Title RECALLS 5 - NP5 - SC ✅

4 | Page C. Defibrillation is synchronized with the electrical activity of the heart, but cardioversion is not. D. Cardioversion is always attempted before defibrillation because it has fewer risks. TOPIC: SPECIAL SENSES - EYE DISORDERS   Situation - Nurse Maya, a registered nurse working in a general medical-surgical unit, has been assigned a week-long rotation in the ophthalmology outpatient clinic at City General Hospital. In preparation, she decides to review common eye disorders and their nursing management to refresh her knowledge. 46. The client is diagnosed with glaucoma. Which symptom should the nurse expect the client to report? A. Loss of peripheral vision. B. Floating spots in the vision. C. A yellow haze around everything. D. A curtain coming across vision 47. The client is scheduled for right-eye cataract removal surgery in five (5) days. Which preoperative instruction should be discussed with the client?  A. Administer dilating drops to both eyes for 72 hours prior to surgery. B. Prior to surgery do not lift or push any objects heavier than 15 pounds. C. Make arrangements for being in the hospital for at least three (3) days. D. Avoid taking any type of medication which may cause bleeding, such as aspirin. 48. The client diagnosed with glaucoma is prescribed a miotic cholinergic medication.Which data indicate the medication has been effective?  A. No redness or irritation of the eyes. B. A decrease in intraocular pressure. C. The pupil reacts briskly to light. D. The client denies any type of floaters. 49. The nurse who is at a local park sees a young man on the ground who has fallen and has a stick lodged in his eye. Which intervention should the nurse implement at the scene? A. Carefully remove the stick from the eye. B. Stabilize the stick as best as possible. C. Flush the eye with water if available. D. Place the young man in a high-Fowler’s position 50. The client comes to the emergency department after splashing chemicals into the eyes. Which intervention should the nurse implement first?  A. Have the client move the eyes in all directions. B. Administer a broad-spectrum antibiotic. C. Irrigate the eyes with normal saline solution. D. Determine when the client had a tetanus shot TOPIC: SPECIAL SENSES - EAR DISORDERS Situation -  Nurse Carla begins her shift by reviewing the day's patient list. The ENT clinic has a mix of patients scheduled with various ear complaints. She prepares the examination rooms with otoscopes, tuning forks, audiometers, and documentation materials.   51. The nurse is planning the care of a patient with a diagnosis of vertigo. What nursing diagnosis risk should the nurse prioritize in this patient's care? A. Risk for disturbed sensory perception B. Risk for unilateral neglect C. Risk for falls D. Risk for ineffective health maintenance 52. A patient has been diagnosed with hearing loss related to damage of the end organ for hearing or cranial nerve VIII. What term is used to describe this condition? A. Exostoses B. Otalgia C. Sensorineural hearing loss D. Presbycusis 53. A patient has undergone diagnostic testing and has been diagnosed with otosclerosis. What ear structure is primarily affected by this diagnosis? A. Malleus B. Stapes C. Incus D. Tympanic membrane 54. A patient with otosclerosis has significant hearing loss. What should the nurse do to best facilitate communication with the patient? A. Sit or stand in front of the patient when speaking. B. Use exaggerated lip and mouth movements when talking. C. Stand in front of a light or window when speaking. D. Say the patient's name loudly before starting to talk. 55. The nurse is discussing the results of a patient's diagnostic testing with the nurse practitioner. What Weber test result would indicate the presence of a sensorineural loss? A. The sound is heard better in the ear in which hearing is better. B. The sound is heard equally in both ears. C. The sound is heard better in the ear in which hearing is poorer. D. The sound is heard longer in the ear in which hearing is better. TOPIC: PSYCHIATRIC NURSING - SOMATOFORM DISORDERS Situation - As a psychiatric nurse caring for patients with  somatoform disorders, the focus is on providing empathetic, nonjudgmental support while addressing both psychological and physical symptoms. The nurse validates the patient’s experience of distress without reinforcing unnecessary medical interventions, instead promoting a holistic understanding of the mind-body connection. 56. A client diagnosed with hypochondriasis states, “I have so many symptoms, and yet no one can find out what is wrong with me. I can’t do this anymore.” Which nursing diagnosis would take priority?  A. Altered role performance R /T multiple hospitalizations. B. Knowledge deficit R /T the link between anxiety and expressed symptoms. C. Risk for suicide R /T client statement, “I can’t do this anymore.” D. Self-care deficit R /T client statement, “I can’t do this anymore.” 57. The nurse is caring for a client with a conversion disorder. Which finding will the nurse expect during assessment?  A. Extreme distress over the physical symptom B. Indifference about the physical symptom C. Labile mood D. Multiple physical complaints 58. Which statement would indicate that teaching about somatic symptom disorder has been effective?  A. “The doctor believes I am faking my symptoms.” B. “If I try harder to control my symptoms, I will feel better.” C. “I will feel better when I begin handling stress more effectively.” D. “Nothing will help me feel better physically.” 59. A client who developed numbness in the right hand could not play the piano at a scheduled recital. The consequence of the symptom, not having to perform, is best described as? (8) A. emotion-focused coping. B. phobia. C. primary gain. D. secondary gain. 60. Which is true about clients with illness anxiety disorder? A. They may interpret normal body sensations as signs of disease. B. They often exaggerate or fabricate physical symptoms for attention. C. They do not show signs of distress about their physical symptoms. D. All of the above. TOPIC: CARDIOVASCULAR NURSING- RHEUMATIC HEART DISEASE (MEDSURG) Situation – Rheumatic Heart Disease (RHD) continues to be a major public health issue in the Philippines,