Exam 20: Assessment of Visual and Auditory Systems

Which action can the nurse working in the emergency department delegate to experienced unlicensed assistive personnel (UAP)?

A patient arrives in the emergency department complaining of eye itching and pain after sleeping with contact lenses in place. To facilitate further examination of the eye,fluorescein angiography is ordered. The nurse will teach the patient to

Which equipment will the nurse obtain to perform a Rinne test?

The nurse is testing the visual acuity of a patient in the outpatient clinic. The nurse's instructions for this test include asking the patient to

A patient who underwent eye surgery is required to wear an eye patch until the scheduled postoperative clinic visit. Which nursing diagnosis will the nurse include in the plan of care?

Which assessment finding alerts the nurse to provide patient teaching about cataract development?

Which information will the nurse provide to the patient scheduled for refractometry?

The nurse is assessing a 65-yr-old patient for presbyopia. Which instruction will the nurse give the patient before the test?

The nurse is providing health promotion teaching to a group of older adults. Which information will the nurse include when teaching about routine glaucoma testing?

When obtaining a health history from a 49-yr-old patient,which patient statement is most important to communicate to the primary health care provider?

A 65-yr-old patient is being evaluated for glaucoma. Which information given by the patient has implications for the patient's treatment plan?

Which action should the nurse take when providing patient teaching to a 76-yr-old patient with mild presbycusis?

When assessing a patient's consensual pupil response,the nurse should

The nurse is performing an eye examination on a 76-yr-old patient. The nurse should refer the patient for a more extensive assessment based on which finding?

The nurse is observing a student who is preparing to perform an ear examination for a 30-yr-old patient. The nurse will need to intervene if the student

The charge nurse must intervene immediately if observing a nurse who is caring for a patient with vestibular disease

When the nurse is taking a health history of a new patient at the ear clinic,the patient states,"I have to sleep with the television on." Which follow-up question is appropriate to obtain more information about possible hearing problems?

The nurse performing an eye examination will document normal findings for accommodation when

The nurse working in the vision and hearing clinic receives telephone calls from several patients who want appointments in the clinic as soon as possible. Which patient should be seen first?

When the patient turns his head quickly during the admission assessment,the nurse observes nystagmus. What is the indicated nursing action?