eye and ear- final

vascular capillary tumors that may be bright, superficial, strawberry-red lesions or bluish and purplish deeper lesions.

Hemangioma

blood in the anterior chamber of the eye

Hyphema

The nurse identifies the nursing diagnosis of deficient knowledge related to a new hearing aid for a client. After teaching a client about caring for his new hearing aid, the nurse determines that the outcome has been achieved when the client states which of the following? a) "I need to keep my ear canal clean and dry." b) "I should wash the receiver with soap and water once a week." c) "I should insert the ear mold when it is wet." d) "I need to wipe the ear mold daily with a moist washcloth."

I need to keep my ear canal clean and dry

A client complains of vertigo. The nurse anticipates that the client may have a problem with which portion of the ear? a) Middle ear b) External ear c) Tympanic membrane d) Inner ear

Inner ear

A client comes to the walk-in clinic complaining of a "bug in my ear." What action should be taken when there is an insect in the ear? a) Instillation of mineral oil b) Use of a small forceps c) Instillation of hot water d) Instillation of carbamide peroxide

Instillation of mineral oil

Which of the following statements describes benign paroxysmal positional vertigo (BPPV)? a) BPPV is caused by tympanic membrane infection. b) The vertigo is usually accompanied by nausea and vomiting; however, hearing impairment does not generally occur. c) BPPV is stimulated by the use of certain medication such as acetaminophen. d) The onset of BPPV is gradual.

The vertigo is usually accompanied by nausea and vomiting; however, hearing impairment does not generally occur

The nurse is instructing a nursing student when a new client comes to the eye clinic. The client explains that he thinks he has a corneal abrasion. The nurse should explain what to the student nurse? a) "To detect corneal abrasions, a slit lamp is used." b) "To detect corneal abrasions, an ophthalmoscope is used." c) "To detect corneal abrasions, retinal angiography is used." d) "To detect corneal abrasions, ultrasonography is used."

To detect corneal abrasions, a slit lamp is used

What kind of otitis media is a pathogen-free fluid behind the tympanic membrane, resulting from irritation associated with respiratory allergies and enlarged adenoids? a) Purulent otitis media b) Sterile otitis media c) Infectious otitis media d) Serous otitis media

serous otitis media

swelling of the optic disc due to increased IOP.

papilledema

When performing the Weber test, where would the nurse place the vibrating tuning fork?

patient's head or forehead

ocular pain on exposure to light.

photophobia

Which of the following terms refers to surgical repair of the tympanic membrane? a) Tympanotomy b) Ossiculoplasty c) Myringotomy d) Tympanoplasty

tympanoplasty

It is determined that a patient is legally blind and will be unable to drive any longer. Legal blindness refers to a best-corrected visual acuity (BCVA) that does not exceed what reading in the better eye? a) 20/100 b) 20/50 c) 20/200 d) 20/150

20/200

Which of the following preattack symptoms may a patient with Meniere's disease report prior to an attack? a) Nystagmus b) Photosensitivity c) A full feeling in the ear d) Low blood pressure

A full feeling in the ear

The nurse, caring for a client with Ménière's disease, needs to assist with what when the client is experiencing an attack? a) Sleeping b) ADLs c) Coughing d) URIs

ADLs

When a cataract is extracted, and an intraocular lens implant is not used.

Aphakia

Which of the following terms refers to the absence of the natural lens? a) Hyphema b) Keratoconus c) Scotoma d) Aphakia

Aphakia

A nurse is performing an eye examination. Which of the following questions would not be included in the examination? a) "Have you experienced blurred, double, or distorted vision?" b) "Are you able to raise both eyebrows?" c) "Do any family members have any eye conditions?" d) "What medications are you taking?"

Are you able to raise both eyebrows?

High doses of which of the following medications can produce bilateral tinnitus? a) Promethazine b) Aspirin c) Dramamine d) Antivert

Aspirin

an irregularity in the curve of the cornea, which can affect both near and distant vision.

Astigmatism

Audiometry is testing that measures hearing acuity precisely. Who does the nurse know can perform audiometric testing? a) Office nurse b) Hearing aide salesperson c) Audiologist d) School nurse

Audiologist

A mother brings her daughter to the clinic for an evaluation because the child is complaining of ear pain. Which of the following would lead the nurse to suspect that the child is experiencing otitis externa and not otitis media? a) Aural tenderness b) Fever c) Bulging eardrum d) Ear drainage

Aural tenderness

A patient is to have an angiography done using fluorescein as a contrast agent to determine if the patient has macular edema. What laboratory work should the nurse monitor prior to the angiography? a) Platelet count b) BUN and creatinine c) AST and ALT d) Hemoglobin and hematocrit

BUN and creatinine

A client, diagnosed with a cataract, comes into the clinic. What assessment should the nurse observe in this client? a) A burning sensation and the sensation of an object in the eye b) Blurred or cloudy visual image c) A swollen lacrimal caruncle d) Inability to produce sufficient tears

Blurred or cloudy visual image

cause the pupil to dilate. (medication)

Mydriatics

Which of the following brain structures is responsible for equilibrium? a) Brainstem b) Hypothalamus c) Thalamus d) Cerebellum

Cerebellum

edema of the conjunctiva.

Chemosis

The nurse is caring for a client experiencing hearing loss. The nurse uses the otoscope to assess the ear canal and tympanic membrane and notes a significant accumulation of cerumen. Which documentation of hearing loss type would be most accurate? a) Conductive b) Sensorineural c) Central d) Mixed

Conductive

Loud, persistent noise has been found to cause all of the following symptoms except a) increased blood pressure. b) increased heart rate. c) decreased GI activity. d) constriction of peripheral blood vessels.

Decreased GI activity

Which action by the nurse has the highest priority when caring for a patient diagnosed with vertigo? a) Educate the patient on using the call light for assistance with ambulation. b) Administer antivertiginous medication as ordered. c) Encourage the patient to stare straight ahead, focusing on one object. d) Encourage the patient to keep his or her eyes open.

Educate the patient on using the call light for assistance with ambulation

refers to normal eyesight in which the image focuses precisely on the retina

Emmetropia

Which portion of the middle ear equalizes pressure? a) Auricle b) Eustachian tube c) Ossicles d) Cochlea

Eustachian tube

A patient has been prescribed eye drops for the treatment of glaucoma. At the yearly follow-up appointment, the patient tells the nurse that she has stopped using the medication because her vision did not improve. Which of the following is the appropriate action to be taken by the nurse? a) Explain the therapeutic effect and expected outcome of the medication. b) Refer the patient to the ED. c) Administer the medication immediately. d) Talk with the doctor about switching to a different glaucoma medication.

Explain the therapeutic effect and expected outcome of the medication

The nurse asks a client to follow the movement of a pencil up, down, right, left, and both ways diagonally. The nurse is assessing which of the following? a) Pupillary reaction b) Eyelid drooping c) Eyeball oscillation movements d) Extraocular muscle function

Extraocular muscle function

A patient is brought into the emergency department with chemical burns to both eyes. What is the priority action of the nurse for this patient's care? a) Applying hot compresses at 15-minute intervals b) Flushing the lids, conjunctiva, and cornea with tap water or normal saline c) Cleansing the conjunctiva with a small cotton-tipped applicator d) Administering local anesthetics and antibacterial drops for 24 to 36 hours

Flushing the lids, conjunctiva, and cornea with tap water or normal saline

A patient presents to the ED complaining of a chemical burn to both eyes. Which of the following is the priority nursing intervention? a) Irrigate both eyes. b) Assess the pH of the corneal surface. c) Assess visual acuity. d) Obtain the Material Safety Data Sheet (MSDS).

Irrigate both eyes

A client comes to the eye clinic for a routine check-up. The client tells the nurse they think they are color blind. What screening test does the nurse know will be performed on this client to assess for color-blindness? a) Rosenbaum b) Snellen c) Ishihara d) Jaeger

Ishihara

a cone-shaped deformity of the cornea.

Keratoconus

small, white, slightly elevated cysts of the eyelid that may occur in multiples.

Milia

Assessment of visual acuity reveals that the client has blurred vision when looking at distant objects but no difficulty seeing near objects. The nurse documents this as which of the following? a) Astigmatism b) Myopia c) Hyperopia d) Emmetropia

Myopia

refers to the condition in which the client can see near objects but has blurred distant vision.

Myopia (nearsightedness)

Choice Multiple question - Select all answer choices that apply. When an impaled object is in the eye, which of the following steps should be taken to ensure that no further damage occurs? Select all that apply. a) Protect object from jarring b) Apply gentle pressure to the eye c) Apply a patch to the eye d) No attempt should be made to remove the object e) Use metal shield

No attempt should be made to remove the object Use metal shield Protect object from jarring

You are teaching the daughter how to instill ear drops of her father to remove impacted cerumen. What is a priority action to teach this woman? a) Insert the irrigating syringe deeply. b) Refrigerate before instillation. c) Place the container in warm water before instillation. d) Direct the flow of the ear drops toward the eardrum.

Place the container in warm water before instillation

Which of the following is hearing loss associated with degenerative changes? a) Strabismus b) Myopia c) Presbycusis d) Presbyopia

Presbycusis

An aging client is brought to the eye clinic by the son. The son states he has seen his parent holding reading materials at an increasing distance to focus properly. What age-related changes does this indicate? a) Cataract b) Presbyopia c) Macular degeneration d) Myopia

Presbyopia

a drooping eyelid.

Ptosis

Which nursing diagnosis takes highest priority for a client admitted for evaluation for Ménière's disease? a) Imbalanced nutrition: Less than body requirements related to nausea and vomiting b) Risk for deficient fluid volume related to vomiting c) Acute pain related to vertigo d) Risk for injury related to vertigo

Risk for injury related to vertigo

a blind or partially blind area in the visual field

Scotoma

Kotoyo has been diagnosed with otosclerosis. The nurse explains to the client that this is a common cause of hearing impairment among adults and is the result of a bony overgrowth of which of the following? a) Tympanic membrane b) Labyrinth c) Incus d) Stapes

Stapes

Which of the following is the treatment of choice for acoustic neuromas? a) Radiation b) Surgery c) Palliation d) Chemotherapy

Surgery

Which of the following is a definition of ossiculoplasty? a) Incision into the tympanic membrane b) Surgical repair of the eardrums c) Incision into the eardrum d) Surgical reconstruction of the middle ear bones

Surgical reconstruction of the middle ear bones

The nurse is assessing a client for objective symptoms of hearing difficulties. Which symptom leads the nurse to take alternate measures to ensure client understanding of teaching? a) The client is quiet and responds appropriately. b) The client quietly reads the instructional literature. c) The client leans forward and turns the head. d) The client interrupts by asking the nurse to repeat instruction.

The client leans forward and turns the head

You are admitting a 30-year-old who has a hearing impairment. The client is accompanied by family members. What information would be important to ask the family members to help you care for your client? a) How the client lost their hearing b) The client's preferred method of communication c) How much the client weighs d) What allergies the client has

The client's preferred method of communication

Acoustic neuromas are benign tumors of which of the following cranial nerves? a) VIII b) VI c) VII d) V

VIII

When caring for a client status post ear surgery, what is an important aspect of nursing care? a) Assess social support. b) Feed small frequent meals to minimize nausea. c) Fit for a hearing aid. d) Validate client's feelings of discomfort.

Validate client's feelings of discomfort

A client who comes to the ambulatory care facility states, "It feels like things are moving or spinning around me." The nurse interprets this as indicating which of the following? a) Vertigo b) Dizziness c) Motion sickness d) Nystagmus

Vertigo

Which of the following manifestations is the most problematic for the patient diagnosed with Meniere's disease? a) Hearing loss b) Diaphoresis c) Vertigo d) Tinnitus

Vertigo

Which of the following types of glaucoma presents an ocular emergency? a) Chronic open-angle glaucoma b) Ocular hypertension c) Acute angle-closure glaucoma d) Normal tension glaucoma

acute angle-closure glaucoma

Following cataract removal, discharge instructions will be provided to the client. Which of the following instructions is most important? a) Avoid washing face and eyes for first 24 hours. b) Apply protective patch to both eyes at bedtime. c) Avoid any activity that can increase intraocular pressure. d) Only sleep on back.

avoid any activity that can increase intraocular pressure

What patient activity indicates to the nurse that a patient understands how to correctly instill ophthalmic medications? a) Client allows the tip of the container to touch the eyelid while administering the medication. b) Client wipes the lids and lashes prior to instillation in a direction toward the nose with moistened, soft gauze. c) Client pulls the tissue near the cheek downward to instill medication. d) Client rubs the eye after administering medication.

client pulls the tissue near the cheek downward to instill medication

A client is color blind. The nurse understands that this client has a problem with: a) aqueous humor. b) lens. c) cones. d) rods.

cones

cause paralysis of the iris sphincter. (medication

cycloplegics

A client has just been diagnosed with early glaucoma. During a teaching session, the nurse should: a) provide instructions on eye patching. b) demonstrate eyedrop instillation. c) assess the client's visual acuity. d) teach about intraocular lens cleaning.

demonstrate eyedrop instillation

A 13-year-old client is visiting the ophthalmologist after severe eye injuries. The client suffered trauma to her sclera and is being treated for a subsequent infection. During your client education, you indicate where the sclera is attached. Which of the following structures would you NOT include? a) Eyelids b) Iris c) Cornea d) Pupil

eyelids

Which of the following instructions regarding swimming should the nurse give to the client who is recovering from otitis externa? Choose the correct option. a) Wear a scarf. b) Avoid cold water. c) Wear soft plastic earplugs. d) Insert a loose cotton earplug in the external ear.

wear soft plastic earplugs

When undergoing testing of visual acuity with a Snellen chart, the client can read the line labeled 20/50 but misses three letters on the line. The nurse documents this finding as which of the following? a) 20/20/50 b) 20/50 c) 20/50-3 d) 20/20 + 30

20/50-3

You are teaching a class on diseases of the ear. What would you teach the class is the most characteristic symptom of otosclerosis? a) The client describing a recent upper respiratory infection b) A progressive, bilateral loss of hearing c) A red and swollen ear drum d) The client being distressed in the mornings

A progressive, bilateral loss of hearing

A patient newly diagnosed with otitis media reports the pain and pressure in the ear has suddenly disappeared. What is the best action by the nurse? a) Irrigate the ear. b) Assess tympanic membrane. c) Educate on therapeutic effects of medications. d) Document effectiveness of medications.

Assess tympanic membrane

An eight-grade boy tells the school nurse that the eye doctor told him he had astigmatism and that meant his eyeball wasn't shaped right. The boy says he went home and looked in the mirror and both eyes looked just alike. What is the school nurse's best response? a) "Astigmatism means that the lens of the eye is more of an oval shape than the lens in most eyes." b) "Astigmatism means that the cornea of the eye is shaped differently than the cornea in most eyes." c) "Astigmatism means that the eye is shaped more like an olive than most eyes." d) "Astigmatism means that the inside of the eye is shaped differently than the inside of most eyes."

Astigmatism means that the cornea of the eye is shaped differently than the cornea in most eyes

A patient has had cataract extractions and the nurse is providing discharge instructions. What should the nurse encourage the patient to do at home? a) Maintain bed rest for 1 week. b) Avoid bending the head below the waist. c) Lift weights to increase muscle strength. d) Lie on the stomach while sleeping.

Avoid bending the head below the waist

Which of the following instructions regarding swimming should the nurse give to the patient who is recovering from otitis externa? a) Avoid swimming for 7-10 days b) Avoid cold water c) Wear a scarf d) Insert a loose cotton pledget in the external ear

Avoid swimming for 7-10 days

A client you are caring for has a hearing loss. The client tells you they are self-conscious about their hearing loss. What advice should the nurse give a self-conscious client with hearing loss to protect his or her self-esteem? a) Avoid excess socializing. b) Pretend to follow conversations by nodding the head. c) Follow lip movements closely. d) Be forthright and inform others about the hearing deficit.

Be forthright and inform others about the hearing deficit

Choice Multiple question - Select all answer choices that apply. A patient has been brought to the emergency room after being hit in the head with a baseball. The nurse should be alert to which of the following clinical manifestations of a detached retina? Select all that apply. a) Sensation of a curtain coming across vision of one eye b) Sudden onset of floaters c) Cobwebs d) Bright flashing lights e) Pain

Bright flashing lights • Sudden onset of floaters • Cobwebs • Sensation of a curtain coming across vision of one eye

Which of the following medications needs to be withheld for 5 to 7 days prior to cataract surgery? a) Prednisone b) Lasix c) Glucophage d) Coumadin

Coumadin

Which type of benign tumor of the eyelids is characterized by superficial, vascular capillary lesions that are strawberry red in color? a) Xanthelasma b) Milia c) Molluscum contagiosum d) Hemangioma

Hemangioma

refers to the client's ability to see distant objects clearly, but sees near objects as blurry.

Hyperopia (farsightedness)

Following an ophthalmologic exam, an anxious client asks the nurse, "How serious is a refraction error?" Which of the following is the best response from the nurse? a) "It is nothing serious." b) "Simple surgery can fix this problem." c) "This is normal for anyone your age." d) "It means corrective lenses are required."

It means corrective lenses are required

A 15-year-old baseball player was fielding a ground ball when it bounced and struck him in the left eye, leaving a large ecchymosis and edema. In your client education, after applying an ice pack, you explain to the client the functions of the various structures of the eye. What glands, contained in the eyelids, produce tears? a) Sebaceous b) Lacrimal c) Sweat d) Olfactory

Lacrimal

Which of the following surgical procedures involves flattening the anterior curvature of the cornea by removing a stromal lamella layer? a) Photorefractive keratectomy (PRK) b) Keratoconus c) Keratoplasty d) Laser-assisted stromal in situ keratomileusis (LASIK)

Laser-assisted stromal in situ keratomileusis (LASIK)

The nurse is developing a plan of care for a client with Meniere's disease and identifies a nursing diagnosis of excess fluid volume related to fluid retention in the inner ear. Which intervention would be most appropriate to include in the plan of care? a) Restrict high-potassium foods. b) Administer prescribed antihistamine. c) Encourage intake of caffeinated fluids. d) Limit foods that are high in sodium.

Limit foods that are high in sodium

Hearing aids help with which of the following problems? a) Makes sounds louder b) Improves discrimination of words c) Improves communication skills d) Improves understanding of speech

Makes sounds louder

The nurse is caring for a patient with Ménière's disease who is hospitalized with severe vertigo. What medication does the nurse anticipate administering to shorten the attack? a) Furosemide (Lasix) b) Cortisporin otic solution c) Meclizine (Antivert) d) Gentamicin (Garamycin) intravenously

Meclizine (Antivert)

used to cause the pupil to constrict.(medication)

Miotics

lesions flat symmetric growths along the lid margin caused by a virus that can result in conjunctivitis and keratitis if the lesion grows into the conjunctival sac

Molluscum contagiosum

To avoid the side effects of corticosteroids, which medication classification is used as an alternative to treating inflammatory conditions of the eyes? a) Miotics b) Nonsteroidal anti-inflammatory drugs (NSAIDs) c) Mydriatics d) Cycloplegics

Nonsteroidal anti-inflammatory drugs (NSAIDs)

Which of the following is an involuntary rhythmic movement of the eyes that is also associated with vestibular dysfunction? a) Presbycusis b) Tinnitus c) Nystagmus d) Vertigo

Nystagmus

The nurse on a cruise ship is assessing clients for motion sickness. Which of the following is a common misconception? a) Repeated motion is the cause. b) Pallor and diaphoresis is a first symptom. c) Medications help the symptoms. d) Once symptoms occur, they will always be present.

Once symptoms occur, they will always be present

Which of the following describes a condition characterized by abnormal spongy bone formation around the stapes? a) Chronic otitis media b) Otitis externa c) Middle ear effusion d) Otosclerosis

Otosclerosis

Which is the term for swelling of the optic disc due to increased intraocular pressure (IOP)? a) Papilledema b) Chemosis c) Photophobia d) Ptosis

Papilledema

Which nursing goal is a priority when caring for a client newly diagnosed with vertigo. a) Patient will have a caretaker with him or her in the home. b) Patient will closes eyes as needed to reduce symptoms. c) Patient will maintain therapeutic medication schedule. d) Patient will remain safe while ambulating in the home.

Patient will remain safe while ambulating in thehome

The nurse is reviewing the medical record of a client with glaucoma. Which of the following would alert the nurse to suspect that the client was at increased risk for this disorder? a) Hyperopia since age 20 years b) History of respiratory disease c) Prolonged use of corticosteroids d) Age younger than 40 years

Prolonged use of corticosteroids

A patient is newly diagnosed with otitis externa. Which of the following should the nurse teach the patient before the patient leaves the clinic? a) Cleaning ear canal with cotton-tip applicator after showering b) Proper instillation of prescribed ear drops c) Side effects of oral antibiotics d) Strategies to cope with the temporary sensorineural hearing loss

Proper instillation of prescribed ear drops

The nurse is assessing a client's hearing using the Rinne test. When providing instruction to elicit client feedback, which instruction is essential? a) Raise your hand when you hear the vibration. b) Raise your hand when the vibration exceeds the sound. c) Raise your hand when the sound exceeds the vibration. d) Raise your hand when you no longer hear sound.

Raise your hand when you no longer hear sound

Which of the following is an accurate statement regarding refractive surgery? a) Refractive surgery is an elective, cosmetic surgery performed to reshape the cornea. b) Refractive surgery may be performed on patients with an abnormal corneal structure as long as they have a stable refractive error. c) Refractive surgery may be performed on all patients, even if they have underlying health conditions. d) Refractive surgery will alter the normal aging of the eye.

Refractive surgery is an elective, cosmetic surgery performed to reshape the cornea

Which of the following types of conjunctivitis is preceded by symptoms of an upper respiratory infection? a) Allergic b) Toxic c) Viral d) Vernal

Viral

The school nurse is testing the kindergarten class with the Snellen chart. What is the nurse testing the children for? a) Near vision b) Color vision c) Hearing d) Visual acuity

Visual acuity

yellowish, lipoid deposits on both lids near the inner angle of the eye that commonly appear as a result of skin aging or a lipid disorder.

Xanthelasma

A client is diagnosed as having serous otitis media. When describing this condition to the client, which of the following would be most accurate? a) "You have a common infection in one of the bones of your face." b) "Your eardrum has ruptured because of the extreme pressure in your middle ear from the infection." c) "It has resulted from the several recurrent episodes of acute otitis media you've had." d) "You have some fluid that has collected in your middle ear but no infection."

You have some fluid that has collected inyour middle ear but no infection

The nurse is administering an ophthalmic ointment to a patient with conjunctivitis. What disadvantage of the application of an ointment does the nurse explain to the patient? a) It has a lower concentration than eye drops. b) Blurred vision results after application. c) It has more side effects than eye drops. d) It does not work as rapidly as eye drops do.

blurred vision results after appilication

A client with a conductive hearing disorder caused by ankylosis of the stapes in the oval window undergoes a stapedectomy to remove the stapes and replace the impaired bone with a prosthesis. After the stapedectomy, the nurse should provide which client instruction? a) "Shampoo your hair every day for 10 days to help prevent ear infection." b) "Lie in bed with your head elevated, and refrain from blowing your nose for 24 hours." c) "Don't fly in an airplane, climb to high altitudes, make sudden movements, or expose yourself to loud sounds for 30 days." d) "Try to ambulate independently after about 24 hours."

don't fly in an airplanes, climb to high altitudes, make sudden movements, or expose yourself to loud sounds for 30 days