Eyes and Ears Practice Test

After cataract removal surgery on the left eye, the client sits up and reports having sharp pain in the operative eye. What should the nurse do next?

Contact the health provider

A client presents to the emergency department reporting a foreign body in the eye. For what diagnostic testing would the nurse prepare the client?

Corneal staining

The nurse is to instill drops pf phenylephrine hydrochloride into the client's eye prior to cataract surgery. Which is the expected outcome?

Dilation of the pupil and constriction of blood vessels

A client is brought to the emergency department after a car crash. The client has a large piece of glass in the left eye. What action by the nurse takes priority?

Ensure that the client has a patent airway.

The nurse is teaching a group of older adults about basic eye examinations. What would the nurse recommend about the frequency for eye examinations for most people over 65 years of age?

Every 1 to 2 years

A client is scheduled to have a tumor of the middle ear removed. Which perioperative health teaching is most important for the nurse to include?

Expecting hearing loss in the affected ear

What information should the nurse provide when preparing the client for tonometry

It is a painful procedure with no adverse reactions

A short time after cataract surgery, the patient has nausea. What should the nurse do first?

Medicate the client with an antiemetic, as prescribed

The nurse is assessing a client's medication profile to determine risk for tinnitus. Which drug classification is most likely to cause this health problem?

NSAIDs

A client who is nearly blind is admitted to the hospital. What action by the nurse is most important?

Orient the client to the room using a focal point.

A client who has had cold symptoms for a week visits the local urgent care center with report of left ear discomfort, dizziness, and decreased hearing. What additional assessment findings would the nurse expect?

Purulent ear drainage

The nurse is placing patches on both eyes of client with detachment of the retina. What is the expected outcome of patching?

Reduced rapid eye movements

A client has severe tinnitus that has not responded to treatment. What action by the nurse is appropriate?

Refer the client to online or local support groups.

The nurse is instructing the client about postoperative care following cataract removal. What position should the nurse teach the client to use?

Remain in semi-fowler's position

A 75-year old client who has been taking furosemide regularly for 4 months tells the nurse about having trouble hearing. What should the nurse do?

Report the hearing loss to the health care provider

A client tells the nurse about the vision being blurred and hazy throughout the entire day. What should the nurse recommend that the client do?

Schedule an appointment with an ophthalmologist

The nurse is teaching a client about factors that can cause external otitis. Which of these factors would the nurse emphasize as the highest risk?

Swimming

A client's intraocular pressure (IOP) is 28 mm Hg. What action would the nurse anticipate?

Teach about drugs for glaucoma.

The client has had a cataract removed. When explaining discharge instructions, what should the nurse tell the client to do?

Use an eye shield at night

A client has external otitis. About what comfort measure would the nurse instruct the client?

Use of a heating pad to the ear

One day after cataract surgery, the client is having discomfort from bright light. What should the nurse advise the client to do?

Use sunglasses that wrap around the side of the face when in direct sunlight

A client who has been treated for chronic open-angle glaucoma for 5 years asks the nurse, "How does glaucoma damage my eyesight?" What should the nurse tell the client? "Your glaucoma:

causes increased intraocular pressure."

A nurse is teaching a client about ear hygiene and health. Which statement by the client indicates a need for further teaching?

"A soft cotton swab is alright to clean my ears with."

A client has mastoiditis and is prescribed antibiotics. What health teaching by the nurse is most important for this client?

"Immediately report headache or stiff neck."

The nurse is teaching an older adult how to prevent buildup of ear wax. Which statement by the nurse is most appropriate?

"Put one drop of mineral oil in each ear once a week at bedtime."

The nurse is teaching new assistive personnel (AP) about caring for older adults. Which statement would the nurse include about hearing ability of this client group?

"Remember to face the client when talking with him or her."

A client had a retinal detachment and has undergone surgical correction. What discharge health teaching is most important for the nurse to include?

"Report immediate loss of vision of pain in the affected eye."

The client with a cataract tells the nurse about being afraid of being awake during eye surgery. Which response by the nurse would be the most appropriate?

"What is it that disturbs you about the idea of being awake?"

A client with a family history of glaucoma asks the nurse how to prevent glaucoma? What statement by the nurse is appropriate?

"You should have your intraocular pressure measured once or twice a year."

The nurse is teaching a client about cataract surgery. Which statement would the nurse include as part of preoperative preparation?

"You will need to put several types of eyedrops in your eyes before and after surgery."

A client with Ménière disease is in the hospital when the client has an episode of this disorder. What action by the nurse is appropriate?

. Place the client in bed with the upper side rails up.

A nurse is teaching a community group about preventing hearing loss. What instruction is appropriate?

"Always wear a bicycle helmet."

The client's electronic health record indicates a sensorineural hearing loss. What assessment question does the nurse ask to determine the possible cause?

"Have you been exposed to loud noises?"

The nurse is providing preoperative instructions to a client who is deaf. Which strategy is most effective in assuring that the client understands the information?

GIve the client written material to read, and follow up with time for questions

To approach a deaf client, what should the nurse do first?

Get the client's attention

A client with glaucoma is to receive 3 gtt of acetazolamide in the left eye. What should the nurse do?

Have the client look up while the nurse administers the eye drops

The son of an older adult reports that his father just "stares off into space" more and more in the last several months but then eagerly smiles and nods once the son can get his attention. What further assessments should the nurse make?

Hearing loss

A client is taking timolol eyedrops. The nurse assesses the client's pulse at 48 beats/min. What action by the nurse is the priority?

Hold the eyedrops and notify the primary health care provider.

The client with retinal detachment in the right eye is extremely apprehensive and tells the nurse, "I am afraid of going blind. It would be so hard to live that way." What factor should the nurse consider before responding to this statement?

Optimism is justified because surgical treatment has 90% to 95% success rate

Which goal is a priority for a client who has undergone surgery for retinal detachment?

Prevent an increase in intraocular pressure

After returning home, a client who has had cataract surgery will need to continue to instill eye drops in the affected eye. The client is instructed to apply slight pressure against the nose at the inner canthus of the eye after instilling the eye drops. What is the expected outcome of applying pressure?

Prevents the medication from entering the tear duct

The client is diagnosed with a detached retina in the right eye. What should the nurse do first?

Promote measures that limit mobility

Ear drops have been prescribed to be instilled in the adult's left ear to soften cerumen. To position the client, what should the nurse do?

Pull the auricle lobe up and back

To decrease intraocular pressure following cataract surgery, what should the nurse instruct the client to avoid?

coughing

Sensorineural hearing loss results from which condition?

damage to the cochlear or vestibulocochlear nerve

A client has chronic open-angle glaucoma. What should the nurse ask the client about when conducting a focused assessment?

decreasing peripheral vision

Which statement would provide the best guide for activity during the rehabilitation period for a client who has been treated for retinal detachment? The activity level is:

increased gradually; the client can resume usual activitiesin 5 to 6 weeks

A client uses timolol maleate eye drops. What is the expected outcome of this drug?

reducing aqueous humor formation

A nurse is teaching a community group about noise-induced hearing loss. Which client who does not use ear protection would the nurse refer to an audiologist as the priority?

Client who is a tree-trimmer and uses a chainsaw 6 to 7 hours a day.

The nurse enters an examination room to help with an eye assessment. The client is directed toward the chart shown below: What is the primary health care provider assessing?

Color vision Explanation: This is an Ishihara chart, which is used for assessing color vision. Depth and spatial perception are not typically assessed in a routine vision assessment. Visual acuity is usually tested with a Snellen chart.

The nurse is observing a spouse administer eye drops. What should the nurse instruct the spouse to do?

Administer the drops in the center of the lower lid

A client has a foreign body in one eye. What action by the nurse is appropriate for the client's care?

Administering ordered antibiotics

The nurse assesses a client for factors that place the client at risk for cataracts. Which factor places the client at the highest risk for cataract development?

Advanced age

A client has been prescribed brinzolamide for glaucoma. What assessment by the nurse requires communication with the primary health care provider?

Allergy to sulfonamides

An older adult in the family practice clinic reports a decrease in hearing in one ear for over a week. What action by the nurse is most appropriate?

Assess for cerumen buildup

The nurse is teaching about signs and symptoms of cataracts. Which change would the nurse emphasize as possibly indicating beginning cataract formation?

Blurred vision

A client had a myringotomy. What would the nurse include as part of discharge teaching?

Buy dry shampoo to use for a week.

A nurse is seeing clients in the ophthalmology clinic. Which client would the nurse see first?

Client who has had cataract surgery and has worsening vision