Adult Care 1- Sensory Practice Questions

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.

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

The nurse is caring for a client diagnosed with Ménière's disease. The nurse plans care, understanding that this disorder is characterized by which manifestation? 1. Dizziness 2.Photophobia 3.Hemianopsia 4.Blurred vision

1. Dizziness

A client is diagnosed with glaucoma. Which piece of nursing assessment data identifies a risk factor associated with this eye disorder? 1. Cardiovascular disease 2.Frequent urinary tract infections 3.A history of migraine headaches 4.Frequent upper respiratory infections

1. Cardiovascular disease

The nurse is developing a plan of care for a client with a diagnosis of severe vertigo from Ménière's disease who is being admitted to the hospital. What is the priority nursing intervention in the plan of care? 1. Safety measures 2.Self-care measures 3.Food items to avoid 4.Knowledge about medication therapy

1. Safety measures

The student nurse is working with a registered nurse (RN) in the clinic. The RN is educating the student nurse on dysfunction in the area of the semicircular canals of the ear. Which statement by the student nurse indicates that the teaching has been effective? 1.Tinnitus is common." 2."Disturbance in balance occurs." 3."Conduction hearing loss often happens." 4."Sensorineural hearing loss is not unusual."

2."Disturbance in balance occurs."

A client with Meniere's disease is experiencing severe vertigo. Which instruction should the nurse give to the client to assist in controlling the vertigo? 1.Increase sodium in the diet. 2.Avoid sudden head movements. 3.Lie still and watch the television. 4.Increase fluid intake to 3000 mL a day.

2.Avoid sudden head movements.

The nurse is caring for a client who was recently diagnosed with primary open-angle glaucoma (POAG). Which assessment finding is specific to this type of glaucoma? 1. Client report of blurred vision 2.Client report of "tunnel vision" 3.Client report of ocular erythema 4.Client report of halos around lights

2.Client report of "tunnel vision"

A client's vision is tested with a Snellen chart. The results of the tests are documented as 20/60. What action should the nurse implement based on this finding? 1. Provide the client with materials on legal blindness. 2.Instruct the client that he or she may need glasses when driving. 3.Inform the client of where he or she can purchase a white cane with a red tip. 4.Inform the client that it is best to sit near the back of the room when attending lectures.

2.Instruct the client that he or she may need glasses when driving.

The nurse is reviewing the primary health care provider's prescriptions for a client with Ménière's disease. Which diet would most likely be prescribed for the client? 1. Low-fat diet 2.Low-sodium diet 3.Low-cholesterol diet 4.Low-carbohydrate diet

2.Low-sodium diet

A client is diagnosed with a problem involving the inner ear. Which is the most common client complaint associated with a problem involving this part of the ear? 1. Pruritus 2.Tinnitus 3.Hearing loss 4.Burning in the ear

2.Tinnitus

The nurse notes that the primary health care provider has documented a diagnosis of presbycusis on a client's chart. Based on this information, what action should the nurse take? 1. Speak loudly but mumble or slur the words. 2.Speak loudly and clearly while facing the client. 3.Speak at normal tone and pitch, slowly and clearly. 4.Speak loudly and directly into the client's affected ear.

3.Speak at normal tone and pitch, slowly and clearly.

A client with retinal detachment is admitted to the nursing unit in preparation for a repair procedure. Which prescription should the nurse anticipate? 1. Allowing bathroom privileges only 2.Elevating the head of the bed to 45 degrees 3.Wearing dark glasses to read or watch television 4.Placing an eye patch over the client's affected eye

4.Placing an eye patch over the client's affected eye

Which statement made by the client who had ear surgery to treat otosclerosis would indicate that the client understands postoperative home care instructions? "It is okay to take a shower and wash my hair." 2."I can resume my tennis lessons starting next week." 3."I should drink liquids through a straw for the next 2 to 3 weeks." 4."I will take stool softeners as prescribed by my primary health care provider."

4."I will take stool softeners as prescribed by my primary health care provider."

The nursing student is caring for a client with a diagnosis of presbycusis. The nursing instructor determines that the student understands presbycusis when which statement is made? 1. "It's a loss of vision associated with aging." 2."A loss of balance occurs with presbycusis." 3."Presbycusis is a conductive hearing loss that occurs with aging." 4."It's a sensorineural hearing loss that occurs with the aging process."

4."It's a sensorineural hearing loss that occurs with the aging process."

The nurse is performing an admission assessment on a client with a diagnosis of detached retina. Which sign or symptom is associated with this eye problem? 1. Total loss of vision 2.Pain in the affected eye 3.A yellow discoloration of the sclera 4.A sense of a curtain falling across the field of vision

4.A sense of a curtain falling across the field of vision

The nurse has admitted to the hospital a client with a diagnosis of an acute attack of Ménière's disease. The nurse reviews the primary health care provider's prescriptions for the client. Which prescription should the nurse question? 1.Diazepam 2.Nicotinic acid 3.Diphenhydramine 4.Ambulation four times daily

4.Ambulation four times daily

The nurse is performing an assessment on a client with a suspected diagnosis of cataract. Which clinical manifestation should the nurse expect to note in the early stages of cataract formation? 1. Diplopia 2.Eye pain 3.Floating spots 4.Blurred vision

4.Blurred vision

The nurse is preparing a teaching plan for a client who had a cataract extraction with intraocular implantation. Which home care measures should the nurse include in the plan? Select all that apply.

Avoid activities that require bending over. Take acetaminophen for minor eye discomfort. Place an eye shield on the surgical eye at bedtime. Contact the surgeon if a decrease in visual acuity occurs.

The nurse is developing a teaching plan for a client with glaucoma. Which instruction should the nurse include in the plan of care? 1. Avoid overuse of the eyes. 2. Decrease the amount of salt in the diet. 3. Eye medications will need to be administered for life. 4. Decrease fluid intake to control the intraocular pressure.

Eye medications will need to be administered for life.