Question 1

Why would the nurse encourage a group of teenagers to protect their eyes with dark sunglasses while using a UV lamp?

Accepted Answer

A)  The lamp can cause cataracts. 
B)  The lamp can cause presbycusis. 
C)  The lamp can cause keratitis. 
D)  The lamp can cause ectropion. 
A)  The lamp can cause cataracts. 
B)  The lamp can cause presbycusis. 
C)  The lamp can cause keratitis. 
D)  The lamp can cause ectropion. A

Question 2

One of the housekeepers splashes a chemical in the eyes. What should be the first priority?

Accepted Answer

A)  Transport to a physician immediately 
B)  Cover the eyes with a sterile gauze 
C)  Irrigate with H2O for 5 minutes 
D)  Irrigate with normal saline solution for 20 minutes 
A)  Transport to a physician immediately 
B)  Cover the eyes with a sterile gauze 
C)  Irrigate with H2O for 5 minutes 
D)  Irrigate with normal saline solution for 20 minutes D

Question 3

The nurse counsels the 16-year-old boy that playing his music at high volume can result in impairment in hearing related to:

Accepted Answer

A)  damaged tympanic membrane. 
B)  protective buildup of cerumen. 
C)  damage of the fine hair cells in the organ of Corti. 
D)  rupture of the oval window. 
A)  damaged tympanic membrane. 
B)  protective buildup of cerumen. 
C)  damage of the fine hair cells in the organ of Corti. 
D)  rupture of the oval window. C

Question 4

What should the nurse advise the 20-year-old to do who has been put on cefaclor (Ceclor) for a resistant otitis media?

Accepted Answer

A)  Store suspension at room temperature 
B)  Discontinue drug when symptoms abate 
C)  Avoid alcoholic beverages 
D)  Take with meals only 
A)  Store suspension at room temperature 
B)  Discontinue drug when symptoms abate 
C)  Avoid alcoholic beverages 
D)  Take with meals only

Question 5

When the patient stares at the black dot on an Amsler grid, what should the nurse ask him to report?

Accepted Answer

A)  Any color visible on the grid 
B)  Fading of the edges of the grid 
C)  Any distortion of the grid 
D)  Movement of the black dot 
A)  Any color visible on the grid 
B)  Fading of the edges of the grid 
C)  Any distortion of the grid 
D)  Movement of the black dot

Question 6

What is the process when the lens of the eye changes its curvature to focus on the retina?

Accepted Answer

A)  Accommodation 
B)  Constriction 
C)  Convergence 
D)  Refraction 
A)  Accommodation 
B)  Constriction 
C)  Convergence 
D)  Refraction

Question 7

The nurse will assess for _____________ when the older adult home health patient complains that the entire right side of his head hurts and he cannot chew without pain.

Accepted Answer

A)  mumps 
B)  external otitis 
C)  otitis media 
D)  labyrinthitis 
A)  mumps 
B)  external otitis 
C)  otitis media 
D)  labyrinthitis

Question 8

The nurse explains that a pneumatic retinopexy is a repair of a retinal detachment using a bubble of_________ to put pressure on the damaged retina.

Accepted Answer

gas
A pneumatic reti

Question 9

Which complaint made by a 64-year-old patient during a health interview would alert the nurse to the possibility of cataracts?

Accepted Answer

A)  Pain in the eyes 
B)  Difficulty driving at night 
C)  Loss of peripheral vision 
D)  Dry eyes 
A)  Pain in the eyes 
B)  Difficulty driving at night 
C)  Loss of peripheral vision 
D)  Dry eyes

Question 10

When the patient in the emergency room complains of seeing flashing lights and a curtain down over his right eye, the nurse recognizes this as a symptom of which condition?

Accepted Answer

A)  Detached retina 
B)  Macular degeneration 
C)  Early sign of cataract 
D)  Diabetic retinopathy 
A)  Detached retina 
B)  Macular degeneration 
C)  Early sign of cataract 
D)  Diabetic retinopathy

Question 11

What do miotic eyedrops do for a patient with glaucoma?

Accepted Answer

A)  Dilate the pupil and sharpen vision 
B)  Lubricate and moisten the dry eye 
C)  Irrigate the surface of the eye 
D)  Constrict the pupil and open the canal of Schlemm 
A)  Dilate the pupil and sharpen vision 
B)  Lubricate and moisten the dry eye 
C)  Irrigate the surface of the eye 
D)  Constrict the pupil and open the canal of Schlemm

Question 12

The total removal of an eye is a(n) ___________.

Accepted Answer

enucleation
The surg

Question 13

What factors must the nurse consider when assessing readiness to learn when teaching health promotion practices for the visually and hearing impaired? (Select all that apply.)

Accepted Answer

A)  Cultural beliefs 
B)  Values 
C)  Habits 
D)  Income 
E)  Occupation 
A)  Cultural beliefs 
B)  Values 
C)  Habits 
D)  Income 
E)  Occupation

Question 14

The 62-year-old home health patient who is recovering from eye surgery complains of a feeling of "grittiness" in the eye and is having blurred vision. The eyes are reddened and have stringy mucus. What do these complaints indicate?

Accepted Answer

A)  Sjögren syndrome 
B)  Early cataracts 
C)  Macular degeneration 
D)  Retinal detachment 
A)  Sjögren syndrome 
B)  Early cataracts 
C)  Macular degeneration 
D)  Retinal detachment

Question 15

What should the nurse remind the hearing aid wearer to do when the nurse hears a whistling hearing aid?

Accepted Answer

A)  Reinsert the ear mold 
B)  Change the battery 
C)  Recharge the hearing aid 
D)  Wash the ear mold with warm water 
A)  Reinsert the ear mold 
B)  Change the battery 
C)  Recharge the hearing aid 
D)  Wash the ear mold with warm water

Question 16

How would the nurse explain the purpose of photocoagulation to a diabetic patient with diabetic retinopathy?

Accepted Answer

A)  The procedure will destroy the retina, which is not getting enough blood supply. 
B)  The procedure will reduce edema in the macula of the eye. 
C)  The procedure will vaporize fatty deposits that appear in the retina. 
D)  The procedure will destroy new blood vessels, seal leaking vessels, and help prevent retinal edema. 
A)  The procedure will destroy the retina, which is not getting enough blood supply. 
B)  The procedure will reduce edema in the macula of the eye. 
C)  The procedure will vaporize fatty deposits that appear in the retina. 
D)  The procedure will destroy new blood vessels, seal leaking vessels, and help prevent retinal edema.

Question 17

What would a nurse do when the patient arrives in the PACU after a left stapedectomy? (Select all that apply.)

Accepted Answer

A)  Turn the patient to his right side 
B)  Change dressing as it becomes soiled 
C)  Turn patient every 2 hours 
D)  Leave the bed flat 
E)  Medicate immediately on the complaint of nausea 
A)  Turn the patient to his right side 
B)  Change dressing as it becomes soiled 
C)  Turn patient every 2 hours 
D)  Leave the bed flat 
E)  Medicate immediately on the complaint of nausea

Question 18

How should the nurse advise a patient who has severe vertigo from labyrinthitis?

Accepted Answer

A)  Lean against a wall and not head forward until vertigo lessens. 
B)  Bend at the waist and take several deep breaths. 
C)  Drink an iced drink slowly. 
D)  Lie immobile and hold the head in one position until the vertigo lessens. 
A)  Lean against a wall and not head forward until vertigo lessens. 
B)  Bend at the waist and take several deep breaths. 
C)  Drink an iced drink slowly. 
D)  Lie immobile and hold the head in one position until the vertigo lessens.

Question 19

Select all the conditions that may cause conductive hearing loss. (Select all that apply.)

Accepted Answer

A)  Buildup of cerumen 
B)  Foreign bodies 
C)  Otosclerosis of external auditory canal 
D)  Trauma 
E)  Exposure to ototoxic drugs
F) Otitis media with effusion 
A)  Buildup of cerumen 
B)  Foreign bodies 
C)  Otosclerosis of external auditory canal 
D)  Trauma 
E)  Exposure to ototoxic drugs
F) Otitis media with effusion

Question 20

What should the nurse include in the plan of care following a tympanoplasty?

Accepted Answer

A)  Elevating head of bed with operative side facing upward 
B)  Enforcing bed rest for 72 hours 
C)  Frequent turning, coughing, and deep breathing 
D)  Continuous irrigation of the ear canal with antibiotic solutions 
A)  Elevating head of bed with operative side facing upward 
B)  Enforcing bed rest for 72 hours 
C)  Frequent turning, coughing, and deep breathing 
D)  Continuous irrigation of the ear canal with antibiotic solutions

Exam 52: Care of the Patient with a Sensory Disorder

Why would the nurse encourage a group of teenagers to protect their eyes with dark sunglasses while using a UV lamp?

One of the housekeepers splashes a chemical in the eyes. What should be the first priority?

The nurse counsels the 16-year-old boy that playing his music at high volume can result in impairment in hearing related to:

What should the nurse advise the 20-year-old to do who has been put on cefaclor (Ceclor) for a resistant otitis media?

When the patient stares at the black dot on an Amsler grid, what should the nurse ask him to report?

What is the process when the lens of the eye changes its curvature to focus on the retina?

The nurse will assess for _____________ when the older adult home health patient complains that the entire right side of his head hurts and he cannot chew without pain.

The nurse explains that a pneumatic retinopexy is a repair of a retinal detachment using a bubble of_________ to put pressure on the damaged retina.

Which complaint made by a 64-year-old patient during a health interview would alert the nurse to the possibility of cataracts?

When the patient in the emergency room complains of seeing flashing lights and a curtain down over his right eye, the nurse recognizes this as a symptom of which condition?

What do miotic eyedrops do for a patient with glaucoma?

The total removal of an eye is a(n) ___________.

What factors must the nurse consider when assessing readiness to learn when teaching health promotion practices for the visually and hearing impaired? (Select all that apply.)

The 62-year-old home health patient who is recovering from eye surgery complains of a feeling of "grittiness" in the eye and is having blurred vision. The eyes are reddened and have stringy mucus. What do these complaints indicate?

What should the nurse remind the hearing aid wearer to do when the nurse hears a whistling hearing aid?

How would the nurse explain the purpose of photocoagulation to a diabetic patient with diabetic retinopathy?

What would a nurse do when the patient arrives in the PACU after a left stapedectomy? (Select all that apply.)

How should the nurse advise a patient who has severe vertigo from labyrinthitis?

Select all the conditions that may cause conductive hearing loss. (Select all that apply.)

What should the nurse include in the plan of care following a tympanoplasty?

Evolution of Nursing

Legal and Ethical Aspects of Nursing

Documentation

Communication

Nursing Process and Critical Thinking

Cultural and Ethnic Considerations

Asepsis and Infection Control

Body Mechanics and Patient Mobility

Hygiene and Care of the Patient’s Environment

Safety

Vital Signs

Physical Assessment

Admission, Transfer, and Discharge

Surgical Wound Care

Specimen Collection and Diagnostic Testing

Care of Patients Experiencing Urgent Alterations in Health

Complementary and Alternative Therapies

Pain Management, Comfort, Rest, and Sleep

Nutritional Concepts and Related Therapies

Fluids and Electrolytes

Mathematics and Medication Administration

Care of Patients with Alterations in Health

Life Span Development

Loss, Grief, Dying, and Death

Health Promotion and Pregnancy

Labor and Delivery

Care of the Mother and Newborn

Care of the High-Risk Mother, Newborn, and Family with Special Needs

Health Promotion for the Infant, Child, and Adolescent

Basic Pediatric Nursing Care

Care of the Child with a Physical and Mental or Cognitive Disorder

Health Promotion and Care of the Older Adult

Concepts of Mental Health

Care of the Patient with a Psychiatric Disorder

Care of the Patient with an Addictive Personality

Home Health Nursing

Long-Term Care

Rehabilitation Nursing

Hospice Care

Introduction to Anatomy and Physiology

Care of the Surgical Patient

Care of the Patient with an Integumentary Disorder

Care of the Patient with a Musculoskeletal Disorder

Care of the Patient with a Gastrointestinal Disorder

Care of the Patient with a Gallbladder, Liver, Biliary Tract, or Exocrine Pancreatic Disorder

Care of the Patient with a Blood or Lymphatic Disorder

Care of the Patient with a Cardiovascular or a Peripheral Vascular Disorder

Care of the Patient with a Respiratory Disorder

Care of the Patient with a Urinary Disorder

Care of the Patient with an Endocrine Disorder

Care of the Patient with a Reproductive Disorder

Care of the Patient with a Neurologic Disorder

Care of the Patient with an Immune Disorder

Care of the Patient with HIV/AIDS

Care of the Patient with Cancer

Professional Roles and Leadership

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