Deck 26: Care of Patients with Disorders of the Eyes and Ears

Question 1

A patient comes to the ambulatory care clinic after getting hay into the eyes while farming.Which action(s)should the nurse implement?

A) Flush the eye with warm saline.
B) Hold the eyelids open.
C) Tilt the head back.
D) Use a moistened sterile cotton swab.
E) Ask the patient to rub the eyes with the lids closed to produce more tears.

Answer 1

Flush the eye with warm saline.
Hold the eyelids open.
Tilt the head back.
Use a moistened sterile cotton swab.

Question 2

The nurse is caring for a patient following a left corneal transplant.When positioning the patient,the nurse correctly assists the patient into which positions?

A) Supine
B) Supine with head on small pillow
C) Left side-lying
D) Right side-lying
E) High Fowler

Answer 2

Supine
Supine with head on small pillow
Right side-lying

Question 3

A patient presents to a walk-in clinic with a small piece of rock deeply embedded in his right eye.What should the nurse do first?

A) Flush the eye with a continuous stream of warm water.
B) Refer the patient to the emergency department.
C) Irrigate the eye with cool water.
D) Cover both eyes with a dressing.

Answer 3

Cover both eyes with a dressing.

Question 4

The nurse is caring for a patient who is receiving dipivefrin (Propine).Which abnormal finding is an expected side effect of this medication?

A) Blood pressure 80/50
B) Pulse 112
C) Respirations 8
D) Temperature 102.4

Question 5

Which manifestation is the classic early warning symptom of a detached retina?

A) Tearing and swelling of the eye
B) Flashing colored lights in the eye
C) Bleeding into the anterior chamber
D) Intense brow pain

Question 6

The nurse is caring for a patient who has developed keratitis.When planning care,the nurse should implement which action to improve the patient's comfort?

A) Use eye shields.
B) Instill artificial tears.
C) Apply cold compresses.
D) Apply warm compresses.

Question 7

The patient with glaucoma is prescribed an Ocusert miotic.How often should the medication be replaced?

A) Daily
B) Semiweekly
C) Weekly
D) Biweekly

Question 8

The nurse is caring for a patient with suspected macular degeneration.During the assessment the patient is asked to focus on an image.Which finding supports the diagnosis?

A) The patient only sees disconnected pieces of the image.
B) The patient sees a dark spot in the center of what is viewed.
C) The patient sees nothing in the peripheral vision.
D) The patient sees wavy lines and bright flashing lights.

Question 9

The nurse is caring for patient who presented to an ambulatory care clinic with a large amount of sand in his eyes following an all-terrain vehicle accident.After the nurse completes eye irrigation,the patient reports that his eyes still hurt and feel irritated.What action is most appropriate?

A) Instruct the patient that these feelings are normal after an eye irrigation.
B) Instruct the patient that the prescribed ointment will help to soothe the eye irritation.
C) Repeat the eye irrigation with a solution of 50% sterile water and normal saline.
D) Notify the physician.

Question 10

The nurse is reviewing the plan of care for a patient following a tympanoplasty.Which intervention should the nurse implement in the immediate postoperative period?

A) Keep the patient flat in bed.
B) Encourage deep breathing and coughing.
C) Reposition the patient quickly to reduce nausea and vomiting.
D) Position the patient's head with the affected ear touching the mattress.

Question 11

After teaching a patient about a new eye medication,the nurse observes the patient applying eye ointment.Which technique indicates that the nurse's teaching has been successful?

A) The patient applies the ointment from the inner to outer canthus.
B) The patient applies the ointment in the center of the conjunctival sac.
C) The patient applies the ointment liberally from the outer to inner canthus.
D) The patient applies the ointment directly to the sclera.

Question 12

The nurse is teaching a patient who is scheduled to undergo surgery to manage glaucoma.Which statement indicates that the patient understands the nurse's teaching about the procedure?

A) "The surgery will increase outflow of aqueous humor."
B) "The surgery will reduce amount of vitreous humor."
C) "The surgery will widen my pupils."
D) "The surgery will reduce pain."

Question 13

The patient with a corneal transplant asks how long he must wear the eye shield at night.The nurse instructs the patient that he should wear the shield for at least what period of time?

A) 1 month
B) 2 months
C) 6 months
D) 1 year

Question 14

The nurse is discussing the postoperative period with a patient with a corneal transplant.Which statement indicates that the patient displays realistic expectations about vision improvement?

A) "I will have my full vision restored within 48 to 72 hours."
B) "It will take about 24 hours before I see improvement in my vision."
C) "My vision will show improvement in about 2 weeks."
D) "It may take about a month before my vision shows improvement."

Question 15

The nurse is caring for a patient who has come to the ambulatory care clinic after experiencing a chemical burn to the eye.The nurse should irrigate the patient's eye with which solution?

A) Normal saline
B) Tap water
C) Sterile water
D) A mixture of half sterile water and half normal saline

Question 16

The patient who had a corneal transplant is taught that inflammatory changes (redness,swelling,and pain)in the corneal graft are best indicators of which complication?

A) Graft rejection
B) Allergy to graft
C) Infection
D) Revascularization

Question 17

The nurse is caring for a patient with Ménière disease.Which action is most important for the nurse to take?

A) Speak loudly and clearly into the affected ear.
B) Restrict sodium intake.
C) Encourage frequent ambulation.
D) Encourage fluid intake.

Question 18

The nurse notices that the patient must hold the newspaper at arm's length and squint to read.The nurse understands that this finding is consistent with which eye problem?

A) Myopia
B) Hyperopia
C) Presbyopia
D) Astigmatism

Question 19

The nurse is caring for a patient in the postoperative period after enucleation.Which intervention is most important?

A) Provide emotional support.
B) Educate the patient about permanent prosthesis placement.
C) Resume diet as ordered.
D) Educate the patient about postoperative medications.

Question 20

The nurse explains that a photorefractive keratectomy (PRK)is a very brief surgery that corrects myopia.Which statement indicates that the nurse's teaching about the procedure has been successful?

A) "This procedure uses a laser to remove a thin layer of the cornea."
B) "This procedure uses a laser to reshape the cornea, then replace the outer layer."
C) "This procedure makes tiny cuts in the cornea to flatten it."
D) "This procedure uses a laser to reshape the fundus."

Question 21

The nurse is performing postoperative teaching for a patient who underwent a left cataract removal.Which information should the nurse include in the teaching plan?

A) Sleep on the right side.
B) Take a stool softener to avoid straining during bowel movements.
C) Bend at the waist and avoid stooping.
D) Wash hands before instilling eyedrops.
E) Follow the prescribed medication schedule exactly.

Question 22

Arrange the steps of the pathophysiologic process of open-angle glaucoma in the correct order.

Step 1

A)Intraocular pressure exceeding 25 mm Hg
B)Optic nerve and retina damaged by ischemia
C)Permanent and irreversible vision impairment
D)Overproduction of aqueous humor
E)Continued high intraocular pressure restricting blood flow to optic nerve and retina

Question 23

Place the steps of eye irrigation in appropriate sequence.

Step 3

A)Ask patient to turn head to affected side.
B)Don gloves.
C)Direct continuous stream of fluid from inner to outer canthus.
D)Instruct patient to lie supine.
E)Hold lids apart with thumb and finger.
F)Have patient close eyes to move debris from upper eyelid to conjunctival sac.

Question 24

Following a scleral buckling procedure,which intervention(s)should the nurse include in the postoperative care?

A) Speak before touching the patient.
B) Administer a laxative.
C) Warn the patient that vision does not return immediately.
D) Instruct the patient to wear an eye shield at night and while napping.
E) Instruct the patient to change the eye patch twice daily.

Question 25

Which manifestation(s)is/are symptoms of a cataract?

A) Nystagmus
B) Troubled by glare
C) Increased myopia
D) Color distortion
E) Night blindness

Question 26

Arrange the steps of the pathophysiologic process of open-angle glaucoma in the correct order.

Step 3

A)Intraocular pressure exceeding 25 mm Hg
B)Optic nerve and retina damaged by ischemia
C)Permanent and irreversible vision impairment
D)Overproduction of aqueous humor
E)Continued high intraocular pressure restricting blood flow to optic nerve and retina

Question 27

Arrange the steps of the pathophysiologic process of open-angle glaucoma in the correct order.

Step 2

A)Intraocular pressure exceeding 25 mm Hg
B)Optic nerve and retina damaged by ischemia
C)Permanent and irreversible vision impairment
D)Overproduction of aqueous humor
E)Continued high intraocular pressure restricting blood flow to optic nerve and retina

Question 28

Arrange the steps of the pathophysiologic process of open-angle glaucoma in the correct order.

Step 5

A)Intraocular pressure exceeding 25 mm Hg
B)Optic nerve and retina damaged by ischemia
C)Permanent and irreversible vision impairment
D)Overproduction of aqueous humor
E)Continued high intraocular pressure restricting blood flow to optic nerve and retina

Question 29

Accommodation is accomplished through the interaction of the ciliary bodies and the _____.

Question 30

Arrange the steps of the pathophysiologic process of open-angle glaucoma in the correct order.

Step 4

A)Intraocular pressure exceeding 25 mm Hg
B)Optic nerve and retina damaged by ischemia
C)Permanent and irreversible vision impairment
D)Overproduction of aqueous humor
E)Continued high intraocular pressure restricting blood flow to optic nerve and retina

Question 31

Place the steps of eye irrigation in appropriate sequence.

Step 4

A)Ask patient to turn head to affected side.
B)Don gloves.
C)Direct continuous stream of fluid from inner to outer canthus.
D)Instruct patient to lie supine.
E)Hold lids apart with thumb and finger.
F)Have patient close eyes to move debris from upper eyelid to conjunctival sac.

Question 32

Place the steps of eye irrigation in appropriate sequence.

Step 2

A)Ask patient to turn head to affected side.
B)Don gloves.
C)Direct continuous stream of fluid from inner to outer canthus.
D)Instruct patient to lie supine.
E)Hold lids apart with thumb and finger.
F)Have patient close eyes to move debris from upper eyelid to conjunctival sac.

Question 33

The nurse has completed the assessment on a newly admitted patient.Which finding(s)is/are risk factor(s)in the development of cataracts?

A) Cigarette smoking
B) Completion of radiation therapy
C) Hormone replacement therapy
D) Long-term corticosteroid use
E) History of gastroesophageal reflux disease (GERD)

Question 34

Place the steps of eye irrigation in appropriate sequence.

Step 5

A)Ask patient to turn head to affected side.
B)Don gloves.
C)Direct continuous stream of fluid from inner to outer canthus.
D)Instruct patient to lie supine.
E)Hold lids apart with thumb and finger.
F)Have patient close eyes to move debris from upper eyelid to conjunctival sac.

Question 35

Place the steps of eye irrigation in appropriate sequence.

Step 6

A)Ask patient to turn head to affected side.
B)Don gloves.
C)Direct continuous stream of fluid from inner to outer canthus.
D)Instruct patient to lie supine.
E)Hold lids apart with thumb and finger.
F)Have patient close eyes to move debris from upper eyelid to conjunctival sac.

Question 36

Place the steps of eye irrigation in appropriate sequence.

Step 1

A)Ask patient to turn head to affected side.
B)Don gloves.
C)Direct continuous stream of fluid from inner to outer canthus.
D)Instruct patient to lie supine.
E)Hold lids apart with thumb and finger.
F)Have patient close eyes to move debris from upper eyelid to conjunctival sac.