Chp 53 Sensory
The nurse takes into consideration that the Weber test indicated a conductive hearing loss in a patient because the patient reported hearing the tone:
louder in his affected ear.
The nurse clarifies that the difference between a photorefractive keratectomy (PRK) and a laser in-situ keratomileusis (LASIK) is that a LASIK:
removes some internal layers of the cornea.
The nurse is aware that the patient has 20/40 vision. This means that the patient can see at 20 feet what the normal eye can see at __ feet.
40
How would the nurse explain the purpose of photocoagulation to a diabetic patient with diabetic retinopathy?
The procedure will destroy new blood vessels, seal leaking vessels, and help prevent retinal edema.
The nurse counsels the 16-year-old boy that playing his music at high volume can result in impairment in hearing related to:
damage of the fine hair cells in the organ of Corti.
What is the process when the lens of the eye changes its curvature to focus on the retina?
Accommodation
A patient who had an enucleation of the right eye has been admitted PACU. What should the nurse include in the plan of care?
Apply a pressure dressing over the right eye socket
What should the nurse advise the 20-year-old to do who has been put on cefaclor (Ceclor) for a resistant otitis media?
Avoid alcoholic beverages
Why would the nurse encourage a group of teenagers to protect their eyes with dark sunglasses while using a UV lamp?
The lamp can cause cataracts.
What does diabetes retinopathy result from?
Capillaries in retina hemorrhage
What does a tympanoplasty correct?
Conductive hearing loss
What do miotic eyedrops do for a patient with glaucoma?
Constrict the pupil and open the canal of Schlemm
When the patient in the emergency room complains of seeing flashing lights and a curtain down over his right eye, the nurse recognizes this as a symptom of which condition?
Detached retina
Which complaint made by a 64-year-old patient during a health interview would alert the nurse to the possibility of cataracts?
Difficulty driving at night
What should the nurse do when assisting a blind person to walk in an unfamiliar hospital environment? (Select all that apply)
Encourage the patient to ask for verbal cues Place patient hand on nurse's shoulder or elbow Describe the surroundings
Why is otitis media found more frequently in children 6 to 36 months?
Eustachian tubes in children are shorter and straighter.
What factors must the nurse consider when assessing readiness to learn when teaching health promotion practices for the visually and hearing impaired? (Select all that apply)
Habits Values Cultural beliefs
Four hours after a stapedectomy the patient complains that hearing has not improved at all. What knowledge would the nurse use to shape a response?
Hearing will not return until edema subsides
One of the housekeepers splashes a chemical in the eyes. What should be the first priority?
Irrigate with normal saline solution for 20 minutes
Which is a sign of acute angle closure glaucoma (AACG)?
Large fixed pupil
What is a common mistake that hinders communication when communicating with the hearing impaired?
Overaccentuating words
What must a patient do following a left vitrectomy?
Position self in a face-down position for 4 to 5 days
Which of the following are causes of cataracts? (Select all that apply)
Smoking Diabetes mellitus Long-term use of corticosteroids Congenital from exposure to maternal rubella
What should a patient who has had a cataract repair avoid?
The lifting of heavy objects
The patient tells the nurse that he is legally blind. How would this information impact the nurse's plan of care for this patient?
The nurse would need to determine how this patient's visual impairment affects normal functioning.
