Ch 13 Saunders Questions (SENSORY)

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The nurse assists with preparing the client for ear irrigation as prescribed by the primary health care provider (PHCP). Which action would the nurse plan to take?

Warm the irrigating solution to 98°F (36.6°C).2

The nurse notes that the primary health care provider (PHCP) has documented a diagnosis of presbycusis on the client's chart. Which explanation would the nurse give to the client to explain this condition?

A sensorineural hearing loss that occurs with aging

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

Cardiovascular disease

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

Administer the eye drop first, followed by the eye ointment.2

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

Apply ice to the affected eye

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 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 with sterile normal saline

Betaxolol hydrochloride eye drops have been prescribed for the client with glaucoma. Which nursing action is most appropriate related to monitoring for the side/adverse effects of this medication?

Monitoring blood pressure3

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

On bed rest in a semi-Fowler's position3

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

To dilate the pupil of the operative eye3


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