Eyes and Ears EAQ

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A registered nurse is supervising a student nurse while assessing a 70- year-old client who is receiving aminoglycoside therapy. Which statement about the client's condition requires correction? "The client may have deterioration of the cochlea." "The client may have thinning of the tympanic membrane." "The client may have an inability to hear high-frequency sounds." "The client may have an inability to differentiate between consonants."

"The client may have thinning of the tympanic membrane."

A client asks for information about glaucoma. How should the nurse explain glaucoma to the client? An increase in the pressure within the eyeball An opacity of the crystalline lens or its capsule A curvature of the cornea that becomes unequal A separation of the neural retina from the pigmented retina

An increase in the pressure within the eyeball

Aspirin is prescribed for a client with rheumatoid arthritis. Which clinical indicators of aspirin toxicity should the nurse teach the client to report? Select all that apply. Bradycardia Joint pain Blood in the stool Ringing in the ears Increased urine output

Blood in the stool Ringing in the ears

The nurse is caring for a client who reports excessive tearing. Which disorders does the nurse suspect could be responsible for the client's condition? Select all that apply. Chalazion Entropion Hordeolum Conjunctivitis Keratoconjunctivitis sicca

Chalazion Entropion Conjunctivitis

A 62-year-old client reports to the nurse, "My eyes don't feel right and I have a gritty and sandy sensation in my eyes." What condition might this client have? Retinal detachment Infection of the cornea Changes in tear composition Hemorrhage in the vitreous humor

Changes in tear composition

The nurse frequently provides care for clients with hearing aids. Which condition does the nurse recall responds best to hearing aids? Destruction of the auditory nerve Diminished sensitivity of the cochlea Perforation of the tympanic membrane Immobilization of the auditory ossicles

Diminished sensitivity of the cochlea

A nurse is caring for an older adult with a hearing loss secondary to aging. What can the nurse expect to identify when assessing this client? Select all that apply. Dry cerumen Tears in the tympanic membrane Difficulty hearing high pitched voices Decrease of hair in the auditory canal Overgrowth of the epithelial auditory lining

Dry cerumen Difficulty hearing high pitched voices

After a left cataract extraction, a client reports severe discomfort in the operated eye. The nurse concludes that this problem may be caused by which condition? Hemorrhage into the eye Expected postoperative discomfort Isolation related to sensory deprivation Pressure on the eye from the protective shield

Hemorrhage into the eye

After cataract surgery the nurse teaches a client how to self-administer eyedrops. The nurse reinforces the use of what technique? Placing the drops on the cornea of the eye Raising the upper eyelid with gentle traction Holding the dropper tip above the conjunctival sac Squeezing the eye shut after instilling the medication

Holding the dropper tip above the conjunctival sac

Which clinical indicator is the nurse most likely to identify when exploring the history of a client with open-angle glaucoma? Constant blurring Abrupt attacks of acute pain Sudden, complete loss of vision Impairment of peripheral vision

Impairment of peripheral vision

A nurse is assessing a client with a diagnosis of dry age-related macular degeneration. Which ocular symptom should the nurse expect the client to report? Loss of central vision Attacks of acute pain Constant blurred vision Decreased peripheral vision

Loss of central vision

A client who just has been diagnosed with primary open-angle glaucoma (POAG) refuses therapy. The nurse reinforces that it is important for the client to seek treatment. Which goal is the nurse trying to achieve? Prevent cataracts Prevent blindness Prevent retinal detachment Prevent blurred distance vision

Prevent blindness

Which beta-adrenergic blocker is used to reduce a client's intraocular pressure? Timolol Travopost Carbachol Apraclonidine

Timolol

The nurse is caring for a client newly diagnosed with diabetes. When preparing the teaching plan about the importance of yearly eye examinations, the nurse should instruct the client on which eye problem most associated with diabetes? Cataracts Glaucoma Retinopathy Astigmatism

Retinopathy

A client with diabetes mellitus complains of difficulty seeing. What would the nurse suspect as the causative factor? Lack of glucose in the retina The growth of new retina blood vessels or "neovascularization" Inadequate glucose supply to rods and cones Destructive effect of ketones on retinal metabolism

The growth of new retina blood vessels or "neovascularization"


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