NURS 310- Fundamentals of Nursing- CH.49- EAQs

An 82-year-old man tells the nurse that he is having difficulty hearing and that he has "too much earwax." Considering the patient's age, which question would the nurse ask? "Have you ever experienced impacted earwax?" "Do you have an upper respiratory infection?" "Do you swim in a pool with chlorinated water?" "Have you noted a change in the color of the earwax?"

"Have you ever experienced impacted earwax?"

Which patient is most likely to experience sensory deprivation? 1 A 79-year-old visually impaired resident of a nursing home who enjoys taking part in different hobbies and activities 2 A 14-year-old girl isolated in the hospital because of severe immune system suppression 3 A hearing-impaired 66-year-old woman who lives in an assisted-living agency 4 A 9-year-old boy who is deaf and uses sign language to communicate with his friends, family, and teachers

A 14-year-old girl isolated in the hospital because of severe immune system suppression

An elderly patient reports to the nurse, "I have a difficult time clearly seeing objects that are close to me. However, I can clearly see objects at a distance." Which diagnosis does the nurse anticipate in the patient?

A gradual decline in the ability of the lens to focus on close objects indicates presbyopia. Glare and blurred vision because of the presence of opaque areas in the lens indicates cataracts. Glaucoma occurs because of an increase in intraocular pressure. Patients with glaucoma may not able to see both far and near objects. Patients with macular degeneration report the blurring of words while reading and the distortion of vertical lines and central vision

An elderly patient reports to the nurse, "I have a difficult time clearly seeing objects that are close to me. However, I can clearly see objects at a distance." Which diagnosis does the nurse anticipate in the patient? 1 Cataracts 2 Glaucoma 3 Presbyopia 4 Macular degeneration

A gradual decline in the ability of the lens to focus on close objects indicates presbyopia. Glare and blurred vision because of the presence of opaque areas in the lens indicates cataracts. Glaucoma occurs because of an increase in intraocular pressure. Patients with glaucoma may not able to see both far and near objects. Patients with macular degeneration report the blurring of words while reading and the distortion of vertical lines and central vision.

A patient's visual examination report shows loss of pigment in the iris and a buildup of collagen fibers in the anterior chamber of the eye. This report indicates that the patient is at a higher risk of which condition? 1 Cataracts 2 Glaucoma 3 Presbyopia 4 Diabetic retinopathy

A loss of pigment in the iris and a buildup of collagen fibers in the anterior chamber of the eye increase the risk of glaucoma by decreasing the resorption of intraocular fluid. Development of cloudy areas in parts of the lens, redness, tearing in the eye, glare, and blurred vision are symptoms of cataracts. The inability to see close objects is a symptom of presbyopia. In diabetic retinopathy, pathological changes occur in the blood vessels of the retina. It results in decreased vision or vision loss caused by hemorrhage and macular edema.

The medical record of an older adult reveals a stroke affecting the right hemisphere of the brain. Which assessment finding would the nurse expect to find? Select all that apply. One, some, or all responses may be correct. 1 Visual spatial alterations such as loss of half of a visual field 2 Loss of sensation and motor function on the right side of the body 3 Inattention and neglect, especially to the left side 4 Cloudy or opaque areas in part of the lens or the entire lens 5 Difficulty with speech

A stroke in the right hemisphere produces symptoms on the left side, which includes visual spatial alterations such as loss of half of a visual field or inattention and neglect, especially to the left side. A stroke affecting the right hemisphere of the brain may result in symptoms such as loss of sensation and motor function on the left side of the body and difficulty with speech. Cloudy or opaque areas in part of the lens or the entire lens indicate cataracts.

The nurse is performing a physical assessment of an older adult. Which age-related hearing change is the nurse likely to find? Select all that apply. One, some, or all responses may be correct. 1 Low-pitched vowels are easily heard. 2 Hearing acuity is decreased. 3 Reaction to speech is not delayed. 4 Discrimination of consonants becomes difficult. 5 High-pitched sounds are easier to hear than low-pitched sounds.

Aging can affect hearing. Low-pitched vowels are easily heard. The hearing acuity is decreased and the discrimination of consonants becomes difficult. These signs indicate age-related changes in the auditory system. Reaction to speech is usually delayed, and low-pitched sounds are easier to hear than high-pitched sounds.

Which strategy does the nurse use when communicating with a hearing-impaired patient? Select all that apply. One, some, or all responses may be correct. 1 Speak loudly towards the patient's ear. 2 Avoid sitting at the same level as the patient. 3 Avoid eating or chewing while speaking. 4 Use a normal tone of voice and normal inflections of speech. 5 Use written information to enhance the spoken word.

Assess the ability of the child to identify several nonirritating odors. Inform the parent that it is difficult to assess children younger than 7 years old.

During an annual checkup, the parent of a 5-year-old boy expresses that the child does not react to noxious odors. Which nursing intervention would the nurse perform? Select all that apply. One, some, or all responses may be correct. 1 Convince the parent that odor is a subjective perception. 2 Inform the parent that the child has a decreased sensitivity to odor. 3 Assess the ability of the child to identify several noxious odors. 4 Assess the ability of the child to identify several nonirritating odors. 5 Inform the parent that it is difficult to assess children younger than 7 years old.

Assessment of the ability to differentiate smell is done using nonirritating odors such as coffee or vanilla. It is difficult to assess smell in children younger than 7 years of age. Although appreciating smell is a subjective feeling, the failure to react to noxious odors should be assessed. If the child is not reacting to noxious odors, he or she might have a decreased sensitivity to odor. It is a medical diagnosis and should be performed by a specialist.

The nurse visits an elderly patient who has sensory alterations because of aging. The patient has impaired vision, impaired proprioception, and impaired sense of touch. The nurse observes the patient's home environment for the presence of hazards that could increase the risk of injury to the patient. Which item might increase the patient's risk of injury and should be changed? Select all that apply. One, some, or all responses may be correct. 1 Bathrooms with shower grab bars 2 Uneven, cracked walkways leading to the front or back door 3 Water faucets marked to designate hot and cold 4 Loose area rugs and runners placed over carpeting 5 Extension cords and phone cords in the main route of walking traffic

Because of impaired proprioception, the patient may lose balance and fall if the walkways are uneven and cracked. The patient may slip over loose rugs and runners and fall. The patient has impaired vision and may trip on extension cords and phone cords. Bathrooms with shower grab bars decrease the risk of injury by supporting the patient. Water faucets marked to designate hot and cold help prevent accidental burn injury, because the patient has an impaired sense of touch.

On assessment, the nurse finds that the patient has blurred vision, loss of central vision, and distortion of vertical lines. Which visual deficit is likely to be found in the patient? 1 Cataracts 2 Glaucoma 3 Presbyopia 4 Macular degeneration

Blurred vision, loss of central vision, and distortion of vertical lines are symptoms of macular degeneration. It is a condition in which the macula loses its ability to function efficiently. Development of cloudy or opaque areas in part of the lens, glare, blurred vision, redness, and tearing in the eye are the symptoms of a cataract. Peripheral visual loss, decreased visual acuity with difficulty in adapting to darkness, and a halo effect around lights are symptoms of glaucoma. The inability to see close objects is called presbyopi

Which medicine may cause irritation of the optic nerve? 1 Gentamicin 2 Tobramycin 3 Streptomycin 4 Chloramphenic

Chloramphenicol sometimes causes irritation of the optic nerve. Gentamicin, tobramycin, and streptomycin are ototoxic drugs. These drugs may cause permanent damage to the auditory nerve. STUDY TIP: Here is a mnemonic to help you recall the medications that are ototoxic: Think of having mice in your ears = drugs that end in -mycin or -micin such as gentamicin, tobramycin, and streptomycin. Such a disturbing idea can help you remember!

The nurse is caring for a patient who wears corrective contact lenses. Which advice would the nurse provide the patient to prevent eye infections? Select all that apply. One, some, or all responses may be correct. 1 Clean the contact lenses once a month. 2 Use appropriate solutions for disinfection. 3 Avoid swimming while wearing contact lenses. 4 Prevent contamination of the lens' storage case. 5 Use homemade saline for cleaning the lenses.

Contact lenses should be disinfected with appropriate solution to prevent infection. Wearing contact lenses while swimming may lead to bacterial contamination of the eye. If the lens' storage case is contaminated, the lens would also become contaminated and cause an eye infection. The contact lenses should be cleaned frequently to prevent contamination and infection. Homemade saline solution should not be used for cleaning, because it can cause an eye infection.

The nurse is taking care of two patients with hearing impairments. Which precaution would the nurse take while communicating with these patients? Select all that apply. One, some, or all responses may be correct. Speak loudly when talking. When not understood, repeat the conversation. Ensure that the patients keep their eyeglasses clean. Use written information to enhance or supplement spoken communication. Keep the patient's hands free to allow communication through hand gestures.

Ensure that the patients keep their eyeglasses clean. Use written information to enhance or supplement spoken communication. Keep the patient's hands free to allow communication through hand gestures. The nurse should keep the patients' eyeglasses clean so they are able to see the gestures and face of the speaker. If possible, information can be written down and shared with hearing-impaired patients. Patients with hearing impairment should be allowed to use their hands freely so they can communicate with hand gestures or sign language. Loud sounds are usually higher-pitched and often impede hearing by accentuating vowel sounds and concealing consonants. If you need to raise your voice, speak in lower tones. When you are not understood, rephrase rather than repeat the conversation.

Which activity may weaken hearing ability? Select all that apply. One, some, or all responses may be correct.

Exposure to high noise levels may cause sensory alteration. Noisy recreational activities weaken hearing ability. Woodworking, target shooting, and listening to loud music are activities that weaken hearing ability. Welding work and office work do not affect hearing ability.

A patient has been on contact isolation for 4 days because of a gastrointestinal infection. Which nursing measure will reduce sensory deprivation? Select all that apply. One, some, or all responses may be correct. 1 Arranging for him to have a roommate 2 Turning off the lights and closing the room drapes 3 Arranging for peacefulness and frequent rest periods 4 Helping him to a chair or bringing a flower into the room 5 Sitting down, speaking, touching, and listening to his feelings and perceptions

Helping him to a chair or bringing a flower into the room Sitting down, speaking, touching, and listening to his feelings and perceptions

Which condition is defined as a hypersensitivity to tactile stimuli? 1 Hyperesthesia 2 Peripheral neuropathy 3 Macular degeneration 4 Carpal tunnel syndrom

Hyperesthesia

Which proprioceptive change is observed in older adults? 1 Increased difficulty with balance 2 Increased sensitivity to pain 3 Increased sensitivity to pressure 4 Increased sensitivity to temperature

Increased difficulty with balance

A patient who has vision and hearing problems has a history of striking out at caregivers. Which nursing intervention is most appropriate? 1 Consult the health care provider regarding the use of restraints. 2 Perform tasks quickly to reduce risks to caregivers. 3 Explain to the patient that this is unacceptable behavior. 4 Get the patient's consent before starting care.

Individuals with limited sensory ability may strike out because of fear or confusion. Taking time to make contact with the individual before starting care should reduce problems. Restraints are not appropriate in this situation because the patient would become more violent. Performing tasks quickly will further confuse the patient and not promote understanding. Explaining appropriate behavior will not be effective, because the patient has sensory impairment.

The home care nurse is teaching the nursing assistant about interventions to facilitate the location of items for a patient with vision impairment. Which strategy will enhance the patient's ability to see? Select all that apply. One, some, or all responses may be correct. Use of fluorescent lighting Use of warm incandescent lighting Use of colors with sharp contrast and intensity Use of yellow or amber lenses to decrease glare

Interventions to enhance vision include the use of sharply contrasting colors, warm incandescent lighting, and yellow or amber lenses to decrease glare. Fluorescent lighting can contribute to indirect and direct glare.

Which symptom is associated with dry eyes? Select all that apply. One, some, or all responses may be correct. Itching Burning Reduced vision Halo effect around lights Cloudy areas in part of the lens

Itching, burning, and reduced vision are symptoms of dry eyes. When tear glands produce too few tears, it results in dry eyes. A halo effect around lights and cloudy areas in part of the lens are not symptoms of dry eyes.

Which information can be obtained from the Mini-Mental State Examination (MMSE)? Select all that apply. One, some, or all responses may be correct. 1 Risk of epilepsy 2 Abstract thinking measurement 3 Risk of drug abuse 4 Orientation status of the patient 5 Changes in problem-solving ability

Mini-Mental State Examination (MMSE) measures abstract thinking, orientation status of the patient, and changes in problem-solving ability. The risk of epilepsy and a risk of drug abuse cannot be tested by the MMSE.

When communicating with a patient who has expressive aphasia, which strategy is priority for the nurse? 1 Asking open-ended questions 2 Understanding that the patient will be uncooperative 3 Coaching the patient to respond 4 Offering pictures or a communication board so the patient can point

Offering pictures or a communication board so the patient can point

While assessing a patient, the nurse realizes that the patient has a progressive hearing disorder. The nurse advises the patient to obtain an assistive hearing device. Which other advice can the nurse give the patient's family to cope with the patient's hearing impairment? Select all that apply. One, some, or all responses may be correct. 1 Install smoke detectors. 2 Change doorbell to a lower-pitched sound. 3 When calling the patient, let the phone ring for a longer time. 4 Do not leave the patient alone. 5 Install lamps that turn on in response to sounds such as the doorbell, the telephone, or alarms.

Older people with hearing alterations hear low-pitched sounds better than high-pitched sounds. Hence, doorbells should be amplified or changed to a lower-pitched, "buzzer-like" sound. These people often take time to realize that a doorbell or phone is ringing; hence, the phone should be allowed to ring longer. Currently, lamps are available that turn on in response to bells and phone rings. The person will notice a light turning on even if he or she cannot hear the bell. Smoke detectors are useful in detecting fire, but they are not indicated in this case. Asking a caregiver to be always present makes the patient dependent on that person.

The nurse completes an assessment of a 67-year-old female patient who comes to the clinic for the first time. She is not attentive as the nurse asks questions. At one point, she shouts answers to questions about her diet. However, as the nurse speaks, the patient consistently smiles and nods in agreement. Which assessment would the nurse make regarding this patient? 1 The patient has a visual deficit. 2 The patient is normal. 3 The patient has a hearing deficit. 4 The patient has sensory overload.

Patient behaviors indicating a hearing deficit include decreased attention span, increased volume of speech, and smiling and nodding in approval when someone speaks. The patient does not have a visual deficit in this scenario because as she sees the nurse speak, the patient smiles and nods. The patient is not normal in her senses because she shouts answers to questions, is inattentive to the nurse's questions, and smiles and nods as the patient speaks instead of giving appropriate responses

A patient is unable to conduct normal activities because of visual impairment. Which precaution could the family members take to help the patient perform normal activities? Select all that apply. One, some, or all responses may be correct.

Patients with visual impairment may not be able to perform normal activities of living within the home. Because of reduced depth perception, the patient has a higher risk of falling. Precautions should be taken by the family members to prevent injury to the patient. Clutter on the floor can increase the risk of falling; therefore it should be removed. All flooring should be in good repair. Using low-pile carpeting in the home reduces the chance of falling. Painting the edge of the steps helps the patient to easily identify the steps. Light fixtures with wider illumination should be used so the patient can clearly see the pathway.

The nurse is performing an assessment on a patient admitted to the emergency department with eye trauma. Which intervention would be the nurse's priority? Select all that apply. One, some, or all responses may be correct. Conducting a home safety assessment and identifying hazards in the patient's living environment Reinforcing eye safety at work and in activities that place the patient at risk of eye injury Placing necessary objects such as the call light and water in front of the patient to prevent falls because of reaching Orienting the patient to the environment to reduce anxiety and prevent further injury to the eye Assessing the patient for signs of abuse

Placing necessary objects such as the call light and water in front of the patient to prevent falls because of reaching Orienting the patient to the environment to reduce anxiety and prevent further injury to the eye

While assessing a newly admitted patient, the nurse realizes that the patient has a progressive hearing disorder. How would the nurse document this condition? 1 Presbyopia 2 Presbycusis 3 Xerostomia 4 Glaucoma

Presbycusis

The nurse finds that a patient is very sensitive to visual glare. Which appropriate nursing intervention is helpful for the patient? Select all that apply. One, some, or all responses may be correct. 1 Use blinds on the windows. 2 Use a telescopic lens. 3 Use a pocket magnifier. 4 Wear sunglasses outside. 5 Use yellow or amber lenses

Sensitivity to glare may occur because of aging. The pupil's ability to adjust to light diminishes and results in sensitivity to glare. Blinds should be put on windows to minimize glare. Wearing sunglasses outside reduces the glare of direct sunlight. Using yellow or amber lenses minimizes glare. Telescopic lens eyeglasses and pocket magnifiers are helpful for reading in case of reduced visual acuity but not for minimizing glare. Telescopic lens eyeglasses are smaller, easier to focus, and have a greater range. A pocket magnifier helps the patient to read most printed material.

A patient who is confined to bed has reduced tactile sensation. This patient is at risk of which condition? 1 Aphasia Hyperesthesia Skin breakdown 4 Macular degeneratio

Skin breakdown

The nurse is assessing a child for auditory function. Which behavior of the child indicates a hearing impairment? Select all that apply. One, some, or all responses may be correct. 1 Slow development of speech 2 Decreased volume of speech 3 Failure to be awakened by loud noise 4 Frightened when unfamiliar people approach 5 Increased social interaction with other children

Slow development of speech, a failure to be awakened by loud noise, and becoming frightened when unfamiliar people approach indicate that the child has a hearing impairment. Because of a hearing impairment, the child increases the volume of speech and decreases social interaction with other children.

Which normal visual change is associated with aging? Select all that apply. One, some, or all responses may be correct. Correct1 Reduced visual fields Correct2 Impaired night vision 3 Reduced glare sensitivity 4 Increased depth perception Correct5 Reduced color discrimination

Some visual changes occur because of aging. Reduced visual fields, impaired night vision, and reduced color discrimination are visual changes associated with aging. Glare sensitivity increases and depth perception declines because of aging.

The nurse is teaching health promotion tips to an elderly patient with presbycusis. Which nursing action ensures effective communication? Select all that apply. One, some, or all responses may be correct. Speaking slowly and articulating sentences clearly Speaking in a high-pitched voice with the patient Avoiding eating while communicating with the patient Sitting at the same level while communicating with the patient Repeating the main points while walking away from patient's room

Speaking slowly and articulating sentences clearly Avoiding eating while communicating with the patient Sitting at the same level while communicating with the patient

The nurse is performing a routine checkup of a pregnant woman. Which nursing intervention is helpful in preventing hearing impairment in the fetus? Select all that apply. One, some, or all responses may be correct. 1 Testing for syphilis in the woman 2 Screening for rubella in the woman 3 Avoiding the use of ototoxic drugs 4 Avoiding erythromycin 5 Avoiding citrus fruits during pregnancy

Special precautions should be taken by pregnant women to prevent hearing impairment in the fetus. Testing for syphilis, screening for rubella, and avoiding the use of ototoxic drugs are helpful in preventing hearing impairment of the fetus. Syphilis and rubella may increase the risk of a hearing impairment in the fetus. Consumption of ototoxic drugs during pregnancy causes hearing impairment in the fetus. Erythromycin does not cause hearing impairment in the fetus. It is helpful for the infant as an eye prophylaxis. Consumption of citrus fruits during pregnancy does not cause hearing impairment of the fetus.

A patient comes to the clinic with knee pain. The patient is accompanied by his grandson because the patient has some degree of visual impairment. Which assessment finding will help determine that the patient is having difficulty seeing? Select all that apply. One, some, or all responses may be correct. 1 Squinting 2 Accidental falls 3 Watering of eyes 4 Blinking eyes frequently 5 Overreaching for objects

Squinting Accidental falls Overreaching for objects

The nurse is caring for a visually impaired patient. Which nursing intervention is useful for enhancing the vision of the patient and for promoting functional ability?\ The use of telescopic lens eyeglasses The use of pocket magnifier The use of sunglasses while outside The use of warm, incandescent lighting

The amount of light entering the eye is reduced because of aging, causing a reduction in vision, contrast, and color. In the case of a visual impairment, the use of warm, incandescent lighting is helpful for enhancing the patient's vision. Incandescent lighting provides less glare, is brighter, and helps patients to see paths clearly, which prevents accidents. The use of telescopic lens eyeglasses and pocket magnifiers is helpful in cases of reduced visual acuity. Wearing sunglasses while outside helps to minimize glare.

A 65-year-old patient reports to the nurse an increased difficulty with balance and an inability to determine the position of an object. The nurse finds that the patient has decreased sensitivity to pain and decreased sensitivity to pressure. These are symptoms of which condition? 1 Aphasia 2 Presbyopia 3 Peripheral neuropathy 4 Proprioceptive changes

The increased difficulty with balance, a decreased sensitivity to pain, the inability to avoid obstacles, the inability to determine the position of an object, and a decreased sensitivity to pressure are symptoms of proprioceptive changes, which is common after the age of 60. Aphasia refers to an inability to speak, interpret, or understand language. Presbyopia refers to the inability to see close objects clearly. Peripheral neuropathy is characterized by symptoms such as numbness and tingling of the affected area and a stumbling gait.

The nurse is planning to conduct a hearing acuity test on a patient. Which activity would the nurse use to assess this sensory function? Select all that apply. One, some, or all responses may be correct. 1 Ask the patient to read the newspaper. 2 Observe the patient's behavior in a group. 3 Use the tuning fork test. 4 Use the spoken word test. 5 Ask the patient to identify colors.

The nurse can detect sensory alteration in the patient by closely observing the patient. Patients with a hearing impairment may seem inattentive to others. They believe that people are talking about them and respond with inappropriate anger when spoken to. They answer questions inappropriately and have trouble following clear directions. They also have a monotonous voice quality and speak unusually loud or soft. The hearing can be further tested using the tuning fork and conducting the Weber's test and the Rinne test. Test the patient's hearing by asking the patient to repeat spoken words. Test the patient's vision by asking the patient to read the newspaper and identify colors.

Which strategy does the nurse use when communicating with a hearing-impaired patient? Select all that apply. One, some, or all responses may be correct. 1 Speak loudly towards the patient's ear. 2 Avoid sitting at the same level as the patient. 3 Avoid eating or chewing while speaking. 4 Use a normal tone of voice and normal inflections of speech. 5 Use written information to enhance the spoken word.

The patient has a hearing impairment; therefore precaution should be taken while communicating with the patient. Eating or chewing while speaking may lead to misinterpretation of the message by the patient, because the patient tends to read facial expressions and interpret messages. Using a normal tone of voice and inflections of speech help the patient hear and understand properly. Written information can be used to enhance the spoken word so the patient can completely understand the message. The nurse should avoid speaking loudly towards the patient's ear, because higher-pitched sound often impedes hearing by accentuating vowel sounds and concealing consonants. Sitting at the same level as the patient helps the patient easily see the communicator, read lip movements, and read facial expressions.

During an assessment, the nurse finds that a patient is able to express words but is unable to understand questions. What is the probable reason for this? 1 The patient has global aphasia. 2 The patient has receptive or sensory aphasia. 3 The patient has expressive aphasia. 4 The patient has a hearing Impairmen

The patient has receptive or sensory aphasia.

A junior nurse is caring for a patient in the intensive care unit (ICU). She finds that the patient is restless, anxious, and inattentive. The nurse understands that the patient is experiencing sensory overload. Which measure would the nurse take to make the patient comfortable? Select all that apply. One, some, or all responses may be correct. 1 Provide constant reorientation. 2 Administer high-dose sedation. 3 Control excessive stimuli. 4 Keep the patient engaged with constant discussion. 5 Divert the patient's attention by additional visual stimuli.

The patient may become disoriented because of sensory overload; therefore the patient has to be reoriented regularly. Excessive stimuli may contribute to an increase in sensory overload and should be controlled. Although sedation reduces the sensory overload, it should not be attempted without prior consent of the health care provider. Constant discussion and visual stimuli further enhance sensory overload.

A patient has reduced taste sensation and is finding food less appealing. The nurse would instruct the patient to avoid which activity? 1 Smelling baked bread 2 Smelling cooked garlic 3 Blending or mixing foods 4 Eating food of different textures

The patient should avoid blending or mixing foods because doing that makes it difficult for the patient to identify tastes. Smelling baked bread, smelling cooked garlic, and eating foods of different textures heighten taste sensation. There is no need to avoid such activities.

In which condition is the use of hearing aids contraindicated? Select all that apply. One, some, or all responses may be correct. 1 Inability to hear properly 2 A chronic feeling of dizziness 3 Visible cerumen accumulation 4 Traumatic deformity of the ear 5 Decreased pitch discrimination

The use of hearing aids is contraindicated in chronic dizziness, visible cerumen accumulation, and traumatic deformity of the ear. These conditions may be worsened by the use of hearing aids. The use of hearing aids is not contraindicated in cases of an inability to hear properly or decreased pitch discrimination.

What is a cause of eye infections in patients who wear contact lenses? Select all that apply. One, some, or all responses may be correct. 1 The use of homemade saline 2 Wearing lenses while driving 3 Wearing lenses while swimming 4 The use of lenses with reduced visual acuity 5 Contamination of the lens' storage cases

The use of homemade saline, wearing lenses while swimming, and contamination of the lens' storage cases cause eye infections. Homemade saline creates a high risk of contamination and may cause an eye infection. The lens may absorb chemicals from the pool water while swimming, which may cause irritation or infection of the eye. Lenses that are stored in a contaminated case may become contaminated and cause an eye infection. Wearing lenses while driving and the use of lenses for strengthening reduced visual acuity do not cause an eye infection.

Which symptom is associated with carpal tunnel syndrome? Select all that apply. One, some, or all responses may be correct. 1 Tingling 2 Weakness 3 Numbness 4 Blurred vision 5 Reduced taste sensation

Tingling, Weakness, Numbnes

The nurse is performing a home care assessment on a patient with a hearing impairment. The patient reports, "I think my hearing aid is broken. I can't hear anything." Which teaching strategy used by the nurse would indicate that the patient needs additional instruction? 1 Demonstrating hearing aid battery replacement 2 Reviewing method to check volume on hearing aid 3 Discussing measures for cleaning battery 4 Turning hearing aid dial to a minimum setting

Turning hearing aid dial to a minimum setting The dial should be turned to maximum gain, and the patient should be asked in a normal tone, "Is this voice clear?" Demonstrating hearing aid battery replacement, reviewing method to check volume on a hearing aid, and discussing measures for cleaning a hearing aid battery are correct teaching strategies by the nurse.

When assessing a 45-year-old patient's sensory status, which assessment finding does the nurse consider a normal part of aging? 1 Presbyopia and the need for glasses for reading 2 Reduced sensitivity to odors 3 Impaired balance and coordination 4 Reduced taste discrimination

Visual changes during adulthood from ages 40 to 50 include presbyopia and the need for glasses for reading. Gustatory and olfactory changes begin around age 50 and include reduced taste discrimination and reduced sensitivity to odors. Proprioceptive changes common after age 60 include increased difficulty with balance, spatial orientation, and coordination.

The nurse is caring for a patient with hearing impairment. Which measure would the nurse use to improve communication with this patient? Select all that apply. One, some, or all responses may be correct. 1 Talk loudly. 2 Sit beside the patient when talking. 3 Use written information. 4 Speak slowly and articulate clearly. 5 Talk toward the patient's best ear

Written information is used to enhance spoken words and improve communication. The communication should be slow and well articulated because the patient may need time to process the information. If the patient has one ear functioning well, then the nurse should talk toward that ear. Talking loudly may accentuate vowel sounds and conceal consonants, which could hamper hearing. The nurse should sit opposite the patient to allow the patient to see the nurse's face when talking and to observe nonverbal cues.