Chapter 52

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:

louder in his affected ear.

41.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) ___________.

myringotomy

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

otosclerosis

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

removes some internal layers of the cornea

38.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)_________________.

entropion

16.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.

external otitis

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

Accommodation

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

American Foundation for the Blind for a list of agencies

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

Any distortion of the grid

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?

Apply a pressure dressing over the right eye socket

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

Avoid alcoholic beverages

43.Arrange the parts of the eye from the exterior to the most interior. (Separate letters by a comma and space as follows: A, B, C, D)

B, C, F, E, D, A

11.What does the cataract treatment of phacoemulsification involve?

Breaking the cataract with ultrasound

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

Buildup of cerumen Foreign bodies Otosclerosis of external auditory canal Otitis media with effusion

44.Place the nursing intervention in appropriate order for the immediate care of a patient with a penetrating wound of the eye. (Separate letters by a comma and space as follows: A, B, C, D)

C, A, D, B, E

14.What does diabetes retinopathy result from?

Capillaries in retina hemorrhage

4.What does a tympanoplasty correct?

Conductive hearing loss

21.What do miotic eyedrops do for a patient with glaucoma?

Constrict the pupil and open the canal of Schlemm

34.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.)

Cultural beliefs Values Habits

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

Describe the surroundings Encourage the patient to ask for verbal cues Place patient hand on nurses shoulder or elbow

15.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

Detached retina

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

Difficulty driving at night

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

damage of the fine hair cells in the organ of Corti

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

Irrigate with normal saline solution for 20 minutes

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

Large fixed pupils

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

Lie immobile and hold the head in one position until the vertigo lessens.

35.Which of the following are causes of cataracts? (Select all that apply.)

Long-term use of corticosteroids Congenital from exposure to maternal rubella Smoking Diabetes mellitus

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

Reinsert the ear mold

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

The lamp can cause cataracts.

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

The nurse would need to determine how this patients visual impairment affects normal functioning.

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

The procedure will destroy new blood vessels, seal leaking vessels, and help prevent retinal edema

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

200

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

Eustachian tubes in children are shorter and straighter

33.Which may contribute to otitis media? (Select all that apply.)

Exposure to cigarette smoke Allergies Upper respiratory infections

39.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.

Gas

6.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?

Hearing will not return until edema subsided

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

The lifting of heavy objects

27.What is the first indication of macular degeneration

The loss of central vision

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

Turn the patient to his right side Leave the bed flat Medicate immediately on the complaint of nausea

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

enucleation

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

Elevating head of bed with operative side facing upward

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

Overaccentuating words

25.What must a patient do following a left vitrectomy?

Position self in a face-down position for 4 to 5 days

5.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?

Sjgren syndrome