Sensory Disorders

A cataract is an opacity or cloudiness of the _____

lens

Pilocarpine hydrochloride (Isopto Carpine) is prescribed for the client with glaucoma. Which medication should the nurse plan to have available in the event of systemic toxicity?

Atropine sulfate

The nurse is caring for a client with glaucoma. Which medicaiton prescribed for hte client should the nurse question?

Atropine sulfate

A client with Meniere's disease is experiencing severe vertigo. The nurse reinforces instructions to the client to do which to assist with controlling vertigo?

Avoid sudden head movements

A miotic medication has been prescribed for the client with glaucoma. The client asks the nurse about the purpose of the medication. The nurse should tell the client which purpose?

" The medication causes the pupil to constrict and will lower the pressure in the eye."

A nurse is reinforcing discharge teaching with a client following middle ear surgery. Which of the following statements by the client indicates understanding of the teaching?

"I should restrict rapid movements and avoid bending from the waist for several weeks"

A nurse is reinforcing postoperative teaching with a client following cataract surgery. Which of the following statements should the nurse include in the teaching?

"You need to limit your housekeeping activities"

A nurse is collecting data on a client who has a new diagnosis of cataracts. Which of the following manifestations should the nurse expect? (Select all that apply)

1. Blurred vision 2. White pupils B.W.

A nurse is reviewing the health record of a client who has severe otitis media. Which of the following are expected findings ? (Select all that apply)

1. Enlarged adenoids 2. Report of recent colds 3. Ear pain relieved by meclizine E.E.R.

A nurse collecting data on a male older adult client who has a new diagnosis of glaucoma. Which of the following findings should the nurse recognize as risk factors associated with this disease (Select all that apply)

1. Genetic predisposition 2. Eye trauma 3. Age 4. Diabetes mellitus A.G.E.D.

A nurse in a clinic is caring for a client who has been experiencing mild to moderate vertigo due to benign paroxysmal vertigo for several weeks. Which of the following actions should the nurse recommend to help control the veritgo? (Select all that apply)

1. Reduce exposure to bright lighting 2. Move head slowly when changing positions 3. Plan evenly spaced daily fluid intake 4. Avoid fluids containing caffiene P.R.A.M.

The nurse is preparing to reinforce a teaching plan for a client who is undergoing cataract extraction with intraocular implant. Which home care measures should the nurse include in the plan? Select all that apply (4)

1. To avoid activities that require bending over 2. To take aceminophen for minor eye discomfort 3. To place an eye shield on the surgical eye at bedtime 4. To contact the surgeon if a decrease in visual acuity occurs

The nurse is assigned to care for a client with a detached retina. Which finding should the nurse expect to be documented in the client's record?

A sense of a curtain falling across the field of vision

The nurse notes that the primary health care provider (PHCP) has documented a diagnosis of presbycusis on the client's chart. Which explanation should the nurse give to the client to explain this condition?

A sensorineural hearing loss that occurs with aging

A client was just admitted to the hospital to rule out a gastrointestinal (GI) bleed. The client has brought several bottles of medications prescribed by different specialists. During the admission assessment, the client states, "Lately, I have been hearing some roaring sounds in my ears, especially when I am alone." Which medication would the nurse determine could be the cause of the client's complaint?

Acetylsalicylic acid

The client is receiving an eyedrop and an eye ointment to the right eye. Which action should the nurse take?

Adminster the eyedrop first, followed by the eye ointment

The nurse is caring for a client with a prosthetic eye. Which informaiton should be included in discharge education?

Ask the client to blink to seat the prosthesis in place

A client sustains a contusion of the eyeball after a traumatic injury with a blunt object. The nurse should take which immediate action?

Apply ice to the affected eye

A client who was in a motor vehicle accident has a black eye. What nursing intervention is appropriate for this client?

Apply warm packs to the eye once the swelling has stopped

A nurse is caring for a client with a sty on his left upper eyelid. Which measures should the nurse employ when carying for this client?

Apply warm, moist compress over the eyelid

An older adult diagnosed with presbyopia is expierencing errors in far and near vision. Which is the most common treatment option for this client?

Bifocals Bifocals are eyeglasses with two distinct optical powers. Bifocals are commonly prescribed to people with presbyopia who also require a correction for myopia, hyperopia, and/or astigmatism.

A client is diagnosed with glaucoma. Which data gathered by the nurse indicate a risk factor associated with glaucoma?

Cardiovascular disease - Hyper tension, cardiovascualr disease, diabetes mellitus, and obesity are associated with the development of glaucoma. Smoking, ingestion of caffiene or large amounts of alcohol, illicit drugs, corticosteroids, altered hormone levels, posture, and eye movements may cause varying transiet increases in intraocular pressure (cardiovascular disease is associated with the development of glaucoma)

A nurse is reinforcing teaching with a client who has a new diagnosis of dry macular degeneration. Which of the following instructions should the nruse include in the teaching?

Increase intake of deep yellow and orange vegetables

A client arrives in the emergency department after an automobile crash. The cleint's forehead hit the steering wheel and a hyphema has been diagnosed. Which position should the nurse prepare to position the client?

On bed rest in a semi-Fowler's position

A nurse is caring for an older adult client who has diabetes mellitus and reports a gradual loss of peripheral vision. The nurse should recognize this as a manifestation of which of the following diseases?

Open-angle glaucoma

A nurse is assisting a healthcare provider during a refractive error examination. Which intervention should the nurse implement during the procedure?

Place the phoropter in front of the client's eyes

The nurse is preparing to adminsiter ear drops to an adult client. The nurse administers the eardrops by which technique?

Pulling the pinna up and back

________ errors result when light rays focus in front of or behind the retina because of variations in the shape of the lens

Refractive

The nurse is providing discharge teaching for a client following ear surgery. Which information would the nurse include in the teaching plan for this client?

Report any fever, headache, vertigo, or ear pain immediately

In preparation for cataract surgery, the nurse is to administer cyclopentolate eye drops. The nurse administers the eyedrops knowing that which is the purpose of this medication?

To dilate the pupil of the operative eye

T/F - Fluid in the middle ear is the most common cause of transmission hearing loss

True

T/F - One way to prevent hearing loss is to wear ear plugs when swimming

True

A nurse is caring for a client who has suspected Meniere's disease. Which of the following is an expected finding?

Unilteral hearing loss - Unilateral sensorineural hearing loss is an expected finding in Meniere's disease

______ is the sensation of spinning or rotating either of onself or of one's surroundings

Vertigo

The nurse assists with preparing the client for ear irrigation as prescribed by the primary health care provider (PHCP). Which action should the nurse plan to take?

Warm the irrigating solution to 98F (36.6C) - Irrigating solutions that are not close to the client's ody temperature can be uncomfortable and may cause injury, nausea, and vertigo. - The client is positioned so that the ear to be irrigated is facing downward, because this allows gravity to assist with the removal of the ear wax and solution

A nurse is irrigating the ear of a client to clear an external auditory canal obstruction. Which measure should the nurse employ when caring for this client?

Warm the irrigating solution to body temperature

The client with a hearing disorder may require assistance with ______, maintaining balance and meeting social and recreational needs.

Communication

The nurse caring for a client following eye surgery reports to the surgeon that the client is showing signs of ptosis (drooping eyelid). What might this finding indicate?

Edema

A nurse is caring for a client who is diagnosed with Meniere disease. Which measure should the nurse take when caring for this client?

Explain all actions to the client ahead of time

The nurse is assisting with developing a teaching plan for the client with glaucoma. Which instruction should the nurse suggest to include in the plan of care?

Eye medications may need to be administered for the rest of your life

T/F - After eye surgery, if the dressings are bothering the client, the client may remove the dressings

False

T/F - An absence or alteration in the sense of taste does not reduce the person's interest in eating

False

T/F - The slip lamp is an instrument that directs a beam of light onto or through the cornea to view the eye's interior structures

False

A nurse is performing an otoscopic examination of a client. Which of the following is an unexpected finding?

Fluid bubble seen behind the TM

A client arrives at the emergency department with a foreign body in the left ear that has been determined to be an insect. Which initial intervention should the nurse anticipate to be prescribed?

Instillation of mineral oil or diluted alcohol

The nurse performing a physical assessment of an 80-year-old client documents the structural disorder known as entropion. What occurs in this condition?

Inward turning of the lid margin common in older adults

A client sustains a chemical eye injury from a splash of battery acid. The nurse should prepare the client for which immediate measure?

Irrigating the eye with sterile normal saline

The nurse is assigned to care for a client hospitalized with Meniere's disease. The nurse expects that which would most likely to be prescribed for the client?

Low-sodium diet

Betaxolol hydrochloride eyedrops have been prescribed for the client with glaucoma. Which nursing action is most appropriate related to monitoring for the side/adverse effects of the medication?

Monitoring blood pressure

The nurse is providing instructions to a client who will be self-adminsitering eyedrops. To minimize the systemic effects that eyedrops can produce, the cleitn is instructed to perform which action?

Occlude the nasolacrimal duct with a finger over the inner canthus for 30 to 60 seconds after instilling the drops

The nurse is caring for a client after enucleation and notes the presence of bright red drainage on the dressing. The nurse should take which appropriate action?

Report the findings to the registered nurse (RN)

Examination for visual acuity uses the standard _____ chart to determine the person's capacity to see at specified distances

Snellen

The nurse is caring for a client who is hearing-impaired and should take which approach to facilitate communication?

Speak in a normal tone

The nurse is assigned to care for a client with a diagnosis of detached retina. Which findings would indicate that bleeding has occured as a result of retinal detachment? Select all that apply (2)

1. Vision may be cloudy 2. Complaints of a burst of black spots or floaters

The nurse is preparing to administer eyedrops. Which interventions should the nurse take to administer the drops? (Select all that apply)

1. Wash hands 2. Put on gloves 3. Place the drop in the conjunctival sac 4. Pull the lower lid down against the cheekbone