2 Eyes
The nurse knows that this is the leading cause of blindness in the world and leading cause of disability in the U.S.
What are cataracts?
This diagnostic procedure is useful for distinguishing conductive vs sensorineural loss.
What is the Rinne Test?
Crust, ulcers, scars, and keloids are examples of this type of lesion.
What are secondary lesions?
Mr. J has agreed to have this type of surgery to treat his Benign Prostate Hyperplasia (BPH).
What is required surgery?
This specific feature is assessed by anesthesia prior to surgery because it presents a major intraoperative risk since it can become dislodged during endotracheal intubation and cause airway obstruction.
What are loose teeth (or dental prostheses/dentures)?
A patient presents to the clinic reporting a sudden onset of floaters, flashes of light, and a "curtain" falling over their visual field in the left eye. Based on these clinical manifestations, the nurse suspects this eye disorder.
What is retinal detachment?
The nurse provides patient education on how to soften and clean cerumen with the following.
What are glycerin, mineral oil, half-strength H2O or peroxide in glyceryl?
Ms. J is being treated for a Candida albicans infection causing a moist rash. The nurse suspects this type of topical medication to be ordered.
What is a fungal powder?
Prior to a patient signing an informed consent form, this patient-communication task is within the nurse's scope of practice.
What is verifying understanding, clarifying basic details, and witnessing?
The nurse knows that these herbs, vitamins, and medications can cause increase bleeding.
What are garlic, ginkgo, ginseng, Vitamin E, aspirin, clopidogrel, heparin/warfarin
You are treating a patient who is between the ages of 55-64. You provide education on regular glaucoma check every ____ years.
What is 1-2 years?
This disease is characterized by a bulging, erythematous, or opaque tympanic membrane with decreased mobility, deep throbbing otalgia, and fever without tragal tenderness.
What is Acute Otitis Media?
On assessment the nurse sees purple lesions in the oral cavity. Based on the suspected disorder, the nurse anticipates seeing this in the patient's hx?
What is Kaposi Sarcoma - AIDS?
Upon a surgical patient's immediate arrival in the PACU, this priority nursing action must be performed first.
What is assessing/maintaining a patent airway?
[Patient 1 - asthma; Patient 2 - arrythmia; Patient 3 - kidney; disease; Patient 4 - skin cancer] The nurse knows that this patient has the highest risk for anesthetic side effects.
What is patient 2?
The nurse knows that a risk factor for cataracts is long term use of these medications.
What are steroids, beta blockers, and miotics?
The nurse would question if this medication was prescribed for a patient with Meniere's Disease. [Antiemetics, Diuretics, Cholinergics, OR Benzodiazepines]
What are Cholinergics?
The nurse would provide this education to a patient with pediculosis capitis regarding cleaning in the house.
What are articles of clothing and bedding must be disinfected, washed in hot water, or dry cleaned. Furniture and floors should be frequently vacuumed?
The nurse knows that the differences between a scrub and circulation nurse are these.
Circulating Nurse (Unsterile Field):
Coordinates patient care, safety, room conditions (temperature, humidity, lighting), equipment, and overall team operations.
Manages surgical consent verification, patient positioning, skin prep, specimen handling, and intraoperative documentation.
Scrub Nurse / Scrub Tech (Sterile Field):
Performs surgical hand scrub, wears sterile gown/gloves, and sets up the sterile field.
Hands sterile instruments, sutures, and supplies directly to the surgeon while anticipating immediate surgical needs.
The nurse knows to assess these following areas to create an Aldrete score. If this specific score is achieved, the patient can be discharged.
What are activity, respiration, circulation, consciousness, O2Sat? What is 8-10?
The nurse educates the patient on reducing IOP by avoiding these activities.
What are bending at the waist, sneezing, coughing, straining, head hyperflexion, restrictive clothing, sexual intercourse, tilting the head back to wash hair, cooking, housekeeping, rapid/jerky movements (vacuuming), driving and operative heavy machinery, playing sports?
The nurse keeps in mind that these specific antibiotics, diuretics, NSAIDs, and chemo medications are ototoxic.
What are gentamycin, erythromycin, furosemide, aspirin, ibuprofen, cisplatin?
Diphenhydramine is ordered for Mr. J who has Benign Prostate Hyperplasia (BPH). The nurse will take this action after reviewing the order.
What is notify the provider?
Explain the patient's history of BPH and the risk of urinary retention.
The nurse recognizes that these 2hr post-op assessment findings require immediate intervention. [HR -88, Pain 4/10, Hypoactive bowel sounds, Urine output of 45 mL, blood pressure of 88/52 mmHg, lightheadedness, incisional soreness, Temperature of 99.1°F]
What is urine output of 45 mL over the past 2 hours, blood pressure of 88/52 mmHg, lightheadedness?
Based on expected post-operative vital sign changes in older adults—such as blunted heart rate responses, impaired thermoregulation, and shallow breathing—the nurse should anticipate implementing these priority interventions.
What are:
Active Re-warming: Apply forced-air warming blankets and warm IV fluids to treat hypothermia and prevent shivering.
Respiratory Monitoring: Assess breath sounds, encourage early use of the incentive spirometer, and monitor continuous pulse oximetry.
Fluid & Perfusion Checks: Monitor intake and output (I&O) closely; evaluate peripheral pulses and capillary refill rather than relying solely on heart rate to judge hydration status.
Safe Ambulation: Perform gradual position changes (dangling feet at the bedside) and measure orthostatic vitals before initial post-op ambulation.