sensory

is any of several operative procedures on the eardrum or ossicles of the middle ear to restore or improve hearing in patients with conductive hearing loss. →

Tympanoplasty

While cleaning the garage, a patient splashed a chemical in his eyes. What is the initial action after the chemical burn?

Irrigate the eye with water for 20 minutes

The nurse is reinforcing instructions to a client regarding the use of a hearing aid. Which statement by the client indicates a need for further teaching?

"I should turn the hearing aid off after removing it from my ear."

A patient is suspected of having a retinal detachment. What S/S will provide support to this diagnosis?

"It feels like I'm looking through cobwebs" "I see specks floating around the edge of my vision" "I feel like someone pulled a curtain over my eye"

The nurse provides discharge instructions to the client who was hospitalized for an acute attack of Ménière's disease. Which statement made by the client indicates a need for further teaching?

"It is not necessary to restrict salt in my diet."

A client sustains a chemical eye injury from a splash of battery acid. The nurse should prepare the client for which immediate measure?

Irrigating the eye with sterile normal saline

The nurse is caring for a patient who has had functional blindness for 10 years. Which statement is true?

A comprehensive approach to patient care is essential with blind patients.

The nurse is assigned to care for a client with a detached retina. Which finding would the nurse expect to be documented in the clients records?

A sense of a curtain falling across the field of vision

The nurse notes that the primary health care provider has documented a diagnosis of presbycusis on the clients chart. Which explanation would the nurse give to the client to describe this condition?

A sensorineural hearing loss that occurs with aging

produces excruciating pain in or around the eye, decreased vision, and nausea and vomiting. →

AACG

The eye is able to focus on objects at various distance. →

Accommodation

The nurse is evaluating a patient's eye as it adjusts to seeing objects at various distances. When documenting, how should the nurse identify this test?

Accommodation

A client was just admitted to the hospital to rule out a gastrointestinal bleed. The client has brought several bottles of medications prescribed by different specialists. During the admission assessment, the client states, "Lately, I have been hearing some roaring sounds in my ears, especially when i am alone." Which medication would the nurse determine to be the cause of the client's complaint?

Acetylsalicylic acid

The nurse notes documentation that a client has conductive hearing loss. The nurse plans care knowing that this kind of hearing loss can be caused by which circumstances?

Acute otitis media with effusion A physical obstruction to the transmission of sound waves

The client is receiving an eyedrop and an eye ointment to the right eye. Which action would the nurse take?

Administer the eyedrop first, followed by the eye ointment

is characterized by slow, progressive loss of central and near vision. →

Age-Related Macular Degeneration

What is the visual disorder characterized by slow, progressive loss of central and near vision?

Age-related macular degeneration

A client has a diagnosis of presbycusis. The nurse interprets that which behavior indicates that the client has successfully adapted to this disorder?

Agrees to use a prescribed hearing aid especially when home alone

A patient who has been blind for the past 10 years is hospitalized with hear failure. What intervention should the nurse include in the plan of care?

All personnel announce themselves when entering and leaving the room

assesses for disturbances in central vision by using a centralized black dot is used as the point of reference. →

Amsler grid

A patient is asked to sign a surgical consent for treatment of otosclerosis. Which statement indicates correct understanding of the procedure?

It will help me hear sounds again

is an inflammation of the labyrinthine canals of the inner ear. →

Labyrinthitis

Which of the following would be most hazardous in the home of a patient who is visually impaired?

Area rugs

Pilocarpine hydrochloride is prescribed for the client with glaucoma. Which medication would the nurse plan to have available in the event of systemic toxicity?

Atropine sulfate

The nurse is caring for a client with glaucoma. Which medication prescribed for the client would the nurse QUESTION?

Atropine sulfate

A client with meniere's disease is experiencing severe vertigo. The nurse reinforces instructions to the client to do which to assist with controlling the vertigo?

Avoid sudden head movements

A 71 year old patient complains of being severely dizzy. What instructions should the nurse give the patient?

Avoid sudden movements

The nurse is admitting an adult patient to a walk in clinic. The patient complains of recent hearing loss. What does the nurse anticipate as the mos probable cause of this patients hearing loss?

Cerumen buildup

A patient visits the health care provider to have her vision tested using the Snellen eye chart. What instruction should the nurse provide the patient?

Cover one eye while testing the other

that reduces formation of aqueous humor; and used for open-angle glaucoma. →

Beta-adrenergic blocker

A patient has a family history of cataracts. He asks what early symptoms he should watch for that would alert him to the development of cataracts. What is the nurse's best response?

Blurred vision

is a procedure in which layers of the cornea is removed. →

Laser-assisted in situ keratomileusis (LASIK)

After cataract surgery a patient complains of a sudden sharp pain in the operative eye. What is the most important appropriate nursing action?

Call the surgeon

A client is diagnosed with glaucoma. Which data gathered by the nurse indicate a risk factor associated with glaucoma?

Cardiovascular disease

is a crystalline opacity or clouding of the lens. →

Cataracts

a disorder of retinal blood vessels characterized by capillary microaneurysms, hemorrhage, exudates, and the formation of new vessels and connective tissue. → Diabetic retinopathy

Diabetic retinopathy

When taking care of a patient with newly diagnosed type 1 diabetes mellitus, the nurse notes the patient is expressing some fears about long-term complications of the disease. She states, I know I'll go blind within 10 years. Why should I bother controlling my blood sugar? On what knowledge can the nurse s best response be based?

Diabetic retinopathy occurs more frequently in patients with long-standing, poorly controlled diabetes mellitus.

is the outward turning of the eyelid. →

Ectropion

is an inward turning of the eyelid →

Entropion

of the eye is the surgical removal of the eyeball →

Enucleation

What factors have been associated with the formation of cataracts?

Exposure to maternal rubella Aging Smoking Diabetes mellitus Ultraviolet light

The nurse is assisting with developing a teaching plan for the client with glaucoma. Which instruction would the nurse suggest to include in the plan of care?

Eye medications may need to be administered for the rest of your life

A patient has impaired hearing. Which action by the nurse would best facilitate communication?

Face the patient when speaking

A 15 year old hearing impaired patient is having problems communicating with staff. Which behavior would improve communication?

Facing the patient when speaking. Speaking in conversational tones. Asking permission to turn off the tv or radio.

Which medications cause ototoxicity?

Furosemide Vancomycin Ibuprofen

is know by increased intraocular pressure because of obstruction of the outflow of aqueous humor. →

Glaucoma

Which assessment finding would indicate a need for possible glaucoma testing?

Halos around lights. Progressive loss of peripheral vision. Lack of ability to adapt to darkness.

The nurse determines that the client diagnosed with Ménière's disease understands the reinforced dietary instructions when the client states that which food will be avoided in the diet?

Hot dogs

The nurse is caring for a 75-year-old patient who has experienced some sensory deficits. What change might be explained by age-related changes of the sensory system?

Increased difficulty focusing on close objects

A client who frequently experiences hearing loss due to built-up cerumen in the ears asks the nurse about ways to deal with the problem including irrigating the ears. Which information is correct for the nurse to include in the teaching plan?

Instill drops of mineral oil and hydrogen peroxide for several days to soften dried cerumen before irrigation. The ear irrigation should be stopped if the client becomes dizzy or nauseous. Irrigate the ear canal with lukewarm tap water around 98° F.

A client arrives at the ED with a foreign body in the left ear that has been determined to be an insect. Which initial intervention would the nurse anticipate be prescribed?

Instillation of mineral oil or diluted alcohol

involves removing the lens and its entire capsule. →

Intracapsular

A patient arrives in the ER after an accident that resulted in a piece of metal penetrating the eye. What nursing action should be taken initially on the patients arrival at the hospital?

Lightly cover both eyes with an eye shield

The nurse is assigned to care for a client hospitalized with meniere's disease. The nurse expects that which would most likely be prescribed for the client?

Low sodium diet

A 78 year old patient comes into the clinic complaining of progressive loss of vision in the center of the visual field. The nurse is aware that the patient is most likely experiencing symptoms of which disorder?

Macular degeneration

The nurse receives medication orders for a patient with open-angle glaucoma. Which medication order does the nurse anticipate?

Mannitol, Cyclogyl

Betaxlol hydrochloride eyedrops have been prescribed for the client with glaucoma. Which nursing action is the most appropriate related to the monitoring for the side effects of this medication?

Monitoring blood pressure

The nurse is caring for a client with acute otitis media. The nurse plans care knowing which treatment for this problem is likely to be included?

Myringotomy

is a surgical incision of the eardrum. It is performed to relieve pressure and to release purulent exudate. →

Myringotomy

The nurse is providing instructions to a client who will be self administering eyedrops. To minimize the systemic effects that eyedrops can produce, the client is instructed to preform which action?

Occlude the nasolacrimal duct with a finger over the inner canthus for 30-60 seconds after instilling the drops

A client arrives in the ED after an automobile crash. The client's forehead hit the steering wheel, and a hyphema has been diagnosed. Which positions would the nurse prepare to position the client?

On best rest in a semi fowler's position

is a condition characterized by chronic progressive deafness caused by the formation of spongy bone, especially around oval window, with resulting ankyloses of the stapes. →

Otosclerosis

the symptoms become apparent patient has no signs or symptoms during the early stages of the disease. As the symptoms become apparent, they include loss of peripheral vision. →

POAG

This technique uses ultrasound to break up and remove the cataract through a small incision. →

Phacoemulsification

A patient is to have a laser treatment to cauterize hemorrhaging vessels caused by diabetic retinopathy. The patient asks the nurse what this procedure is called. Which response by nurse is correct?

Photocoagulation

uses a laser beam to destroy new blood vessels, seal leaking vessels, and help prevent retinal edema. →

Photocoagulation

is a procedure the use of an excimer laser to reshape the central corneal surface. →

Photorefractive keratectomy (PRK)

The nurse is preparing to reinforce a teaching plan for a client who is undergoing cataract extraction with intraocular implant. Which home care measure would the nurse include in the plan?

To avoid activities that require bending over. To take acetaminophen for minor eye discomfort. To place an eye shield on surgical eye at bed time. To contact surgeon if a decrease in visual acuity occurs.

In preparation for cataract surgery, the nurse is to administer cyclopentolate eyedrops. The nurse administers the eyedrops knowing that which is the purpose of this medication?

To dilate the pupil of the operative eye

The nurse is preparing to administer eardrops to an adult client. The nurse administers the ear drops by which technique?

Pulling pinna up and back

Light rays are bent as they pass through the colorless structures of the eye, enabling light from the environment to focus on the retina. →

Refraction

The nurse is caring for a client after enucleation and notes the presence of bright red drainage on the dressing. The nurse would take which appropriate action?

Report the finding to the RN

When caring for a patient who has just undergone a corneal transplant (keratoplasty), what is the most important nursing intervention?

Reporting any severe or progressive pain to the surgeon immediately

is a separation of the retina from the choroid in the posterior area of the eye. →

Retinal Detachment

The nurse is caring for a patient with vertigo. What is the nurse's priority concern when caring for this patient?

Safety

What is the thick, white, opaque connective tissue that is part of the outermost layer of the eyeball?

Sclera

What type of hearing loss involves normal sound conduction through the external and middle ear, but distortion in the inner ear, making discrimination difficult?

Sensorineural hearing loss

an immunologic disorder characterized by deficient fluid production by the lacrimal, salivary, and other glands →

Sjogren syndrome

which assesses visual acuity. →

Snellen test

The patient is wanting to know more about their child's conductive hearing loss. Which is the best explanation by the nurse?

Sound is delivered through the external and middle ear, but a defect in the inner ear results in distortion of sound

While communicating with a patient, you notice a possible hearing deficit in one ear. Which nursing intervention would be appropriate?

Speak clearly and in a slightly louder voice toward the patients face

The nurse is caring for a client who is hearing impaired. The nurse would take which approach to facilitate communication?

Speak in a normal tone

A patient is scheduled for a stapedectomy. What post op instructions should the nurse include in patient teaching?

Teach the patient to open the mouth when sneezing or coughing. Limit exercise or active sports for 3 weeks. Avoid exposure to people with upper respiratory tract infection.

A miotic medication has been prescribed for the client with glaucoma. The client asks the nurse about the purpose of the medication. The nurse would tell the client which purpose?

This medication will cause the pupils to constrict and will lower the pressure in the eye.

A patient is diagnosed with an inner ear problem. For what symptom should the nurse monitor the patient closely?

Vertigo

A patient tells the nurse he has dizziness. He states that the health care provider used another term. What term did the health care provider most likely use?

Vertigo

The nurse is assigned to care for a client with a diagnosis of detached retina. Which findings would indicated that bleeding has occurred as a result of retinal detachment?

Vision may be cloudy. Complaints of a burst of black spots or floaters

is the removal of excess vitreous fluid. →

Vitrectomy

The nurse assists with preparing the client for ear irrigation as prescribed by the PCP. Which action would the nurse plan to take?

Warm the irrigating solution to 98 F

The nurse is preparing to administer eyedrops. Which interventions would the nurse take to administer the drops?

Wash hands Put on gloves Place the drop in conjunctival sac Pull the lower lid down against the cheek bone

A patient has just had cataract surgery What information should the nurse include in the discharge instructions?

Wear an eye shield at night on the operative eye. Avoid bending, stooping, coughing, or lifting. Instill prescribed eye drops into the conjunctival sac.

is a method of assessing auditory acuity. →

Weber test

Myringotomy is

a surgical procedure that allows fluid to drain from the middle ear

The client sustains a contusion of the eyeball following a traumatic injury with a blunt object. Which intervention is initiated immediately?

apply ice to the affected eye

sound is inadequately conducted through the external or middle ear to the sensorineural apparatus of the inner ear. →

conductive hearing loss

organ of hearing →

organ of Corti

The nurse is assisting in preparing a teaching plan for a client with Ménière's disease. The nurse places highest priority on teaching the client information related to which information?

safety

a defect in the inner ear results in distortion, making discrimination difficult. →

sensorineural hearing loss

The nursing student is developing information for use in a clinical conference about hearing disorders. In the presentation, the student plans to include the statement that the ear is housed in which bones of the skull?

temporal