Chapter 11: Assessing the eyes

What does 20/30 mean ?

that the patient can see at 20 feet what a person with normal vision can see 30 feet away from the chart.

The nurse is testing the extraocular movements in a client to assess for muscle weakness in the eyes. The nurse should implement which assessment technique to assess for muscle weakness in the eye?

A. Test the corneal reflexes. B. Test the 6 cardinal positions of gaze C. Test visual acuity, using a Snellen eye chart D. Test sensory function by asking the client to close the eyes and then lightly touching the forehead, cheeks, and chin. B: Test the 6 cardinal Positions of gaze.

The nurse is preforming a Weber test on a client. The nurse should obtain which item needed to preform this test.

A. A tunning fork B. A stethoscope C. A tongue blade D. A reflex hammer A tunning fork

A client is diagnosed with external otitis. Which finding would the nurse expect to note on assessment of the client?

A. A wider than normal ear canal B. A pearly gray tympanic membrane C. Redness and swelling in the ear canal D. An excessive amount of cerumen lodged in the ear canal C. Redness and swelling in the ear canal

The nurse conducting a health screening is preforming hearing assessments on clients. Senior nursing students are assisting the nurse with the assessments. The nurse instructs the students to perform a voice test by taking which action?

D. Stand 1 to 2 ft away from the client and ask the client to block 1 external ear canal

Diplopia

Double Vision

Cardinal Positions

Establishes for muscle weakness Abnormal Findings: Can't follow a normal pattern of movement

The nurse reviews the findings from a physical exam done on a client for ear or hearing disorders and notes documentation that the client has hyperacusis. Which would the nurse expect to note on assessment of the client?

Intolerance for sound levels that do not bother other people

Nystagmus

Rapid eye movement.

A confrontation test is prescribed for a client seen in the eye and ear clinic. How should the nurse perform this test?

Stands 2-3 feet in front of the client and faces the client asks the client to cover 1 eye Examiner covers eye opposite to the eye covered by the client The examiner bring in an object gradually from periphery Asks the client to report when object is first noted

Hyperacusis

excessively sensitive hearing. Disorder in loudness perception

The nurse is preparing to test the visual acuity of a client, using a snellen chart. Which identifies the accurate procedure for this visual acuity test?

A. The right eye is tested, followed by the left eye and then both eyes are tested. B. Both eyes are assessed together, followed by an assessment of the right eye and then the left eye C. The client is asked to stand at a distance of 40 Ft from the chart and to read the largest line on the chart D. The client is asked to stand at a distance of 40 feet from the chart and read the line that can be read 200 ft away by an individual with unimpaired vision. A. The right eye is tested, followed by the left eye and then both eyes are tested.