Med Surge Sensory : Practice Questions
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.
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
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
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
Why is otitis media found more frequently in children 6 to 36 months?
Eustachian tubes in children are shorter and straighter.
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.
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?
Sjögren syndrome
What is the process when the lens of the eye changes its curvature to focus on the retina?
Accommodation
The nurse is aware that the patient has 20/40 vision. This means that the patient can see at 20ft what the normal eye can see at _______ ft.
20
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.
What does the cataract treatment of phacoemulsification involve?
Breaking the cataract with ultrasound
What does diabetes retinopathy result from?
Capillaries in retina hemorrhage
What does a tympanoplasty correct?
Conductive hearing loss
What do miotic eye drops do for a patient with glaucoma?
Constrict the pupil and open the canal of Schlemm.
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
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
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 subsides.
One of the housekeepers splashes a chemical in the eyes. What should be the first priority?
Irrigate with normal saline solution for 20 minutes.
Which is a sign of acute angle closure glaucoma (AACG)?
Large fixed pupil
What is a common mistake that hinders communication when communicating with the hearing impaired?
Overaccentuating words
What must a patient do following a left vitrectomy?
Position self in a face-down position for 4 to 5 days.
What should the nurse remind the hearing aid wearer to do when the nurse hears a whistling hearing aid?
Reinsert the ear mold.
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.
What should a patient who has had a cataract repair avoid?
The lifting of heavy objects
What is the first indication of macular degeneration?
The loss of central vision
The patient tells the nurse that he is legally blind. How would this information impact the nurse's plan of care for this patient?
The nurse would need to determine how this patient's visual impairment affects normal functioning.
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.
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.
What should the nurse include in the plan of care following a tympanoplasty?
Elevating head of bed with operative side facing upward
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.
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.
