Deck 53: Care of the Patient With a Visual or Auditory Disorder

Question 1

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

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

Answer 1

Accommodation

Question 2

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

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

Answer 2

Avoid alcoholic beverages.

Question 3

What is a common mistake that hinders communication when communicating with the hearing impaired?

A) Overaccentuating words
B) Facing the patient when speaking
C) Speaking in conversational tones
D) Speaking into the ear with the hearing aid

Answer 3

Overaccentuating words

Question 4

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.

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

Question 5

The nurse is aware that the patient has 20/40 vision.This means that the patient can see at 20 ft what the normal eye can see at _______ ft.

A) 10
B) 20
C) 30
D) 40

Question 6

What does diabetes retinopathy result from?

A) Capillaries in retina hemorrhage
B) Long-term overdosing of insulin
C) Retinal detachment
D) Aging

Question 7

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

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

Question 8

What should a patient who has had a cataract repair avoid?

A) The use of eye patches
B) The use of sunglasses
C) The lifting of heavy objects
D) Reading for long periods of time

Question 9

What does the cataract treatment of phacoemulsification involve?

A) "Drying" the cataract with hypertonic saline
B) Removing the lens through the anterior capsule
C) The insertion of a new lens
D) Breaking the cataract with ultrasound

Question 10

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

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 11

The patient tells the nurse that he is legally blind.How would this information impact the nurse's plan of care for this patient?

A) The patient would be considered totally blind.
B) This patient probably has some light perception,but no usable vision.
C) This patient has some usable vision,which enables function at an acceptable level.
D) The nurse would need to determine how this patient's visual impairment affects normal functioning.

Question 12

When the newly blind male home health patient asks the nurse how he might get assistance,who might the nurse suggest he contact?

A) American Red Cross
B) American Foundation for the Blind for a list of agencies
C) Local hospital social worker
D) The public health department

Question 13

What does a tympanoplasty correct?

A) Conductive hearing loss
B) Sensorineural hearing loss
C) Congenital hearing loss
D) Functional hearing loss

Question 14

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

A) Transport to a health care provider 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.

Question 15

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

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

Question 16

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?

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

Question 17

The nurse takes into consideration that the Weber test indicated a conductive hearing loss in a patient because the patient reported hearing the tone:

A) equally in both ears.
B) as a shrill noise.
C) louder in his affected ear.
D) very faintly.

Question 18

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?

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

Question 19

The nurse clarifies that the difference between a photorefractive keratectomy (PRK)and a laser in-situ keratomileusis (LASIK)is that a LASIK:

A) reshapes the central cornea.
B) makes partial-thickness radial incisions in the cornea.
C) removes some internal layers of the cornea.
D) implants intracorneal rings.

Question 20

Four hours after a stapedectomy,the patient complains that hearing has not improved at all.What knowledge would the nurse use to shape a response?

A) A large percentage of stapedectomies are not successful.
B) It will take at least 10 days for the graft to heal.
C) Hearing will not return until edema subsides.
D) Hearing will improve after irrigation of the ear.

Question 21

The surgical incision into the eardrum with either a knife or a heated wire loop to relieve pressure in the middle ear is a(n)___________.

Question 22

What do miotic eye drops do for a patient with glaucoma?

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 23

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

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

Question 24

A patient who had an enucleation of the right eye has been admitted PACU.What should the nurse include in the plan of care?

A) Turn,cough,and deep breathe every 3 hours.
B) Apply a pressure dressing over the right eye socket.
C) Document dressing assessment every 2 hours.
D) Turn on the affected side.

Question 25

What is the first indication of macular degeneration?

A) The loss of peripheral vision
B) The loss of central vision
C) The loss of color discrimination
D) Eye fatigue

Question 26

What is the first nursing intervention step for the immediate care of a patient with a penetrating wound of the eye?

A) Assess eye,do not remove object.
B) Cover both eyes with an eye shield or cup.
C) Lay the patient down flat.
D) Check for the irregularity of the pupil.
E) Obtain medical attention immediately.

Question 27

The home health patient complains of tearing and a feeling of dryness in the right eye.The nurse assesses that the eyelid is turned inward and the sclera is red.The nurse documents the presence of a(n)_________________.

Question 28

Why is otitis media found more frequently in children 6 to 36 months?

A) Eustachian tubes in children are shorter and straighter.
B) Infection descends via the eustachian tube to the throat.
C) Children's eustachian tubes are more vertical and longer.
D) Otitis media is seen equally in both children and adults.

Question 29

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

Question 30

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

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 31

What should the nurse do when assisting a blind person to walk in an unfamiliar hospital environment? (Select all that apply. )

A) Discourage the use of the cane.
B) Advise the patient to walk quickly.
C) Describe the surroundings.
D) Encourage the patient to ask for verbal cues.
E) Place patient hand on nurse's shoulder or elbow.

Question 32

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

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 33

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

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 34

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.

Question 35

Which is a sign of acute angle closure glaucoma (AACG)?

A) Large fixed pupil
B) Nystagmus
C) Bluish color in sclera
D) Drooping eyelid

Question 36

Progressive deafness caused by the ankylosis of the stapes is the condition of__________.

Question 37

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

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.

Question 38

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

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

Question 39

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. )

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

Question 40

What must a patient do following a left vitrectomy?

A) Remain flat in bed for 48 hours.
B) Position self in a face-down position for 4 to 5 days.
C) Assume a side-lying position with the left side down for 3 days.
D) Keep head upright and cushioned with pillows for 24 hours.