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sensory post test
92問 • 1年前
  • Kyla Angelique Son
    • 通報

    問題一覧

  • 1

    The nurse is observing a student nurse administer eyedrops. What should the nurse instruct the student to do?

    Administer the drops in the center of the lower lid.

  • 2

    One day after cataract surgery the client is having discomfort from bright light. The nurse should advise the client to

    Use sunglasses that wrap around the side of the face when in bright light.

  • 3

    The client has had a cataract removed. The nurse's discharge instructions should include which of the following?

    Use an eye shield at night.

  • 4

    The client with a cataract tells the nurse about being afraid of being awake during eye surgery. Which of the following responses by the nurse would be the most appropriate?

    “What is it that disturbs you about the idea of being awake?”

  • 5

    A client tells the nurse about the vision being blurred and hazy throughout the entire day. The nurse should recommend that the client do which of the following?

    Schedule an appointment with an ophthalmologist.

  • 6

    The nurse is to instill drops of phenylephrine hydrochloride (Neo-Synephrine) into the client's eye prior to cataract surgery. Which of the following is the expected outcome?

    Dilation of the pupil and constriction of blood vessels.

  • 7

    A short time after cataract surgery, the client has nausea. The nurse should first:

    Medicate the client with an antiemetic, as prescribed.

  • 8

    The nurse is instructing the client about postoperative care following cataract removal. What position should the nurse teach the client to use?

    Remain in a semi-Fowler's position.

  • 9

    After returning home, a client who has had cataract surgery will need to continue to instill eyedrops in the affected eye. The client is instructed to apply slight pressure against the nose at the inner canthus of the eye after instilling the eyedrops. The expected outcome of applying pressure is that the pressure:

    Prevents the medication from entering the tear duct.

  • 10

    To decrease intraocular pressure following cataract surgery, the nurse should instruct the client to avoid:

    Coughing

  • 11

    After cataract removal surgery, the client is instructed to report sharp pain in the operative eye because this could indicate which of the following postoperative complications?

    Intraocular hemorrhage.

  • 12

    The client is diagnosed in the emergency department with a detached retina in the right eye. The nurse should do which of the following first?

    Promote measures that limit mobility.

  • 13

    A client with detachment of the retina is to patch both eyes. The expected outcome of patching is to:

    Reduce rapid eye movements.

  • 14

    The client with retinal detachment in the right eye is extremely apprehensive and tells the nurse, “I'm afraid of going blind. It would be so hard to live that way.” What factor should the nurse consider before responding to this statement?

    Optimism is justified because surgical treatment has a 90% to 95% success rate.

  • 15

    Which of the following statements would provide the best guide for activity during the rehabilitation period for a client who has been treated for retinal detachment?

    Activity is resumed gradually; the client can resume usual activities in 5 to 6 weeks.

  • 16

    Which of the following goals is a priority for a client who has undergone surgery for retinal detachment?

    Prevent an increase in intraocular pressure.

  • 17

    A client with glaucoma is to receive 3 gtt of acetazolamide (diamox) in the left eye. What should the nurse do?

    Have the client look up while the nurse administers the eyedrops.

  • 18

    A client who has been treated for chronic open-angle glaucoma (COAG) for 5 years asks the nurse, “How does glaucoma damage my eyesight?” The nurse's reply should be based on the knowledge that COAG:

    Causes increased intraocular pressure

  • 19

    The nurse should assess clients with chronic open-angle glaucoma (COAG) for:

    Decreasing peripheral vision.

  • 20

    Which of the following should the nurse provide as part of the information to prepare the client for tonometry?

    It is a painless procedure with no adverse effects.

  • 21

    A client uses timolol maleate (Timoptic) eyedrops. The expected outcome of this drug is to control glaucoma by:

    Reducing aqueous humor formation.

  • 22

    The nurse observes the client instill eyedrops. The client says, “I just try to hit the middle of my eyeball so the drops don't run out of my eye.” The nurse explains to the client that this method may cause:

    Corneal injury.

  • 23

    Which of the following clinical manifestations should the nurse assess when a client has acute angle-closure glaucoma?

    Sudden eye pain.

  • 24

    A client has been diagnosed with an acute episode of angle-closure glaucoma. The nurse plans the client's nursing care with the understanding that acute angle- closure glaucoma:

    Is a medical emergency that can rapidly lead to blindness.

  • 25

    The nurse should assess an older adult with macular degeneration for:

    Loss of central vision.

  • 26

    A client has a history of macular degeneration. While in the hospital, the priority nursing goal will be to:

    Promote a safe, effective care environment.

  • 27

    Which measure should the nurse teach the client with adult macular degeneration (AMD) as a safety precaution?

    Turn the head from side to side when walking.

  • 28

    When the nurse enters the client's room, the nurse perceives that the client is staring straight ahead. Which of the following is the best course of action for the nurse to take next?

    Listen to the client and observe the body language.

  • 29

    The nurse is assisting a client who has new-onset vision loss to transition to home from the hospital. The client can see shadow and light in the right eye only. When at home, the client is at greatest risk for which of the following?

    Injury from falls.

  • 30

    To approach a deaf client, the nurse should do which of the following first?

    Get the client's attention.

  • 31

    A 75-year-old client who has been taking furosemide (Lasix) regularly for 4 months tells the nurse that he is having trouble hearing. What would be the nurse's best response to this statement?

    Have the client immediately report the hearing loss to his physician.

  • 32

    The son of an older adult reports that his father just “stares off into space” more and more in the last several months, but then eagerly smiles and nods once the son can get his attention. The nurse should assess the client further for which of the following?

    Hearing loss.

  • 33

    The client with a hearing aid does not seem to be able to hear the nurse. The nurse should do which of the following first?

    Check the hearing aid's placement.

  • 34

    Sensorineural hearing loss results from which of the following conditions?

    Damage to the cochlear or vestibulocochlear nerve.

  • 35

    An older adult has hearing loss and a sensation of fullness in both ears. The nurse should examine the ears for which of the following?

    Accumulation of cerumen in the external canal.

  • 36

    The best method to remove cerumen from a client's ear involves:

    Irrigating the ear gently.

  • 37

    The nurse should use which of the following solutions to remove cerumen from the client's ears?

    Normal saline.

  • 38

    A client is about to have a tympanoplasty and asks the nurse what the surgical procedure involves. The nurse begins the conversation by:

    Assessing the client's understanding of what the physician has explained.

  • 39

    An older adult takes two 81-mg aspirin tablets daily to prevent a heart attack. The client reports having a constant “ringing” in both ears. How should the nurse respond to the client's comment?

    Explain to the client that the “ringing” may be related to the aspirin.

  • 40

    The client with Ménière's disease is instructed to modify the diet. The nurse should explain that the most frequently recommended diet modification for Ménière's disease is:

    Low sodium.

  • 41

    Which of the following statements indicates the client understands the expected course of Ménière's disease?

    “Control of the episodes is usually possible, but a cure is not yet available.”

  • 42

    The risk for injury during an attack of Ménière's disease is high. The nurse should instruct the client to take which immediate action when experiencing vertigo?

    “Assume a reclining or flat position.”

  • 43

    Following a laryngectomy, the nurse notices that the client has saliva collecting beneath the skin flaps. This finding is indicative of which of the following?

    Development of a fistula.

  • 44

    After a total laryngectomy, the client has a feeding tube. The feeding tube is effective if the tube feedings:

    Meet the fluid and nutritional needs of the client.

  • 45

    Complications associated with having a tracheostomy tube include:

    Damage to the laryngeal nerve.

  • 46

    The client with glaucoma is scheduled for a hip replacement. Which of the following prescriptions would require clarification before the nurse carries it out?

    Administer atropine sulfate.

  • 47

    A priority goal for the hospitalized client who 2 days earlier had a total laryngectomy with creation of a new tracheostomy is to:

    Maintain a patent airway.

  • 48

    To ensure safety for a hospitalized blind client, the nurse should:

    Orient the client to the room environment.

  • 49

    The nurse is admitting a client with glaucoma. The client brings prescribed eyedrops from home and insists on using them in the hospital. The nurse should:

    Explain to the client that the physician will write a prescription for the eyedrops to be used at the hospital.

  • 50

    The nurse is assigned to care for a client with an ocular prosthesis who is having surgery under a local anesthetic. Prior to surgery, the nurse should:

    Maintain surgical asepsis when caring for the prosthesis.

  • 51

    The following interventions are appropriate to help the client cope with macular degeneration except:

    Teach the client to place self-care objects in the center of tables.

  • 52

    A nurse is caring for a client with a detached left retina. Which of the following client findings indicates an acute bleed has occurred as a result of detachment?

    A burst of black spots

  • 53

    Postoperative cataract surgery, the client reports nausea and severe eye pain. Which of the following actions should be taken?

    Notify the surgeon.

  • 54

    The client reports ringing in her ears and difficulty hearing in loud environments. The Weber test reveals lateralization to the unaffected ear. The nurse should expect the audiogram to reveal which type of hearing loss?

    Sensorineural

  • 55

    A nurse is caring for a client with Ménière’s disease experiencing severe vertigo. Which instruction should the nurse not give the client?

    Eat salt-filled food.

  • 56

    Children often experience visual impairments. Refractive errors affect the child’s visual activity. The main refractive error seen in children is myopia. The nurse explains to the child’s parents that myopia may also be described as:

    Nearsightedness

  • 57

    Which instruction given to a client after cataract surgery is inappropriate?

    “Avoid salty foods.”

  • 58

    If a patient is told to be legally blind, this patient is:

    seeing at no more than 20 ft what normally should be seen at a distance of 200 ft.

  • 59

    A 19-year-old male client arrived via ambulance to the emergency room following a motorcycle accident. He is comatose. His face has evidence of dried blood. On assessment, the nurse notes an obvious injury to his left eye. The preferred positioning for a client with an obvious eye injury is:

    Sitting with head support

  • 60

    Keratitis is the inflammation of which part of the eye?

    Cornea

  • 61

    The nurse suspects Liza has presbycusis when she says she has:

    a decrease in the ability to hear high-pitched sounds.

  • 62

    Liza also has external otitis. To properly instill drops in Liza’s ears, which method should be done by the nurse?

    Pulling the pinna up and back

  • 63

    When teaching Liza to use a hearing aid, where does the nurse encourage the patient to initially use the aid?

    In a quiet, controlled environment to experiment with tone and volume

  • 64

    While caring for Liza’s husband who has otosclerosis, which finding would the nurse expect in the patient’s history and physical?

    A strong family history of the disease

  • 65

    A nurse should question an order to irrigate the ear canal in which circumstance?

    Perforated tympanic membrane

  • 66

    Conjunctivitis is an infection or inflammation of the conjunctiva. These infections may be caused by bacteria or viruses. From the array of causative agents, which is held to be highly dangerous as it has been a major cause of blindness worldwide?

    Chlamydia trachomatis

  • 67

    When administering a scheduled dose of pilocarpine, in which area should the nurse place the drops?

    Lower conjunctival sac

  • 68

    To estimate hearing loss, the nurse knows that the physician will be prescribing which test?

    Audiometry

  • 69

    Which of the following statements is TRUE about an acoustic neuroma?

    It usually appears only in one ear.

  • 70

    Nurse Ethel observes the patient with glaucoma while he instills his eye drops. The patient looks up the ceiling and instills the correct number of drops at the middle of the eyeball. The technique used by the patient in the instillation of the medication is:

    incorrect because it may damage the cornea.

  • 71

    During the nursing conference, Nurse Ella shares with the team the concerns of the wife of a patient with Meniere’s disease. She is concerned about the change in the husband’s social activities. To assist the wife in adjusting to the present situation, the team should:

    explain to the wife that her husband is experiencing social isolation related to attacks of vertigo.

  • 72

    The staff nurse performs ear irrigation on a patient for the removal of cerumen. What relevant information should the staff nurse share with the patient at the start of the procedure?

    Experience feeling of fullness, warmth and occasional discomfort when the fluid comes in contact with the tympanic membrane.

  • 73

    The nurse in the EENT unit is preparing the 8:00 AM medication. She is fully aware that topical administration of ocular medication results in how many percent rate of absorption?

    1 to 7%

  • 74

    The nurse is preparing ocular medications for topical route administration. What is the advantage of ointment application from instillation of eye drops?

    Promotes efficiency, safety and distribution of solution evenly

  • 75

    The nurse is to administer eye ointment to the patient. Which of the following guide the nurse in the administration of the ointment?

    Check medical conditions that would contraindicate the use of the drug

  • 76

    Common ocular medication include topical anesthetic. In the application of topical anesthetics, the nurse must instruct the patient which of the following measures?

    Refrain from rubbing the eyes to prevent corneal damage.

  • 77

    The nurse is assessing a patient receiving mydriatic eye drop. The patient is sweating, complains of blurred vision and drowsiness. These manifestations are indicative of:

    systemic anticholinergic effect.

  • 78

    Isaac was rushed to the hospital due to nausea, vomiting and unsteadiness and feeling of spinning like on a “merry– go – round.” In assessing the client based on the signs and symptoms presented, the nurse would describe the condition as:

    vertigo.

  • 79

    Physical examination and diagnostic findings indicate Meniere’s disease with sensorineural hearing loss. The nurse interprets this finding when the audiogram reveals which of the following clinical findings?

    Sounds from tuning fork lateralize to the ear opposite the hearing loss

  • 80

    Isaac was rushed to the hospital due to nausea, vomiting and unsteadiness and feeling of spinning like on a “merry– go – round.” Which of the following should be the treatment goal for the client?

    Vestibular rehabilitation

  • 81

    The nurse considered the safety of the client in the event of an episode of imbalance or fall. Which of the following measures should be done to make the client free of injury?

    Instruct client to keep eyes open and stare straight ahead when lying down and experiencing vertigo.

  • 82

    The client expresses concern on his health status and the disabling effect of vertigo. Of the following nursing measures, which is the MOST appropriate for the patient?

    Encourage client to discuss anxieties and explore concerns about vertigo attack.

  • 83

    You are having your current rotation at the EENT clinic of the facility where you are working and you happen to encounter various patients with different sensory problems. The nurse is caring for a patient who is diagnosed with otosclerosis. The patient asks the nurse what this disease . Which is the most appropriate response by the nurse?

    “Hardening of the stapes due to new bone growth.”

  • 84

    Which of the following procedures does the nurse understand is used to correct otosclerosis?

    Stapedectomy

  • 85

    The nurse is assisting a patient who has recently received a hearing aid. Which would the nurse include in the teaching?

    “The hearing aid improves your ability to hear.”

  • 86

    The nurse is caring for a patient with acute angle-closure glaucoma. Which of the following symptoms would the nurse expect to find during data collection for this patient?

    Halos around lights

  • 87

    The nurse cares for patients after eye surgery. Which of the following patients would the nurse provide specific positioning instructions to after eye surgery to prevent complications?

    30-year-old woman after pneumatic retinopexy

  • 88

    David, a 42-year-old lawyer who travels frequently, has been diagnosed with Ménière’s disease. Meniere’s disease is an inner ear problem. What makes up the triad of symptoms that occur with inner ear problems? 1) Vertigo 2) Tinnitus 3) Sensorineural hearing loss 4) Nausea

    1, 2, & 3 only

  • 89

    An appropriate nursing intervention for the patient during an acute attack of Meniere disease includes providing

    a quiet, darkened room.

  • 90

    A diet for Ménière’s disease would include avoiding:

    cheese.

  • 91

    The most popular surgical procedure used to treat this disease is:

    endolymphatic sac decompression.

  • 92

    The nurse is educating the patient about preventing exposure to loud noises that can lead to hearing impairment. The minimum noise level known to cause noise-induced hearing loss, regardless of duration, is:

    85 to 90 dB.

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    問題一覧

  • 1

    The nurse is observing a student nurse administer eyedrops. What should the nurse instruct the student to do?

    Administer the drops in the center of the lower lid.

  • 2

    One day after cataract surgery the client is having discomfort from bright light. The nurse should advise the client to

    Use sunglasses that wrap around the side of the face when in bright light.

  • 3

    The client has had a cataract removed. The nurse's discharge instructions should include which of the following?

    Use an eye shield at night.

  • 4

    The client with a cataract tells the nurse about being afraid of being awake during eye surgery. Which of the following responses by the nurse would be the most appropriate?

    “What is it that disturbs you about the idea of being awake?”

  • 5

    A client tells the nurse about the vision being blurred and hazy throughout the entire day. The nurse should recommend that the client do which of the following?

    Schedule an appointment with an ophthalmologist.

  • 6

    The nurse is to instill drops of phenylephrine hydrochloride (Neo-Synephrine) into the client's eye prior to cataract surgery. Which of the following is the expected outcome?

    Dilation of the pupil and constriction of blood vessels.

  • 7

    A short time after cataract surgery, the client has nausea. The nurse should first:

    Medicate the client with an antiemetic, as prescribed.

  • 8

    The nurse is instructing the client about postoperative care following cataract removal. What position should the nurse teach the client to use?

    Remain in a semi-Fowler's position.

  • 9

    After returning home, a client who has had cataract surgery will need to continue to instill eyedrops in the affected eye. The client is instructed to apply slight pressure against the nose at the inner canthus of the eye after instilling the eyedrops. The expected outcome of applying pressure is that the pressure:

    Prevents the medication from entering the tear duct.

  • 10

    To decrease intraocular pressure following cataract surgery, the nurse should instruct the client to avoid:

    Coughing

  • 11

    After cataract removal surgery, the client is instructed to report sharp pain in the operative eye because this could indicate which of the following postoperative complications?

    Intraocular hemorrhage.

  • 12

    The client is diagnosed in the emergency department with a detached retina in the right eye. The nurse should do which of the following first?

    Promote measures that limit mobility.

  • 13

    A client with detachment of the retina is to patch both eyes. The expected outcome of patching is to:

    Reduce rapid eye movements.

  • 14

    The client with retinal detachment in the right eye is extremely apprehensive and tells the nurse, “I'm afraid of going blind. It would be so hard to live that way.” What factor should the nurse consider before responding to this statement?

    Optimism is justified because surgical treatment has a 90% to 95% success rate.

  • 15

    Which of the following statements would provide the best guide for activity during the rehabilitation period for a client who has been treated for retinal detachment?

    Activity is resumed gradually; the client can resume usual activities in 5 to 6 weeks.

  • 16

    Which of the following goals is a priority for a client who has undergone surgery for retinal detachment?

    Prevent an increase in intraocular pressure.

  • 17

    A client with glaucoma is to receive 3 gtt of acetazolamide (diamox) in the left eye. What should the nurse do?

    Have the client look up while the nurse administers the eyedrops.

  • 18

    A client who has been treated for chronic open-angle glaucoma (COAG) for 5 years asks the nurse, “How does glaucoma damage my eyesight?” The nurse's reply should be based on the knowledge that COAG:

    Causes increased intraocular pressure

  • 19

    The nurse should assess clients with chronic open-angle glaucoma (COAG) for:

    Decreasing peripheral vision.

  • 20

    Which of the following should the nurse provide as part of the information to prepare the client for tonometry?

    It is a painless procedure with no adverse effects.

  • 21

    A client uses timolol maleate (Timoptic) eyedrops. The expected outcome of this drug is to control glaucoma by:

    Reducing aqueous humor formation.

  • 22

    The nurse observes the client instill eyedrops. The client says, “I just try to hit the middle of my eyeball so the drops don't run out of my eye.” The nurse explains to the client that this method may cause:

    Corneal injury.

  • 23

    Which of the following clinical manifestations should the nurse assess when a client has acute angle-closure glaucoma?

    Sudden eye pain.

  • 24

    A client has been diagnosed with an acute episode of angle-closure glaucoma. The nurse plans the client's nursing care with the understanding that acute angle- closure glaucoma:

    Is a medical emergency that can rapidly lead to blindness.

  • 25

    The nurse should assess an older adult with macular degeneration for:

    Loss of central vision.

  • 26

    A client has a history of macular degeneration. While in the hospital, the priority nursing goal will be to:

    Promote a safe, effective care environment.

  • 27

    Which measure should the nurse teach the client with adult macular degeneration (AMD) as a safety precaution?

    Turn the head from side to side when walking.

  • 28

    When the nurse enters the client's room, the nurse perceives that the client is staring straight ahead. Which of the following is the best course of action for the nurse to take next?

    Listen to the client and observe the body language.

  • 29

    The nurse is assisting a client who has new-onset vision loss to transition to home from the hospital. The client can see shadow and light in the right eye only. When at home, the client is at greatest risk for which of the following?

    Injury from falls.

  • 30

    To approach a deaf client, the nurse should do which of the following first?

    Get the client's attention.

  • 31

    A 75-year-old client who has been taking furosemide (Lasix) regularly for 4 months tells the nurse that he is having trouble hearing. What would be the nurse's best response to this statement?

    Have the client immediately report the hearing loss to his physician.

  • 32

    The son of an older adult reports that his father just “stares off into space” more and more in the last several months, but then eagerly smiles and nods once the son can get his attention. The nurse should assess the client further for which of the following?

    Hearing loss.

  • 33

    The client with a hearing aid does not seem to be able to hear the nurse. The nurse should do which of the following first?

    Check the hearing aid's placement.

  • 34

    Sensorineural hearing loss results from which of the following conditions?

    Damage to the cochlear or vestibulocochlear nerve.

  • 35

    An older adult has hearing loss and a sensation of fullness in both ears. The nurse should examine the ears for which of the following?

    Accumulation of cerumen in the external canal.

  • 36

    The best method to remove cerumen from a client's ear involves:

    Irrigating the ear gently.

  • 37

    The nurse should use which of the following solutions to remove cerumen from the client's ears?

    Normal saline.

  • 38

    A client is about to have a tympanoplasty and asks the nurse what the surgical procedure involves. The nurse begins the conversation by:

    Assessing the client's understanding of what the physician has explained.

  • 39

    An older adult takes two 81-mg aspirin tablets daily to prevent a heart attack. The client reports having a constant “ringing” in both ears. How should the nurse respond to the client's comment?

    Explain to the client that the “ringing” may be related to the aspirin.

  • 40

    The client with Ménière's disease is instructed to modify the diet. The nurse should explain that the most frequently recommended diet modification for Ménière's disease is:

    Low sodium.

  • 41

    Which of the following statements indicates the client understands the expected course of Ménière's disease?

    “Control of the episodes is usually possible, but a cure is not yet available.”

  • 42

    The risk for injury during an attack of Ménière's disease is high. The nurse should instruct the client to take which immediate action when experiencing vertigo?

    “Assume a reclining or flat position.”

  • 43

    Following a laryngectomy, the nurse notices that the client has saliva collecting beneath the skin flaps. This finding is indicative of which of the following?

    Development of a fistula.

  • 44

    After a total laryngectomy, the client has a feeding tube. The feeding tube is effective if the tube feedings:

    Meet the fluid and nutritional needs of the client.

  • 45

    Complications associated with having a tracheostomy tube include:

    Damage to the laryngeal nerve.

  • 46

    The client with glaucoma is scheduled for a hip replacement. Which of the following prescriptions would require clarification before the nurse carries it out?

    Administer atropine sulfate.

  • 47

    A priority goal for the hospitalized client who 2 days earlier had a total laryngectomy with creation of a new tracheostomy is to:

    Maintain a patent airway.

  • 48

    To ensure safety for a hospitalized blind client, the nurse should:

    Orient the client to the room environment.

  • 49

    The nurse is admitting a client with glaucoma. The client brings prescribed eyedrops from home and insists on using them in the hospital. The nurse should:

    Explain to the client that the physician will write a prescription for the eyedrops to be used at the hospital.

  • 50

    The nurse is assigned to care for a client with an ocular prosthesis who is having surgery under a local anesthetic. Prior to surgery, the nurse should:

    Maintain surgical asepsis when caring for the prosthesis.

  • 51

    The following interventions are appropriate to help the client cope with macular degeneration except:

    Teach the client to place self-care objects in the center of tables.

  • 52

    A nurse is caring for a client with a detached left retina. Which of the following client findings indicates an acute bleed has occurred as a result of detachment?

    A burst of black spots

  • 53

    Postoperative cataract surgery, the client reports nausea and severe eye pain. Which of the following actions should be taken?

    Notify the surgeon.

  • 54

    The client reports ringing in her ears and difficulty hearing in loud environments. The Weber test reveals lateralization to the unaffected ear. The nurse should expect the audiogram to reveal which type of hearing loss?

    Sensorineural

  • 55

    A nurse is caring for a client with Ménière’s disease experiencing severe vertigo. Which instruction should the nurse not give the client?

    Eat salt-filled food.

  • 56

    Children often experience visual impairments. Refractive errors affect the child’s visual activity. The main refractive error seen in children is myopia. The nurse explains to the child’s parents that myopia may also be described as:

    Nearsightedness

  • 57

    Which instruction given to a client after cataract surgery is inappropriate?

    “Avoid salty foods.”

  • 58

    If a patient is told to be legally blind, this patient is:

    seeing at no more than 20 ft what normally should be seen at a distance of 200 ft.

  • 59

    A 19-year-old male client arrived via ambulance to the emergency room following a motorcycle accident. He is comatose. His face has evidence of dried blood. On assessment, the nurse notes an obvious injury to his left eye. The preferred positioning for a client with an obvious eye injury is:

    Sitting with head support

  • 60

    Keratitis is the inflammation of which part of the eye?

    Cornea

  • 61

    The nurse suspects Liza has presbycusis when she says she has:

    a decrease in the ability to hear high-pitched sounds.

  • 62

    Liza also has external otitis. To properly instill drops in Liza’s ears, which method should be done by the nurse?

    Pulling the pinna up and back

  • 63

    When teaching Liza to use a hearing aid, where does the nurse encourage the patient to initially use the aid?

    In a quiet, controlled environment to experiment with tone and volume

  • 64

    While caring for Liza’s husband who has otosclerosis, which finding would the nurse expect in the patient’s history and physical?

    A strong family history of the disease

  • 65

    A nurse should question an order to irrigate the ear canal in which circumstance?

    Perforated tympanic membrane

  • 66

    Conjunctivitis is an infection or inflammation of the conjunctiva. These infections may be caused by bacteria or viruses. From the array of causative agents, which is held to be highly dangerous as it has been a major cause of blindness worldwide?

    Chlamydia trachomatis

  • 67

    When administering a scheduled dose of pilocarpine, in which area should the nurse place the drops?

    Lower conjunctival sac

  • 68

    To estimate hearing loss, the nurse knows that the physician will be prescribing which test?

    Audiometry

  • 69

    Which of the following statements is TRUE about an acoustic neuroma?

    It usually appears only in one ear.

  • 70

    Nurse Ethel observes the patient with glaucoma while he instills his eye drops. The patient looks up the ceiling and instills the correct number of drops at the middle of the eyeball. The technique used by the patient in the instillation of the medication is:

    incorrect because it may damage the cornea.

  • 71

    During the nursing conference, Nurse Ella shares with the team the concerns of the wife of a patient with Meniere’s disease. She is concerned about the change in the husband’s social activities. To assist the wife in adjusting to the present situation, the team should:

    explain to the wife that her husband is experiencing social isolation related to attacks of vertigo.

  • 72

    The staff nurse performs ear irrigation on a patient for the removal of cerumen. What relevant information should the staff nurse share with the patient at the start of the procedure?

    Experience feeling of fullness, warmth and occasional discomfort when the fluid comes in contact with the tympanic membrane.

  • 73

    The nurse in the EENT unit is preparing the 8:00 AM medication. She is fully aware that topical administration of ocular medication results in how many percent rate of absorption?

    1 to 7%

  • 74

    The nurse is preparing ocular medications for topical route administration. What is the advantage of ointment application from instillation of eye drops?

    Promotes efficiency, safety and distribution of solution evenly

  • 75

    The nurse is to administer eye ointment to the patient. Which of the following guide the nurse in the administration of the ointment?

    Check medical conditions that would contraindicate the use of the drug

  • 76

    Common ocular medication include topical anesthetic. In the application of topical anesthetics, the nurse must instruct the patient which of the following measures?

    Refrain from rubbing the eyes to prevent corneal damage.

  • 77

    The nurse is assessing a patient receiving mydriatic eye drop. The patient is sweating, complains of blurred vision and drowsiness. These manifestations are indicative of:

    systemic anticholinergic effect.

  • 78

    Isaac was rushed to the hospital due to nausea, vomiting and unsteadiness and feeling of spinning like on a “merry– go – round.” In assessing the client based on the signs and symptoms presented, the nurse would describe the condition as:

    vertigo.

  • 79

    Physical examination and diagnostic findings indicate Meniere’s disease with sensorineural hearing loss. The nurse interprets this finding when the audiogram reveals which of the following clinical findings?

    Sounds from tuning fork lateralize to the ear opposite the hearing loss

  • 80

    Isaac was rushed to the hospital due to nausea, vomiting and unsteadiness and feeling of spinning like on a “merry– go – round.” Which of the following should be the treatment goal for the client?

    Vestibular rehabilitation

  • 81

    The nurse considered the safety of the client in the event of an episode of imbalance or fall. Which of the following measures should be done to make the client free of injury?

    Instruct client to keep eyes open and stare straight ahead when lying down and experiencing vertigo.

  • 82

    The client expresses concern on his health status and the disabling effect of vertigo. Of the following nursing measures, which is the MOST appropriate for the patient?

    Encourage client to discuss anxieties and explore concerns about vertigo attack.

  • 83

    You are having your current rotation at the EENT clinic of the facility where you are working and you happen to encounter various patients with different sensory problems. The nurse is caring for a patient who is diagnosed with otosclerosis. The patient asks the nurse what this disease . Which is the most appropriate response by the nurse?

    “Hardening of the stapes due to new bone growth.”

  • 84

    Which of the following procedures does the nurse understand is used to correct otosclerosis?

    Stapedectomy

  • 85

    The nurse is assisting a patient who has recently received a hearing aid. Which would the nurse include in the teaching?

    “The hearing aid improves your ability to hear.”

  • 86

    The nurse is caring for a patient with acute angle-closure glaucoma. Which of the following symptoms would the nurse expect to find during data collection for this patient?

    Halos around lights

  • 87

    The nurse cares for patients after eye surgery. Which of the following patients would the nurse provide specific positioning instructions to after eye surgery to prevent complications?

    30-year-old woman after pneumatic retinopexy

  • 88

    David, a 42-year-old lawyer who travels frequently, has been diagnosed with Ménière’s disease. Meniere’s disease is an inner ear problem. What makes up the triad of symptoms that occur with inner ear problems? 1) Vertigo 2) Tinnitus 3) Sensorineural hearing loss 4) Nausea

    1, 2, & 3 only

  • 89

    An appropriate nursing intervention for the patient during an acute attack of Meniere disease includes providing

    a quiet, darkened room.

  • 90

    A diet for Ménière’s disease would include avoiding:

    cheese.

  • 91

    The most popular surgical procedure used to treat this disease is:

    endolymphatic sac decompression.

  • 92

    The nurse is educating the patient about preventing exposure to loud noises that can lead to hearing impairment. The minimum noise level known to cause noise-induced hearing loss, regardless of duration, is:

    85 to 90 dB.