye drops are needed before and after cataract surgery
True
False
20
What post-op teaching should be given for a retinal detachment? Select all that apply.
Report sudden pain in the eye
Report if pupil stays dilated
Avoid close vision activities
Report sudden reduced visual acuity
Avoid activities that increase IOP
21
A patient with an IOP of 27 should anticipate what?
Corneal transplant
Eye surgery
Braille education
Glaucoma education
22
A patient has had hearing loss for a week? What is likely the cause?
Tumor growth
Medications
Cerumen
23
What is the best teaching for a patient to remove cerumen?
Drink plenty of water to prevent wax buildup
Put mineral oil in the ear
Go to the doctor every month to remove the cerumen
Irrigate the ear monthly
24
Which question should be asked to a patient who has sensorineural hearing loss?
"Do you feel like something is stuck in your ear?"
"Did you shove a q-tip in your ear too far?"
"Have you been exposed to loud noises?"
"Have you been told the bones in your ears don't move?"
25
Which activities can cause increased IOP? Select all that apply.
Avoid sexual intercourse
Don't bend at waist
Try to avoid blowing nose or sneezing
Do not lift more than 20 pounds
Don't wear tight shirts
Don't strain with BM
26
Brinzolamide cannot be given to someone who has an allergy to:
Beta blockers
Eggs
Sulfa drugs
Contacts
27
What are age related changes that happen to vision? Select all that apply.
Increase in point of near vision
Development of arcus senilis
Decreased color perception
Increase in far point of near vision
Decreased muscle tone
28
How frequent should older adults, who are 65 and older, get an eye exam?
Every 1-2 years
There is not a recommended timeframe
Every 2-3 years
When recommended by the PCP
29
Which symptom is consistent with cataracts?
One cloudy pupil
Blurred vision
Loss of peripheral vision
Diplopia
30
What teaching regarding ear care is not true?
Dry your ears after swimming
It's okay to use a soft cotton swab in your ear
Earplugs should be used to protect the ears
Controlling diabetes will help with hearing issues
31
Osteoporosis increases the risk of fractures
True
False
32
What is the most important finding after retinal detachment surgery?
Remove the eye patch every hour for drops
Report immediate vision loss to the affected eye
Avoid close work like reading or sewing
Keep follow up with opthalmology
33
What would the nurse expect to find for a patient with plantar fasciitis?
Severe pain when arching the foot
Paresthesia
Redness and swelling
Toe deformities
34
How can you prevent glaucoma?
Get an eye exam
Get your intraocular pressure monitored once or twice yearly
Take preventative drug therapy
Get genetic testing
35
Which care instructions are true for a hearing aid? Select all that apply.
Use a toothpick to clean out little debris
Avoid using hair products
Turn it off before bed
Be careful not to drop the hearing aid
Wash the device with a little soap or water
Soak the hearing aid in hot water
36
What are the advantages of external fixation? SATA
Decreases infection risk
Minimal blood loss
Increases blood supply to the tissues
Allows for early ambulation
Promotes healing
37
What is included in the plan of care for someone who has a below the knee amputation?
Give prophylactic antibiotics
Implement strict bedrest
Encourage ROM exercises
Place pillow between the knees
38
A patient has had an ORIF and has burning and tingling to the affected foot. What does the nurse expect?
Complex regional pain syndrome
Peripheral neuropathy
Compartment syndrome
Delayed bone healing
39
Who should be seen first?
A patient with an IOP reading of 24
Someone with a red eye that has discharge
Someone with cataract surgery who has worsening vision
Someone who has a red reflex
40
Which information is important regarding osteomyelitis? SATA
Correct IM injection technique
High protein and high carb foods
Adherence to antibiotic regimen
Proper use of IV equipment
Keeping daily follow-up appointments
41
Someone just injured their right arm. What should the nurse do?
Get the patient an xray asap
Elevate the extremity
Apply heat immediately
Immobilize it
Give opioids every 4-6 hours
Use compression
42
Who is the highest risk for a DVT?
38 year old with type 2 DM and fractured ribs
74 year old who is a smoker with a pelvic fracture
55 year old prescribed ibuprofen for osteoarthritis
18 year old with a fractured clavicle
43
A patient has had a cold for a week and is now feeling dizzy and cannot hear. What other assessment finding is expected?
Purulent ear drainage
Elevated BP
Nausea and vomiting
High fever
44
Before administering Timolol eye drops, what is important to consider?
Excessive saliva
BP
Temperature
HR
45
A patient has tinnitus that is not improving. What can the nurse do?
Discuss that the patient may need their nerve cut
Discuss starting anxiety meds
Refer the patient to a psychiatrist
Refer the patient to support groups
46
Who should the nurse see first at an osteoporosis clinic?
A patient taking raloxifene who has unilateral calf swelling
Someone taking Calcium and Vit D who has flank pain x2 wks
A patient who needs pain meds (pain 6/10)
A patient who is taking ibandronate and has questions
47
What puts someone at risk for cataracts?
Heart disease
Advanced age
DM
Glaucoma
48
A patient has not been completing their weight-bearing exercises. What should the nurse do?
Suggest exercises the patient should do
Ask the patient if they are scared of falling
Instruct the patient to increase calcium
Advise the patient should weight lift
49
A patient with a bone density score of -2.8 should expect:
Ask a patient to create a food diary
Schedule another scan in 2 years
Schedule another scan in 6 months
Teaching about bisphosphonates
50
Antibiotics are given for a patient with a foreign body in the eye
True
False
51
For an older adult patient with a fracture, how many seconds is considered normal for a cap refill assessment?
5 seconds
15 seconds
10 seconds
20 seconds
