Exam 11: Care of the Eye and Ear

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.)

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

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

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 should the nurse implement first?

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?

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

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

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

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

The nurse plans care for a newly admitted female Muslim patient who is blind.Which is the priority nursing action for this patient?

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

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.)

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.)

The nurse irrigates the patient's right ear with saline solution to improve hearing.Which unexpected outcome of ear canal irrigation does the nurse prevent by preparing the irrigation solution properly?

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 should the nurse implement first?

The family of an older adult brings the patient to the healthcare 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?

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

The nurse is establishing a discharge teaching plan for a diabetic patient with visual impairment who is seen in urgent care for an ankle sprain.Which self-care tasks will need additional adjustments to accommodate for the visual impairment? (Select all that apply.)

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

The nurse plans care for the patient in acute care.Which is the priority nursing diagnosis for a patient with altered sensory perception?