Author Question: The nurse at the outpatient surgery unit obtains the following information about a patient who is ... (Read 85 times)

Starlight · **on:** Jun 25, 2018

The nurse at the outpatient surgery unit obtains the following information about a patient who is scheduled for cataract extraction and implantation of an intraocular lens.

Which information is most important to report to the health care provider at this time?
a. The patient has had blurred vision for 3 years.
b. The patient has not eaten anything for 8 hours.
c. The patient takes 2 antihypertensive medications.
d. The patient gets nauseated with general anesthesia.

Question 2

A 75-year-old patient with presbycusis is fitted with binaural hearing aids. Which information will the nurse include when teaching the patient how to use the hearing aids?

a. Experiment with volume and hearing ability in a quiet environment initially.
b. Keep the volume low on the hearing aids for the first week while adjusting to them.
c. Add a second hearing aid after making the initial adjustment to the first hearing aid.
d. Wear the hearing aids for about an hour a day at first, gradually increasing the time of use.

ecabral0 · **Reply #1 on:** Jun 25, 2018

Answer to Question 1

ANS: C
Mydriatic medications used for pupil dilation are sympathetic nervous system stimulants and may increase heart rate and blood pressure. Using punctal occlusion when administering the mydriatic and monitoring of blood pressure are indicated for this patient. Blurred vision is an expected finding with cataracts. Patients are expected to be NPO for 6 to 8 hours before the surgical procedure. Cataract extraction and intraocular lens implantation are done using local anesthesia.

Answer to Question 2

ANS: A
Initially the patient should use the hearing aids in a quiet environment like the home, experimenting with increasing and decreasing the volume as needed. There is no need to gradually increase the time of wear. The patient should experiment with the level of volume to find what works well in various situations. Both hearing aids should be used.