Powerpoint Questions

Case Study 1 (part 4): A week later, the patient's hearing is tested by audiometry and it is determined that she needs a hearing aid. Which patient statement indicates the need for additional nursing teaching about hearing aid care? A. "I can wear my hearing aid at all times, even when bathing." B. "I should check and replace the battery whenever needed." C. "I can clean the hole in the hearing aid of debris with a toothpick." D. "I should adjust the hearing aid's volume to the lowest setting that lets me hear to avoid feedback squeaking."

A. "I can wear my hearing aid at all times, even when bathing."

Which patient is at greatest risk of developing primary angle-closure glaucoma? A. 52-year-old Asian female B. 32-year-old Caucasian female C. 42-year-old Hispanic male D. 64-year-old African-American male

A. 52-year-old Asian female

Case Study 1 (Part 2): The patient is diagnosed with suspected hearing loss. What ear care education will the nurse provide before discharge? (Select all that apply.) A. Avoid exposure to loud music or other noises. B. Use cotton swabs to clean your ear canal after every shower. C. Nothing smaller than a fingertip should be inserted into the ear canal. D. Use an ear irrigation syringe to remove built up earwax (cerumen). E. Ear plugs should be used when engaging in all water sports to avoid infection.

A. Avoid exposure to loud music or other noises. C. Nothing smaller than a fingertip should be inserted into the ear canal. D. Use an ear irrigation syringe to remove built up earwax (cerumen). E. Ear plugs should be used when engaging in all water sports to avoid infection.

What is the priority nursing intervention when providing care to a patient with hearing loss? A. Creating a safe environment B. Providing written information regarding medications and disease processes C. Having the patient repeat instructions to evaluate additional teaching needs D. Ensuring that the patient can directly visualize you when you provide instructions

A. Creating a safe environment

During the physical assessment, the nurse notices that the patient's right external ear is deformed. What is the appropriate nursing action? A. Ask the patient about hearing deficits. B. Assess for kidney or urinary tract problems. C. Ask the patient to provide information about his or her hearing. D. Speak in a lower-toned voice and ensure good visual contact with the patient.

B. Assess for kidney or urinary tract problems.

Which is a priority nursing intervention when providing care to an older patient who has problems with vision? A. Review medications before administration. B. Ensure adequate, nonglare lighting in the patient's room. C. Review the medication administration record for artificial tears. D. Provide written and verbal instruction for nursing education interventions.

B. Ensure adequate, nonglare lighting in the patient's room.

The nurse understands that which circumstance places the patient at the greatest risk for developing vision disturbances? A. Advanced age B. History of diabetes mellitus C. Retired construction worker D. History of working with computer

B. History of diabetes mellitus

The nurse understands that which is a postoperative outcome for a patient who has undergone surgery for cataract removal? A. Yellowish drainage and photophobia B. Mild itching and bloodshot appearance C. Pain early after surgery accompanied by nausea and vomiting D. Change in visual acuity accompanied by tearing and redness

B. Mild itching and bloodshot appearance

The nurse is preparing to provide care for a client who will need an ear irrigation to remove impacted cerumen. Which interventions should the nurse take when performing the irrigation? Select all that apply. A. Apply some force when instilling the irrigation solution. B. Position the client with the affected side down after the irrigation. C. Warm the irrigating solution to a temperature that is close to body temperature. D. Position the client to turn the head so that the ear to be irrigated is facing upward. E. Direct a slow, steady stream of irrigation solution toward the upper wall of the ear canal.

B. Position the client with the affected side down after the irrigation. C. Warm the irrigating solution to a temperature that is close to body temperature. E. Direct a slow, steady stream of irrigation solution toward the upper wall of the ear canal.

A client is diagnosed with a disorder involving the inner ear. Which is the most common client complaint associated with a disorder involving this part of the ear? A. Pruritis B. Tinnitus C. Hearing loss D. Burning in the ear

B. Tinnitus

Case Study 1 (Part 1): An 82-year-old patient presents for her annual check-up. Her daughter reports that her mother's hearing has significantly diminished over the past few years. The patient tells the nurse that she believes that her hearing is "just fine." What is the appropriate nursing response? A. "Everyone worries about losing their hearing." B. "I'm sure you are just fine, too." C. "It must feel frightening to think about losing your hearing." D. "Why don't you believe your daughter?"

C. "It must feel frightening to think about losing your hearing."

Which is the priority teaching that a nurse will provide to a patient who has received a corneal transplant? A. Keep the eye moist. B. Watch the eye for signs of infection. C. Avoiding straining to have a bowel movement. D. Keep the eye covered for the first 24 hours postoperatively.

C. Avoiding straining to have a bowel movement.

In performing a psychosocial assessment of a patient who has recently experienced vision changes, what is the appropriate nursing action? A. Provide the patient with a list of services for the visually impaired. B. Meet with family members or significant others to determine whether the patient can still perform ADLs. C. Provide opportunities for the patient and family to express their concerns about a possible change in vision status. D. Ask the patient if he or she has made appropriate adjustments in lifestyle to accommodate the vision changes.

C. Provide opportunities for the patient and family to express their concerns about a possible change in vision status.

The nurse understands that a patient with a long history of heart failure is at risk for developing hearing loss if: A. Heart failure alters tissue perfusion, which may affect hearing. B. The patient uses topical medications, which may be ototoxic. C. The patient has received multiple doses of furosemide. D. There is a genetic predisposition to developing hearing loss.

C. The patient has received multiple doses of furosemide.

The nurse is caring for a client following craniotomy for removal of an acoustic neuroma. Assessment of which cranial nerve would identify a complication specifically associated with this surgery? A. Cranial nerve I, olfactory B. Cranial nerve I, olfactory C. Cranial nerve III, oculomotor D. Cranial nerve VII, facial nerve

D. Cranial nerve VII, facial nerve

Case Study 1 (Part 3): The patient's daughter asks what she can do to better communicate with her mother. What teaching will the nurse provide? A. Direct to community groups. B. Refer to a sign language class. C. Encourage the patient to learn to read lips. D. Promote family dialogue about hearing aids.

D. Promote family dialogue about hearing aids.