MODULE 12 MS

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 Early cataracts Macular degeneration Retinal detachment

Sjögren syndrome

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

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

Overaccentuating words

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 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

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

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

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

Apply a pressure dressing over the right eye socket

What does the cataract treatment of phacoemulsification 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 retina hemorrhage Long-term overdosing of insulin Retinal detachment Aging

Capillaries in retina hemorrhage

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

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

Difficulty driving at night

Why is otitis media found more frequently in children 6 to 36 months? Eustachian tubes in children are shorter and straighter. Infection descends via the eustachian tube to the throat. Children's eustachian tubes are more vertical and longer. Otitis media is seen equally in both children and adults.

Eustachian tubes in children are shorter and straighter.

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

How should the nurse advise a patient who has 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.

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 head upright and cushioned with pillows for 24 hours

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

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. The lamp can cause presbycusis. The lamp can cause keratitis. The lamp can cause ectropion.

The lamp can cause cataracts.

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 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.

The nurse counsels the 16-year-old boy that playing his music at high volume can result in impairment in hearing related to: damaged tympanic membrane. protective buildup of cerumen. damage of the fine hair cells in the organ of Corti. rupture of the oval window.

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. mumps external otitis otitis media labyrinthitis

external otitis

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

Conductive hearing loss

What do miotic 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

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.

The nurse clarifies that the difference between a photorefractive keratectomy (PRK) and a laser in-situ keratomileusis (LASIK) is that a LASIK: reshapes the central cornea. makes partial-thickness radial incisions in the cornea. removes some internal layers of the cornea. implants intracorneal rings.

removes some internal layers of the cornea.

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

Avoid alcoholic beverages

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

Large fixed pupil

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

Continuous irrigation of the ear canal with antibiotic solutions

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 The lifting of heavy objects Reading for long periods of time

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 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.