Exam 21: Nursing Assessment: Visual and Auditory Systems

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When taking a health history from a new patient in the outpatient clinic, which information may indicate the need to perform a focused hearing assessment?

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A

When the nurse is taking a health history of a new patient at the ear clinic, the patient states, "I always sleep with the radio on." Which response by the nurse is most appropriate?

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C

The nurse is assessing a 48-year-old patient for presbyopia. Which equipment will the nurse need to obtain prior to the examination?

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B

A patient schedules annual testing for glaucoma with the ophthalmologist. Which information will be included when teaching the patient about routine glaucoma testing?

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During the nursing history, a patient complains of dizziness when bending over and of nausea and dizziness associated with physical activities. The nurse will plan to teach the patient about

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Which action will the nurse take in order to assess the patient's visual field?

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An 87-year-old patient has marked bilateral presbycusis. In performing a Rinne test on the patient, the nurse would anticipate that the patient

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The nurse working in the outpatient clinic receives a new order to check the visual acuity for a patient. The nurse will need to obtain a (an)

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When assessing a sedated patient, the nurse notes that the patient blinks only five or six times a minute. The nurse should plan to

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The nurse is observing a student who is preparing to perform an ear examination of a 24-year-old patient. The nurse will need to intervene if the student

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When obtaining a health history from a 52-year-old patient, which patient statement will be of most concern to the nurse?

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Which assessment information obtained by the nurse when performing an eye examination for a 68-year-old patient indicates that more extensive examination of the eyes is needed?

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A patient being admitted to the hospital has an eye patch in place and tells the nurse "I had a recent eye injury, so I need to wear this patch for a few weeks." Which nursing diagnosis will the nurse include in the plan of care?

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The nurse in the eye clinic is examining a 44-year-old patient who says "I see small spots that move around in front of my eyes." Which action will the nurse take first?

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Assessment of a patient's visual acuity reveals that the left eye can see at 20 feet what a person with normal vision can see at 40 feet and the right eye can see at 20 feet what a person with normal vision can see at 50 feet. The nurse records these findings as visual acuity

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The nurse is obtaining a health history for a 64-year-old patient with glaucoma who is a new patient at the eye clinic. Which information given by the patient will have the most implications for the patient's treatment?

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A patient arrives in the emergency department complaining of eye itching and pain caused by sleeping with contact lenses in place. To facilitate further examination of the eye, the nurse will anticipate the need for

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When performing an eye examination, the nurse will assess for accommodation by

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A patient in the eye clinic is scheduled for refractometry. Which information will be included in patient teaching?

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A nurse at the eye clinic advises all patients to wear sunglasses that protect the eyes from ultraviolet light because ultraviolet sunlight exposure is associated with the development of

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