Sensory

What is the process when the lens of the eye changes its curvature to focus on the retina?

accommodation

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

cardiovascular disease

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.

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

halos around lights progressive loss of peripheral vision

The nurse teaching a patient with type 1 diabetes mellitus (IDDM) about early signs of insulin reaction would include information about:

hunger and a trembling sensation

The nurse discovers the type 1 diabetic (IDDM) patient drowsy and tremulous, the skin is cool and moist, and the respirations are 32 and shallow. These are signs of:

hypoglycemic reaction; give 6 oz of orange juice

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

instill prescribed eye drops into the conjunctival sac avoid bending, stooping, coughing or lifting wear an eye shield at night on the operative eye

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

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

How should the nurse administer insulin to prevent lipohypertrophy?

At room temperature

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

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.

What is a long-term complication of diabetes mellitus?

renal failure

a patient is diagnosed with an inner ear problem. What symptom should the nurse monitor the patient closely for?

vertigo

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.

the nurse assists to prepare the client for ear irrigation as prescribed by the health care provider. Which action should the nurse plan to take?

Warm the irrigating solution to 98° F.

A patient has returned to his room after a thyroidectomy with signs of thyroid crisis. During thyroid crisis, exaggerated hyperthyroid manifestations may lead to the development of the potentially lethal complication of:

congestive heart failure.

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

Which test will furnish immediate feedback for a newly diagnosed diabetic who is not yet under control?

fasting blood sugar (FBS)

a patient is scheduled for a stapedectomy. what postoperative instructions should the nurse include in patient teaching?

limit exercise or active sports for three weeks teach the patient to open the mouth when sneezing or coughing

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

Pilocarpine hydrochloride is prescribed for the client with glaucoma. which medication should the nurse plan to have available in case there is the event of systemic toxicity?

metipranolol (OptiPranolol)

a 78 year old patient comes to the clinic complaining of progressive loss 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

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

monitoring blood pressure

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

pulling the pinna up and back

The nurse is aware that the patient has 20/40 vision. This means that the patient can see at 20 feet what the normal eye can see at _______ feet.

40

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

"I feel like someone pulled a curtain over my eye" "I see specks floating around the edges of my vision"

The nurse provides discharge teaching for a patient regarding her activity level as she recovers from her modified radical mastectomy. Which statement by her indicates to the nurse that the teaching has been successful?

"I should sleep on the side opposite my mastectomy."

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"

A 25-year-old woman comes to the clinic with a yellowish-green malodorous vaginal discharge. She says it makes her itch and makes it hard to urinate. After a microscopic examination that confirms trichomoniasis, the patient is placed on metronidazole (Flagyl) for 7 days. How should the nurse advise the patient?

Avoid alcohol while on Flagyl

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

Why is otitis media found more frequently in children 6 to 36 months?

Eustachian tubes in children are shorter and straighter.

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

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

Instillation of mineral oil or diluted alcohol

while cleaning the garage a patient splashed a chemical in his eyes. what is the initial action following the chemical burn?

Irrigate the eye with water for 20 minutes.

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

Which of the following are causes of cataracts?

Long-term use of corticosteroids Diabetes mellitus Smoking Congenital from exposure to maternal rubella

What do the Chvostek sign and the Trousseau sign indicate?

Low levels of serum calcium

What is a common mistake that hinders communication when communicating with the hearing impaired?

Over-accentuating words

What must a patient do following a left vitrectomy?

Position self in a face-down position for 4 to 5 days

The nurse is assessing the feet of a client with long term type 2 diabetes. Which assessment data warrant immediate intervention by the nurse?

The client has a necrotic big toe

What should a patient who has had a cataract repair avoid?

The lifting of heavy objects

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.

Why would the nurse encourage the patient who is recovering from a modified radical mastectomy to exercise the affected arm?

To reduce lymphedema

A 20-year-old patient presents in the emergency room with a temperature of 103° F, blood pressure of 92/58, headache, and desquamation of both palms. What should the nurse make sure to ask about during the interview?

Use of tampons

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

Vertigo

The nurse assists to prepare the client for ear irrigation as prescribed by the health care provider. Which action should the nurse plan to take?

Warm the irrigating solution to 98° F.

What is the first indication of macular degeneration?

loss of central vision

Which may contribute to otitis media?

Allergies Upper respiratory infections Exposure to cigarette smoke

The nurse is caring for a client with glaucoma. Which medication prescribed for the client should the nurse question?

Atropine sulfate (Isopto Atropine)

What should the nurse include in the plan of care following a tympanoplasty?

Elevating head of bed with operative side facing upward

On the second postoperative day, a patient who has had an abdominal hysterectomy complains of gas and abdominal distention. Which intervention would be most appropriate to stimulate a bowel movement?

Encouraging ambulation at least four times per day

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

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

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.

What is an appropriate nursing diagnosis for a patient who has recently been diagnosed with acromegaly?

Risk for trauma