Ears

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

" I will avoid blowing my nose"

vitreous humor

posterior not replaceable

constriction

regulates the amount of light entering the eye

amsler grid

used to assess for disturbances in central vision

Choriod

white part of eye

eye

1 inch sphere external structures eyebrows, eyelids, eyelashes and lacrimal apparatus along with conjuncitiva

The nurse is preparing to administer eyedrops. Which interventions would the nurse take to administer the drops?

Wash hands Put on gloves Place the drop in the conjunctival sac Pull the lower lid down against the cheek bone

A miotic medication has been prescribed for the client with glaucoma. The client asks the nurse about the purpose of the medication. The nurse would tell the client which purpose?

"The medication causes the pupil to constrict and will lower the pressure in the eye"

The nurse is assigned to care for a client with a detached retina. Which finding would the nurse expect to be documented in the clients record?

A sense of curtain falling across the field of vision

The nurse notes the primary health care provider has documented diagnosis of presbycusis on the client's chart. Which explanation would the nurse give to the client to describe this condition?

A sensorineural loss that occurs with Aging

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

Cardiovascular Disease

A client was just admitted to the hospital to rule out a gastrointestinal bleed. The client has brought several bottles of medications prescribed by different specialists. During the admission assessment the client states. "lately I have been hearing some roaring sounds in my ears especially when I am alone". Which medication would the nurse determine to cause the clients complaint?

Acetylsalicylic Acid

The nurse is assigned to care for a client hospitalized with meniere disease. The nurse expects that which would likely be prescribed for the client?

Low sodium diet

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

Administer the eyedrop first, followed by the eye ointment

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

Apply ice to the affected eye.

Pilocarpine hydrochloride is prescribed for the client with glaucoma. Which medication would the nurse plan to have available in the event of systematic toxicity?

Atropine Sulfate

The nurse is caring for a client with glaucoma. Which medication prescribed for the client would the nurse question?

Atropine Sulfate

A client with meniere disease is experiencing severe vertigo. The nurse reinforces instructions to the client to do which to assist with controlling the vertigo?

Avoid sudden head movements

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

Blurred vision, White pupils

When teaching health promotion practices to hearing and/or visually impaired patients, consider readiness to learn with the following in mind

Cultural beliefs Values Habits

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

Enlarged adenoids, Report of recent colds

The nurse is assisting with developing a teaching plan for a client with 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 male older adult client who has a new diagnosis of glaucoma. Which of the following should the nurse recognize as risk factors associated with this disease?

Genetic Predisposition, Hypertension, Age, diabetes mellitus

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 he 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 eyedrops 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 pressure

The nurse is providing instructions to a client who will be self-administering eyedrops. To minimize the systematic effects that eyedrops can produce, the client is instructed to perform which action?

Occlude the nasolacrimal duct with a finger over the inner canthus for 30 to 60 seconds after instilling the drops.

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

On bed rest in a semi fowlers position

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 manifestation of which of the following?

Open-angle glaucoma

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

Pulling the pinna up and back

A nurse in a clinic is caring for a client who has Meniere's disease and is experiencing vertigo. Which of the following actions should the nurse recommend to help control the vertigo?

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

The nurse is caring for a client after enucleation and notes the presence of bright red drainage on the dressing. Then nurse would take which appropriate action?

Report the finding to the registered nurse (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

The nurse is preparing to reinforce a teaching plan for a client who is undergoing cataract extraction with intraocular implant. Which home care measures 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.

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

To dilate the pupil of the operative eye

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

Unilateral hearing loss

The nurse is assigned to care for a client with a diagnosis of a detached retina. Which findings would the nurse 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

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

Warm the irrigating solution to 98 degrees

A nurse is reinforcing 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

accommodation

lens curvature to focus on the retina

refraction

light rays are bent

convergence

medial movement of both eyes


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