Sensory perception practice questions

A nurse in an ophthalmology clinic is interviewing a client who was referred by his primary care provider for suspicion of cataracts. The nurse should expect the client to report a. loss of central vision. b. having a loss of peripheral vision. c. seeing bright flashes of light and floaters. d. having a decreased ability to perceive colors.

having a decreased ability to perceive colors. Symptoms of cataracts include painless blurred vision and a decrease in the ability to perceive colors.

A nurse is caring for a client who has bilateral eye patches in place following an injury. When the client's food tray arrives, which of the following interventions should the nurse take to promote independence in eating? a. Assign an assistive personnel to feed the client. b. Explain to the client that her tray is here and place her hands on it. c. Describe to the client the location of the food on the tray. d. Ask the client if she would prefer a liquid diet.

Describe to the client the location of the food on the tray. Describing the location of the food on the tray promotes independence and provides the client with the necessary information to feed herself.

A nurse is caring for a client following cataract surgery. Which of the following comments from the client should the nurse report to the client's provider? a. "My eye really itches, but I'm trying not to rub it." b. "I need something for the pain in my eye. I can't stand it." c. "It's hard to see with a patch on one eye. I'm afraid of falling." d. "The bright light in this room is really bothering me."

"I need something for the pain in my eye. I can't stand it." Following cataract surgery, the client should expect only mild pain and should immediately report any pain, decrease in vision, or increase in discharge from the eye. Severe eye pain after surgery might indicate increased intraocular pressure or hemorrhage. Itching is common after cataract surgery. The nurse should remind the client not to rub or place pressure on the eyes. The client may find that exposure to bright light is uncomfortable after cataract surgery. Wearing sunglasses can prevent most of the client's discomfort.

A nurse is providing discharge instructions for a client following cataract surgery with insertion of an intraocular lens. Which of the following instructions should the nurse include? a. "Take aspirin for discomfort." b. "Restrict lifting objects greater than 10 pounds." c. "Expect reduced vision for 48 hours after procedure." d. "Apply warm compresses for discomfort."

"Restrict lifting objects greater than 10 pounds." The nurse should instruct the client to restrict lifting objects greater than 10 lb to reduce the risk for increased intraocular pressure. The nurse should instruct the client to take acetaminophen for discomfort. Aspirin inhibits platelet aggregation and can increase the risk for bleeding. The nurse should instruct the client to report a reduction of vision following the procedure. The nurse should instruct the client to apply a cool compress for discomfort.

A nurse is assessing a client who reports ear pain for the past 3 days that has suddenly resolved. The client has a new onset of otorrhea (drainage from the ear). The nurse should recognize the client has manifestations of which of the following conditions? a. Mastoiditis b. Ménière's disease c. Acoustic neuroma d. Perforated tympanic membrane

Perforated tympanic membrane The client has manifestations of otitis media with a perforated tympanic membrane (eardrum). Ear pain is reduced when fluid and pus drain from the eardrum due to the perforation.

A nurse is teaching a client about how to use her new hearing aids. Which of the following statements should the nurse identify as an indication that the client needs further instruction? a. "I will clean the hearing aids with alcohol wipes." b. "I will not use hairspray if I am wearing the hearing aids." c. "I will change the batteries once a week." d. "I will expect the hearing aids to whistle when I cup my hand over them."

"I will clean the hearing aids with alcohol wipes." Alcohol use can break down the mechanism of the hearing aids. The client should follow the manufacturer's instructions, which usually include using a soft cloth to remove cerumen and other debris and never immersing them in water.

A home health nurse is teaching an older adult client who just had cataract surgery. Which of the following instructions should the nurse include? a. "Rest in bed for at least 2 days." b. "Keep your head up and straight." c. "Deep breathe and cough four times a day." d. "Lie on the side of the surgery when in bed."

"Keep your head up and straight." Keeping the head straight and avoiding looking down prevents increasing intraocular pressure.

A nurse is providing postoperative teaching to a client who is scheduled for cataract surgery. Which of the following information should the nurse include? a. "Bloodshot eyes on the day of surgery should be reported to the provider." b. "Warm compresses should be applied to the eye three times daily." c. "Photophobia is expected for 2 to 3 days." d. "Vision will be greatly improved on the day of surgery."

"Vision will be greatly improved on the day of surgery." Vision should be greatly improved on the day of surgery. This information should be included in the teaching.

A nurse is providing education for a client who has glaucoma. Which of the following statements should the nurse include in the teaching? a. "Without treatment, glaucoma can cause blindness." b. "Double vision is a common symptom of glaucoma." c. "Glaucoma is caused by inadequate production of fluid within the eye." d. "Use of eye drops will improve vision over time."

"Without treatment, glaucoma can cause blindness." The nurse should explain that without treatment glaucoma can result in blindness due to irreversible damage to the retina and optic nerve.

A nurse is reviewing discharge instructions with a client following a right cataract extraction. Which of the following instructions should the nurse include? a. Sleep on the abdomen to facilitate wound healing. b. Avoid lifting anything heavier than 4.5 kg (10 lb) for 1 week. c. Bend at the waist to pick objects up from the floor. d. Notify the surgeon if white drainage develops on the eyelids.

Avoid lifting anything heavier than 4.5 kg (10 lb) for 1 week. The nurse should instruct the client to avoid activities that increase intraocular pressure. Therefore, the nurse should instruct the client to avoid lifting anything heavier than 4.5 kg (10 lb) for 1 week following surgery.

A nurse is caring for a client who is receiving mydriatic eye drops. Which of the following manifestations indicates to the nurse that the client has developed a systemic anticholinergic effect? a. Seizures b. Bradycardia c. Constipation d. Hypothermia

Constipation Mydriatic eye drops can cause systemic anticholinergic effects, such as constipation and dry mouth.

A nurse is admitting a client who has a partial hearing loss. Which of the following is the priority action by the nurse? a. Speak using his usual tone of voice. b. Stand directly in front of the client. c. Rephrase statements the client does not hear. d. Determine if the client uses hearing aids.

Determine if the client uses hearing aids. The first action the nurse should take using the nursing process is to assess the client. The nurse should find out if the client has hearing aids and whether they are in place and functioning.

A nurse is administering timolol eye drops to a client who has glaucoma. Which of the following actions should the nurse take? a. Apply pressure to the bridge of the nose after administration. b. Wipe the eye from the outer canthus to the inner canthus before instillation. c. Drop prescribed amount of medication into the conjunctival sac. d. Protect the distal portion of the eyedropper using clean technique.

Drop prescribed amount of medication into the conjunctival sac. With the dominant hand resting on client's forehead, hold filled medication eyedropper or ophthalmic solution approximately 1 - 2 cm above conjunctival sac. Instill prescribed number of medication drops into the conjunctival sac. After instilling the drops, ask the client to close his eye gently. If the client is to receive more than one eye medication to the same eye, wait at least 5 min before administering the next medication.

A nurse suspects that a client admitted for treatment of bacterial meningitis is experiencing increased intracranial pressure (ICP). Which of the following assessment findings by the nurse supports this suspicion? a. Photophobia b. Nuchal rigidity c. Positive Kernig's sign d. Restlessness

Restlessness Clients who have meningitis can be at risk for developing increased ICP. The nurse should monitor the client's vital signs and neurological status at least every four hours. Indications of increased ICP include increased restlessness and confusion, a decreased level of consciousness, and the presence of Cushing's triad (severe hypertension, widened pulse pressure, and bradycardia).

A home health nurse is assessing an older adult client in the home who has decreased vision due to a history of glaucoma. Which of the following findings should the nurse identify as a safety risk? a. Electrical cords are placed along the walls. b. Scatter rugs are present in the kitchen. c. Handrails are present in the bathroom. d. Uses a microwave for cooking.

Scatter rugs are present in the kitchen. Scatter rugs in the kitchen are a safety hazard. The client could trip on one of the rugs and fall due to impaired vision.

A nurse is caring for a client who has progressive presbycusis. Which of the following actions should the nurse take? a. Speak loudly and into the client's good ear. b. Use sign language when communicating with the client. c. Speak directly to the client in a normal, clear voice. d. Sit by the client's side and speak very slowly.

Speak directly to the client in a normal, clear voice. The nurse is correct to speak directly and normally for the client to hear what is spoken.

A nurse at an outpatient surgery center is providing discharge teaching to a client and his spouse following surgical removal of a cataract. Which of the following should the nurse include in the teaching? a. Take ibuprofen for eye discomfort. b. Creamy white drainage is an indication of infection. c. Notify the provider immediately if the operative eye itches. d. The client should wear dark glasses while outdoors.

The client should wear dark glasses while outdoors. The nurse should instruct the client and his spouse that he should wear dark glasses when outside or in bright light until pupil reaction returns.

A nurse at an ophthalmology clinic is providing teaching to a client who has open angle glaucoma and a new prescription for timolol eye drops. Which of the following instructions should the nurse provide? a. The medication is to be applied when the client is experiencing eye pain. b. The medication will be used until the client's intraocular pressure returns to normal. c. The medication should be applied on a regular schedule for the rest of the client's life. d. The medication is to be used for approximately 10 days, followed by a gradual tapering off.

The medication should be applied on a regular schedule for the rest of the client's life. Medications prescribed for open angle glaucoma are intended to enhance aqueous outflow, or decrease its production, or both. The client must continue the eye drops on an uninterrupted basis for life to maintain intraocular pressure at an acceptable level.

A nurse is caring for a client who has chemotherapy- induced peripheral neuropathy. The nurse should expect the client to report having experienced which of the following symptoms? a. Extremities that turned blue when exposed to cold b. Tingling feeling in the extremities c. Jerking movements of the extremities d. Spasms of the extremities

Tingling feeling in the extremities Peripheral neuropathy is a neurological disorder resulting from damage to the peripheral nerves. It may be caused by diseases of the nerves, systemic illnesses, or it may be a side-effect from chemotherapy. If a sensory nerve is damaged, the client is likely to experience pain, numbness, tingling, burning, or a loss of feeling in the extremities.