Sensory Perception

A nurse is preparing to administer medications to a client. Which of the following classifications of medications should the nurse identify as being ototoxic? (Select all that apply.)

Loop diuretics NSAIDS Aminoglycoside antibiotics

A nurse is assessing a client whose family is concerned that the client has developed dementia. Which of the following findings should the nurse identify as a manifestation of dementia?

Difficulty problem-solving

A nurse is caring for a client who states, "My doctor said I should have an EMG. What is that?" Which of the following responses should the nurse make? a. It is a test that determines if there us a loss of the ability to smell b. It is a test that measures the response of the eardrum to various sounds c. It is a test that determines if there is nerve damage affecting a muscle d. It is a test that is performed to diagnose damage to the retina of the eye

"It is a test that determines if there is nerve damage affecting a muscle." an EMG or electromyography, is performed to determine if there is damage to the nerves leading to the muscles. During an EMG, very small needles are inserted into a muscle. The needles are attached by a wire to an EMG machine that records the electrical activity un the muscle. Damage to a nerve will alter this electrical activity

A charge nurse is discussing sensory processing disorder (SPD) with a newly licensed nurse. Which of the following statements should the charge nurse make? a. SOD occurs when a client's brain is unable to process rapidly occurring multiples stimuli b. SPD causes clients to be overlysensitive to stimuli c. A client is diagnosed with SPD if they experience a signification decrease of stimuli d. A client is diagnosed with SPD if they experience a significant decrease in stimuli

"SPD causes clients to be overly sensitive to stimuli, such as the feel of fabric on their skin." SPD is a sensory disorder in which a client experiences a hypersensitive response to normal stimuli, such as the sound of a television, or the feel of fabric on their skin

A nurse is reviewing the process of how a refraction assessment is performed with a client. Which of the following statements should the nurse make?

"This test is performed using lenses of various prescription strengths."

A nurse is caring for a client who is scheduled for an otoacoustic emissions (OAE) test. The client asks what to expect during the test. Which of the following responses should the nurse make?

"You will have a small probe placed in your ear canal during the test."

A nurse is preparing an in-service for a group of staff members about types of tests used to diagnose sensory impairments. Which of the following information should the nurse include? a. an (EMG) test is preformed by placing small extrudes on the scalp b. a fluorescing angiography test diagnoses of the cochlea c. a bone oscillator measures how efficiently sound waves are transmitted through the ossicle d. an Amsler gris test is performed by looking at the internal eye using a slit lamp

A bone oscillator test measures how efficiently sound waves are transmitted through the ossicles. a bone oscillator test measures how weak vibrations are transmitted through the ossicles of the ear

A charge nurse is discussing hearing tests with a newly licensed nurse. Which of the following information should the charge nurse include?

A tuning fork is placed against the client's mastoid bone during the Rinne test.

A nurse is providing teaching about safe ambulation to a client who has vision loss. Which of the following items should the nurse include in the teaching? (Select all that apply.)

A walking cane A walker

A nurse is assessing a client for hearing loss. Which of the following findings should the nurse identify as an indication of a possible hearing loss? (Select all that apply.)

Asks for questions to be repeated Withdraws from social activities Describes sounds as being muffled

A nurse is reviewing discharge instructions with a client who has macular degeneration. Which of the following information should the nurse include in the instructions? a. availability of aids to enhance vision b. antibiotic therapy c. Risks associated with the loss of peripheral vision d. treatment options

Availability of aids to enhance vision clients who have impaired or low vision from age related macular degeneration can benefit fro m the use of large print material or a magnifying glass.

A nurse is preparing to perform a cranial nerve assessment on a client. Which of the following actions should the nurse take to assess cranial nerve II?

Check the client's visual acuity using a Snellen chart.

A nurse is assessing a client who has delirium. Which of the following manifestations should the nurse expect? (Select all that apply.)

Difficulty maintaining attention Agitation Hallucinations Rambling speech

A nurse is caring for a client who has hearing loss. Which of the following actions should the nurse use to enhance communication with the client? (Select all that apply.)

Ensure the client wears their hearing aids. Use a sign language interpreter. Communicate using paper and pen. Face the client when speaking.

A nurse is caring for a client who reports decreased peripheral vision. The nurse should identify this as a manifestation of which of the following visual impairments?

Glaucoma

A nurse is teaching a group of older adult clients about the sensory system. The nurse should include that the aging process is most likely to cause which of the following changes?

Hearing loss

A nurse is providing discharge teaching to a client who has diabetic neuropathy. Which of the following information should the nurse include? (Select all that apply.)

Inspect the feet every day. Wear closed-toe shoes. Manage glucose levels.

A nurse is providing care for a client who has a sensory deficit. Which of the following actions is the nurse's priority for the client?

Keep the client's environment free from clutter.

A nurse is caring for a middle adult client who asks about expected age-related changes. Which of the following sensory changes should the nurse include as an age-related change?

Presbyopia

A nurse is preparing a poster presentation about sensory alterations. Which of the following information should the nurse include about sensory deprivation?

Risk factors for sensory deprivation include experiencing total vision or hearing loss.

A nurse is caring for an older adult client who reports unintended weight loss. The client reports that their food does not taste right. The nurse should inform the client that ability to taste which of the following can decrease with age? (Select all that apply.)

Sour Bitter Salty

A nurse is reviewing the medical history of a client who has conductive hearing loss. The nurse should identify which of the following factors as a potential cause of conductive hearing loss? (Select all that apply.)

Trauma to the outer ear Inflammation Cerumen buildup Otitis media

A nurse is preparing to perform a cranial nerve assessment on a client. Which of the following actions should the nurse take to assess cranial nerve VIII?

Whisper something in one ear while occluding the other ear.