Ear or sensory or something

The nurse is teaching a parent whose infant has had several episodes of otitis media. Which of the following statements made by the parent indicates the need for further teaching?

"Children who live in homes where family members smoke have fewer infections."

The nurse is conducting a routine health assessment for older adult clients. What would be a question the nurse would ask to determine if the client is at an increased risk for the development of glaucoma?

"Does anyone in your immediate family have any chronic eye problems?"

A mother tells the nurse that her child typically gets "swimmer's ear" every summer during swimming lessons. Which of the following statements would indicate the need for further teaching with this parent?

"I remove the cerumen from my child's ear at least once a week to prevent ear wax buildup."

A child is diagnosed with conjunctivitis. Which statement indicates that the child understood the nurse's teaching?

"I will use my own wash cloth and towel for my face while my eyes are sick."

The nurse is discharging a client with bilateral cataracts following cataract surgery on one eye. What statement by the client would indicate to the nurse the need for additional teaching?

"I'll be okay by myself at home today."

The nurse indicates an understanding of conductive hearing loss in the older client with which statement?

"This may be reversible after the cerumen is removed from the ear canal."

A client who has glaucoma is concerned about her adult children "inheriting" the condition. What is the best nursing response?

"Your children should have an ophthalmologic examination with screening for glaucoma around age 40. After that, examinations should be done every 2 to 3 years."

The nurse is evaluating a client recently diagnosed with primary open-angle glaucoma (POAG). What will be an important nursing action(s)? Select all that apply.

1 5 6

When fluorescein is applied to the surface of the eye, which statements are correct? Select all that apply.

2 3 4

Which of the following are appropriate nursing actions when measuring visual acuity using a Snellen chart? Select all that apply.

4,5,6

Which client is at highest risk for retinal detachment?

A 17-year-old who plays physical contact sports

Saline nose drops have been ordered for nasal congestion for an infant. To achieve the most therapeutic result, what directions will the nurse give the parents?

Administer the saline nose drops about 30 minutes before the baby is fed.

The purpose of conducting the Rinne test is to determine conduction of sound through the bone and through the auditory canal. The nurse understands that a normal Rinne test result is described as:

Air conduction twice as long as bone conduction

A client with mild exophthalmia complains of the eyes feeling dry and is prescribed artificial tears. The nurse would teach the client to apply the drops:

As often as needed

The nurse prepares to irrigate the external auditory canal for a client with impacted cerumen. What would be included in the correct technique for irrigation?

Assess for signs of pain and tenderness in the ear.

The nurse is admitting a postoperative client after removal of an acoustic neuroma. What would be most important to include in the postoperative nursing care for this client?

Assessing for clear, colorless nasal discharge

The nurse is discharging a client with a diagnosis of Ménière's disease. Which medication will the nurse anticipate the client will be taking after discharge for management between acute attacks of vertigo?

Atropine

The nurse would question which medication order for a client with PACG (primary angle-closure glaucoma)?

Atropine (Atropisol) 1 to 2 drops in each eye now

A parent reports to the nurse that her child has inflamed conjunctivae of both eyes with purulent drainage and crusting of the eyelids, especially on awakening. What condition is associated with these symptoms?

Bacterial conjunctivitis

A client is being prepared for cataract surgery. What information is important for the nurse to give to the client?

Clients usually go home 2 to 3 hours after the surgery and will need to instill eye medications postoperatively.

A geriatric client is complaining to the nurse about his difficulty hearing. He relates that the problem has seemed to be getting worse over the past few years. What clinical finding would most likely support a diagnosis of presbycusis?

Complaint that he can hear voices, but everyone mumbles

A parent and an 8-month-old child come into a public health clinic for a well-child checkup. The parent tells the nurse the child has been crying more than usual. What information obtained during the nursing assessment would cause the nurse the most concern?

Crying when sucking on his bottle

The nurse would question the administration of which eye drop to a client with hypertension?

Dipivefrin (Propine)

The nurse is teaching a parent whose infant has had several episodes of otitis media. Which of the following statements made by the parent indicates the need for further teaching?

Direct the light into one pupil and observe for the constriction or response of the other pupil.

A 3-year-old child had a myringotomy about a week ago. The mother calls the nurse to report that one of the tubes fell out. She found the tube on the child's pillow. After the nurse makes an appointment for the child to be seen in the clinic, what would be important to tell the mother?

Do not allow any water to get into the child's ears.

A client's eye has been anesthetized for an ophthalmology examination. What instructions will be important for the nurse to give the client?

Do not rub the eye for 15 to 20 minutes.

An older adult client in a long-term care facility is hearing impaired. What nursing interventions will assist in communication with the client?

Face the client in good light and speak in a normal tone of voice.

A client is being admitted for problems with Ménière's disease. What is most important for the nurse to assess to promote the client's safety?

Frequency and severity of attacks

The nurse suspects that a client is not administering pilocarpine for treatment of his open-angle glaucoma. Which finding would support this assumption? The client:

Has mydriasis when examining the eyes

A client is walking down the hall, and he begins to experience vertigo. What is the most important nursing action when this occurs?

Help the client sit or lie down.

The occurrence of severe eye pain in a client who has had cataract surgery would cause concern regarding the development of what complication?

Hemorrhage

When teaching a family and a client about the use of a hearing aid, the nurse will base the teaching on what information regarding the hearing aid?

It amplifies sound and directs it into the ear canal.

The nurse is assessing the vision of a client with bilateral cataracts. What changes in the vision would the nurse expect to find?

Loss of ability to see objects clearly

On examination of a 2-week-old infant, the nurse notes that the left eye is watering and crusted material is on the eyelids. No edema or erythema is noted. The clinical findings are associated with a diagnosis of:

Nasolacrimal duct obstruction

When examining the eyes, the nurse determines that the pupils change in size when the client focuses from a distant object to a close object. The nurse correctly interprets this as:

Normal visual accommodation

After outpatient surgery to remove cataracts, the nurse is preparing the client for discharge. Discharge teaching includes a caution to the client to avoid sudden movement, bending, or stooping. The purpose of this caution is to decrease:

Pressure on the operative site

An unknown chemical was splashed into a client's eyes. What is most important for the nurse to tell the client to do immediately?

Rinse the eye with a large amount of water or saline solution.

During a preschool screening for visual acuity, the nurse also would assess children for which of the following?

Strabismus

The nurse is evaluating a teenager for hearing loss. In reviewing the client's history, the nurse knows that which finding is not associated with a hearing loss?

Taking penicillin and cephalosporin medication

A child is scheduled for a myringotomy with placement of tympanostomy tubes. What is the long-term goal of this procedure that the nurse will discuss with the parents?

To prevent recurrent ear infections

The nurse is assessing the hearing of a client with Bell's palsy. What would be the best way to determine the hearing of this client?

Use a tuning fork to test for lateralization of sound.

A client comes to the clinic with decreased hearing. Examination of the ear canal reveals a large amount of cerumen. What is the recommended method for removal of the cerumen?

Warm sterile solution irrigation

A client has a diagnosis of syncope and sinus bradycardia. Which category of medications for glaucoma could exacerbate the patient's heart problems?

beta-adrenergic blockers

The nurse is preparing a client for cataract surgery. The client has an order for ophthalmic atropine drops to be instilled into the left eye. What is the desired response?

cycloplegic effect on accommodation

In preparing a client for cataract surgery, the nurse should explain that the purpose of administering mydriatic eye drops is to:

dilate the pupil

The nurse suspects otitis externa in a young child. What is the predominant symptom?

pain

The nurse understands that a cycloplegic medication does which of the following?

paralyzes the ciliary muscle

An older adult client is diagnosed with chronic open-angle glaucoma. The client has a history of bradycardia and first-degree atrioventricular block. In considering the client's history, what medication would the nurse question administering?

timolol