Chapter 53

A nurse is reinforcing teaching for a client who has a new diagnosis of dry macular degeneration. Which of the following instructions should the nurse include in the teaching?

Increase intake of deep yellow and orange vegetables.

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

Instillation of mineral oil or diluted alcohol

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

Irrigating the eye w/ sterile normal saline

A nurse is completing discharge teaching with a client following middle ear surgery. Which of the following statements by the client indicates understanding of the teaching?

"I should restrict rapid movements and avoid bending from the waist for several weeks."

A nurse is providing postoperative teaching to a client following cataract surgery. Which of the following statements should the nurse include in the teaching?

"You need to limit your housekeeping activities."

A nurse is reviewing the health record of a client who has severe otitis media. Which of the following are expected findings? Select all that apply

- Enlarged adenoids - Reports of recent colds

A nurse in a clinic is caring for a client who has been experiencing mild to moderate vertigo due to benign paroxysmal vertigo for several weeks. Which of the following actions should the nurse recommend to help control the vertigo? Select all that apply

- Reduce exposure to bright lightening - Move head slowly when changing positions - Plan evenly spaced daily fluid intake

The nurse is preparing to reinforce a teaching plan for a client who is undergoing cataract extraction w/ intraocular implant. Which home care measure would the nurse include in the plan? Select all that apply

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

The nurse is assigned to care for a client w/ a diagnosis of detached retina. Which findings would indicate that bleeding has occurred as a result of retinal detachment? Select all that apply

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

A nurse is caring for a client who has a new diagnosis of cataracts. Which of the following manifestations should the nurse expect? Select all that apply.

-Blurred vision - White pupils

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

Low-sodium diet

The nurse notes that the HCP has documented a diagnosis of presbycusis on the client chart's. Which explanation would the nurse give to the client to describe this condition?

A conductive hearing loss that occurs w/aging

The nurse is assigned to care for a client w/ a detached retina. Which finding would the nurse expect to be documented in the client's record?

A sense of a curtain falling across the field of vision

A client sustains a contusion of the eyeball after a traumatic injury w/ a blunt object. The nurse take which immediate action?

Apply ice to the affected eye

A client with Ménière's disease is experiencing severe vertigo. The nurse reinforces instuctions to the client to do which to assist w/ controlling the vertigo?

Avoid sudden head movement

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

Cardiovascular disease

The nurse is assisting w/ developing a teaching plan for the client w/ 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 nurse is performing an otoscopic examination of a client. Which of the following is an unexpected finding?

Fluid or bubbles seen behind the TM

A nurse is caring for a client who has diabetes mellitus and reports a gradual loss of peripheral vision. The nurse should recognize this as a manifestations of which of the following diseases?

Open-angle glaucoma

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

Pulling the ear up and back

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

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 nurse is caring for a client who has suspected Ménière's disease. Which of the following is an expected finding?

Unilateral hearing loss