Neurosensory

Which finding, if present after a patient has right eye surgery, should be reported to the provider immediately as it may indicate hemorrhage?

A sudden pain in the affected eye

A patient with a history of Meniere disease is discussing dietary options with the nurse. The patient demonstrates an understanding of the necessary dietary changes by agreeing to restrict which food item?

Canned soups

A nurse is reinforcing teaching with a client who has a new diagnosis of primary open-angle glaucoma (POAG). Which of the following information should the nurse include in the teaching? (select all that apply)

Driving can be dangerous due to loss of peripheral vision Laser surgery can help reestablish the flow of aqueous humor

When a patient experiences dizziness and vertigo, which action should be included in the patient's care?

Instructing the patient to lie down and remain as still as possible

A patient with glaucoma is being treated with miotic eyedrops. Following administration of the medication, the nurse should note which reaction?

Pupil constriction

Older adults are more prone to conductive hearing loss and tinnitus because of:

hardened cerumen

The nurse is caring for a patient who has had his eye removed after suffering an injury. The patient is a candidate for the placement of an artificial eye. Which statement by the patient indicates understanding of when an artificial eye will be placed?

"I should have my artificial eye placed in about 6 weeks."

A patient returns 1 week after receiving hearing aids and states, "I guess I may as well return these--I just cannot get used to them." What is an appropriate nursing response? (select all that apply)

"You have not been able to hear well for a long time. Adjusting to the way you hear the sound through the hearing aid may take quite a bit of time, but it will be worth it!" "In order to adjust the hearing aids, you must wear them most of the time. Are you able to keep them in most of the time, or do you spend most of your time without them?"

A male patient was informed that he would need to wear a pair of corrective lenses for astigmatism. When asked about the condition, the patient demonstrates understanding when he states that:

"Astigmatism is an irregular curvature of the cornea."

Before eye surgery, a patient is instructed to take stool softeners. When asked about the rationale for taking stool softener, an appropriate response would be:

"The medication reduces the possibility of straining at stool postoperatively."

While looking at a card with a geometric grid of identical squares, a patient is asked to focus on a central dot and to describe any distortions of the surrounding boxes. Which patient statement indicates a need for further diagnostic testing?

"There are wavy lines around the central dot"

The patient presents to the clinic for a routine exam. Which signs or symptoms, if demonstrated or reported by the patient, indicate a possible eye disorder? (select all that apply)

Double vision Blurred vision Flashing lights

A nurse applies a vibrating tuning fork to the middle of a patient's forehead. What response would indicate a normal hearing?

Hearing the sound in the middle of the forehead

A nurse is reinforcing teaching with a client who is postoperative for cataract surgery. The nurse should include in the teaching that which of the following is an adverse effect of cataract surgery?

Intraocular hemorrhage

Which nursing action(s) demonstrate(s) appropriate care of a patient who is visually impaired? (select all that apply)

Introduce self before touching Ensure ready access to the call button for assistance Assist with feeding using the clock method

A patient wearing corrective lenses has a visual acuity of 20/200. The nurse knows this patient has which characteristic?

Legally blind

A patient has been diagnosed with sensorineural hearing loss. The patient questions potential causes of this type of hearing loss. Which are associated with a sensorineural hearing loss? (select all that apply)

Meningitis Use of ibuprofen (Motrin) Use of furosemide (Lasix) Exposure to loud noises

The nurse is performing an assessment on a patient with labyrinthitis. Which symptom(s) would likely to be noted? (select all that apply)

Nausea Nystagmus Loss of hearing

During the immediate postoperative period following cataract removal, what is the priority action by the LPN/LVN?

Be sure the patient avoids coughing, sneezing, rubbing the eyelids, or sudden movements of the head.

When a patient receives Lasix for a problem with edema, which assessment relative to this drug is important to the patient's health?

Checking for hearing loss

The nurse reads in the chart that a patient has been diagnosed with uveitis. The nurse knows that which structure(s) are involved in this diagnosis? (select all that apply)

Choroid Ciliary body

What advice may you give an aging adult to help prevent macular degeneration? (select all that apply)

Do not smoke, or quit if you do Maintain a healthy weight; especially do not carry weight around the waist

The nurses recognize the importance of testing intraocular pressure in the diagnosis of which disorder?

Glaucoma

An older adult is admitted for cataract extraction. Which sign or symptom is associated with this condition?

Increasing complaints about glare

A patient has a caloric test to check for alterations in vestibular function. The patient asks the nurse what the normal test findings will be. The LPN/LVN should explain to the patient that if the test is normal, the patient is likely to experience which symptom?

Nausea and vomiting

A patient is scheduled for a stapedectomy. The LPN/LVN should understand that this procedure is done when a patient has which problem?

Otosclerosis

After eye surgery, a patient is instructed to avoid movements that increase the venous pressure in the head, neck, and eyes. Which movement(s) increase(s) venous pressure? (select all that apply)

Straining Bending over Strenuous exercises

The nurse is reviewing the assessment documentation on an older adult patient made the previous shift. The nurse notes what changes occur in the eye with aging?

Sunken look, cornea flattens, and cataracts may form.

A patient has been scheduled for LASIK surgery to correct his myopia. Which statement best describes this procedure?

Superficial layers of the cornea are lifted while a laser reshapes the deeper layers of tissue.

A nurse is collecting data from a client who has a new diagnosis of mastoiditis. Which of the following manifestations should the nurse expect?

Swelling behind the affected ear

The nurse is reviewing a patient's chart and notes the patient's vision in his left eye is 20/70. The nurse uses this information to make which interpretation of the patient's vision?

The patient can read the line on the chart labeled 70 at 20 feet.

A nurse evaluates the visual acuity of a patient using the Snellen chart. Which statement is true regarding the use of the Snellen chart?

The patient reads the letters using one eye at a time

A patient complains of tinnitus. Which factor, if present in the patient's history, may be most closely related to the patient's complaint?

The patient takes large doses of aspirin.

A patient has a corneal abrasion. Which factor in the patient's history is most closely related to this problem?

The patient wears contact lenses.

The nurse is caring for a patient with a hearing disorder who has begun to complain of dizziness and a disorder of the vestibular system is suspected. Which diagnostic test would be most appropriate?

Vestibular testing

Which instruction must be included in the discharge teaching of a patient who has undergone corneal transplant?

Wear an eye shield when in close contact with children or pets.

While ambulating, a patient with Meniere disease complains of dizziness and vertigo. An immediate nursing action would be to:

assist the patient to supine position

A woman complains of itching, tearing, halos around lights, and decreased central vision. Which symptom most clearly relates to macular degeneration?

decreased central vision.

When administering eardrops to an adult, the nurse would:

draw the pinna upward and toward the back of the head

During a provider visit, a 65-year-old man complains of pain in his right eye associated with excessive tearing. The nurse notes that the eye is res with lashes rubbing against the cornea. A likely condition would be:

entropion

People with diabetes may face several eye problems and diseases as a complication of their illness. Which of the following can cause severe vision loss or blindness in a person with diabetes? (select all that apply)

glaucoma retinopathy cataracts

The nurse emphasizes safety precautions to a 60-year-old female Hispanic patient with Meniere disease. An appropriate nursing approach would be to:

include family members in instructions.

A nurse is reinforcing teaching with an adolescent client who has recurrent external otitis. Which of the follwing instructions should the nurse include in the teaching?

instill a diluted alcohol solution into the ear after swimming

When communicating with a patient who is hearing impaired, the nurse should: (select all that apply)

sit at eye level facing the patient enunciate clearly use simple, short sentences