Ch 13- Sensory Disorder

The nurse takes into consideration that the Weber test indicated a conductive hearing loss in a patient because the patient reported hearing the tone: Equally in both ears As a shrill noise Louder in his affected ear Very faintly

Louder in his affected ear

Which is a sign of acute angle closure glaucoma (AACG)? Large fixed pupil Nystagmus Bluish color in sclera Drooping eyelid

Nystagmus

What is a common mistake that hinders communication when communicating with the hearing impaired? Over accentuating words Facing the patient when speaking Speaking in conversational tones Speaking into the hear with the hearing aid

Over accentuating words

What must a patient do following a left vitrectomy? Remain flat in bed for 48 hours Position self in a face-down position for 4 to 5 days Assume a side-lying position with the left side down for 3 days Keep the head upright and cushioned with pillows for 24 hours

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 Change the battery Recharge the hearing aid Wash the ear mold with warm water

Reinsert the ear mold

The nurse clarifies that the difference between PRK and LASIK is that LASIC: Reshapes the central cornea Makes partial-thickness radial incisions in the cornea Removes some internal eye layers of the cornea Implants intracorneal rings

Removes some internal eye layers of the cornea

A 62-year-old home health patient who is recovering from eye surgery complains of feeling of "grittiness" in the eye and is having blurred vision. The eyes are reddened and have stringy mucus. What do these complaints indicate? Sjogren syndrome Early cataracts Macular degeneration Retinal detachment

Sjogren syndrome

The nurse is aware that the patient has 20/40 vision. This means that the patient can see 20 feet what the normal eye can see at ____ feet 10 20 30 40

40

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

Accommodation

When the patient stares at the black dot on an Amsler grid, what should the nurse ask him to report? Any color visible on the grid Fading of the edges of the grid Any distortion of the grid Movement of the black dot

Any distortion of the grid

What does the cataract treatment of phacoemulcification involve? "Drying" the cataract with hypertonic saline Removing the lens through the anterior capsule The insertion of a new lens Breaking the cataract with ultrasound

Breaking the cataract with ultrasound

What does diabetes retinopathy result from? Capillaries in the retina hemorrhage Long-term overdosing of insulin Retinal detachment

Capillaries in the retina

What does a tympanoplasty correct? Conductive hearing loss Sensorineural hearing loss Congenital hearing loss Functional hearing loss

Conductive hearing loss

What do biotic eyedrops do for a patient with glaucoma? Dilate the pupil and sharpen vision Lubricate and moisten the dry eye Irrigate the surface of the eye Constrict the pupil and open the canal of Schlemm

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 Macular degeneration Early sign of cataract Diabetic retinopathy

Detached retina

What should the nurse include in the plan of care following a tympanoplasty? Elevating the head of the bed with operative side facing upward Enforcing bed rest for 72 hours Frequent turning, coughing, and deep breathing Continuous irrigation of the ear canal with antibiotic solution

Elevating the head of the bed with operative side facing upward

How should the nurse advise the patient who has had severe vertigo from labyrinthitis? Lean against a wall and not head forward until vertigo lessens Bend at the waist and take several deep breaths Drink an iced drink slowly Lie immobile and hold the head in one position until the vertigo lessens

Lie immobile and hold the head in one position until the vertigo lessens

When the newly blind male home health patient asks the nurse how he might get assistance, who might the nurse suggest he contact? American Red Cross American Foundation for the Blind for a list of agencies Local hospital social worker The public health department

American Foundation for the Blind for a list of agencies

A patient who had an enucleation of the right eye has been admitted to PACU. What should he nurse include in the plan of care? Turn, cough, and deep breathe every 3 hours Apply pressure dressing over the right eye socket Document dressing assessment every 2 hours Turn the effected side

Apply pressure dressing over the right eye socket

What should the nurse advise the 20-year-old to do who has been put on cefaclor (Ceelor) for a resistant otitis media? Store suspension at room temp D/C drug when symptoms abate Avoid drinking alcoholic beverages Take with meals only

Avoid drinking alcoholic beverages

Which complaint made by a 64-year-old patient during a health interview would alert the nurse to the possibility of cataracts? Pain in the eyes Difficulty driving at night Loss of peripheral vision Dry eyes

Dry eyes

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? A large percentage of stapedectomies are not successful It will take at least 10 days for the Graft to heal Hearing will not return until edema subsides Hearing will improve after irrigation of the ear

Hearing will not return until edema subsides

One of the housekeepers splashes a chemical in the eyes. What should be the first priority? Transport to a physician immediately Cover the eyes with a sterile gauze Irrigate with H2O for 5 minutes Irrigate with normal saline solution for 20 minutes

Irrigate with normal saline solution for 20 minutes

What should a patient who has had a cataract repair avoid? The use of eye patches The use of sunglasses Lifting heavy objects Reading for long periods of time

Lifting heavy objects

What is the first indication of macular degeneration? The loss of peripheral vision The loss of central vision The loss of color discrimination Eye fatigue

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 his patient The patient would be considered totally blind This patient probably has some light perception, but no usable vision This patient has some usable vision, which enables function at an acceptable level The nurse would need to determine how this patient's visual impairment affects normal functioning

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 the retina, which is not getting enough blood supply The procedure will reduce edema in the macula of the eye The procedure will vaporize fatty deposits that appear in the retina The procedure will destroy new blood vessels, seal leaking vessels, and help prevent retinal edema

The procedure will destroy new blood vessels, seal leaking vessels, and help prevent retinal edema

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 Mumps External otitis Otitis media Labyrinths

External otitis