Exam 12: Care of the Eye and EAR

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The nurse is assessing an elderly patient's ability to understand how to properly care for a new hearing aid.Which of the following statements indicate further education is needed? (Select all that apply.)

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A, C

Which is the priority nursing diagnosis for a patient with altered sensory perception?

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A

The nurse prepares to remove the patient's soft contact lenses.Which intervention does the nurse implement to remove the lenses without traumatizing the cornea?

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D

After removing a soft contact lens, the nurse observes that the sides of the lens are sticking together.Which intervention will the nurse implement before storing or reinserting the lens?

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The nurse plans care for a patient who has a hearing deficit.What actions when taken by the nurse indicate a good understanding of appropriate care? (Select all that apply.)

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The nurse admits a patient who wears a hearing aid for surgery.Which method does the nurse use to assess the patient's hearing acuity with the hearing aid in place?

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The nurse is instructing a patient on the procedure to remove a hard contact lens.Instruction by the nurse is correct if the patient uses which technique?

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The nurse assesses a 3-year-old patient with a dried bean in the left ear canal.Which action does the nurse implement?

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The nurse irrigates the patient's eye after the patient splashes an irritating liquid into it.Which intervention does the nurse implement to prevent injury during eye irrigation?

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The nursing assistive personnel (NAP) reports that the hearing-impaired patient is usually alert and oriented with the hearing aid in place, but the patient is not responding to verbal communication this morning.What action does the nurse implement first?

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The nurse instructs the patient on how to care for the hearing aid at home.What information does the nurse include in patient teaching to prevent damage to the hearing aid?

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The nurse is orienting a new graduate nurse about eye irrigation.Which statement indicates a good level of understanding of the procedure? (Select all that apply.)

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The nurse is preparing to remove cerumen from an older adult's ear.Nursing care is appropriate if the nurse uses which procedure?

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The nurse irrigates the patient's right ear with saline solution to improve hearing.Which patient symptom requires immediate nursing intervention?

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The nurse and the patient discuss the patient's need for a hearing aid.What information does the nurse include in patient teaching?

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The nurse is performing eye care for a comatose patient.Which interventions indicate the nurse has a good understanding of the appropriate care needed? (Select all that apply.)

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The family of an older adult brings the patient to the health care provider because the patient seems to be confused or depressed at times.What approach by the nurse can best obtain valuable information about the underlying problem?

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The patient asks the nurse to irrigate both ear canals to improve hearing and comfort.The patient has bilateral brown ear drainage and a history of a right mastoidectomy and perforation of the left tympanic membrane.Which intervention by the nurse takes priority?

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