Disorders of Special Sensory Function-Chapter 38
A client tells the doctor he has noticed a recent change in his vision: he can bring distant images into focus, but near images become blurred. The client has most likely developed:
hyperopia
A 2 year old who has had ititis media for 4 months and been treated with several courses of antibiotics now appears to have some hearing loss. The nurse anticipates that the most appropriate treatment is:
tympanostomy tube insertion
A client reports occasional ringing in the ears that worsens toward the end of the day. The mot important question for the nurse to ask would be:
What prescription medication and over the counter medication do you take?
The health care provider is reviewing the results of a client's caloric test. The results were as follows: the client's eyes exhibited a jerk nystagmus lasting 2 to 3 minutes, with the slow component toward the irrigated ear followed by rapid movement away from the ear. This would be interpreted as:
a functioning brain stem
A client with hearing loss is being seen in the clinic. Select the hearing test that would be used to help differentiate conductive from sensorineural hearing loss
a weber/ tuning fork test
A client reports sudden, acute left eye pain with blurred vision and a headache on the affected side. The client is most likely experiencing:
acute angle-closure glaucoma
A client tells the health care provider that he developed an acute onset (hours) of vertigo, nausea, and vomiting lasting several days, but he has not had auditory or other neurologic manifestations. The health care provider interprets this as:
acute vestibular neuronitis
The most important information for a nurse to give a client about the treatment of open angle glaucoma is:
administration of topical beta-adrenergic antagonists to lower the pressure
The nurse is performing a Romberg test on a client. What best describes purpose of this test?
assess for static vestibular function
A client presents with copious amounts of yellow-green drainage, conjuctival redness, and chemosis to the right eye. A culture of the eye drainage reveals S. pneumoniae. The client most likely developed:
bacterial conjuctivitis
A client tells the nurse that when she is in bed, changes position of her head and rolls into a lateral position, she experiences brief periods of vertigo, usually lasting less than 1 minute. The client is most likely experiencing:
benign paroxysmal positional vertigo
A child who was born with a cleft lip and palate has had recurrent otitis media since birth. The nurse would assess the child for which form of hearing loss?
conductive
A client who has tinnitus about suggested dietary modifications. The most important information for the nurse to include would be:
cut down on takeout meals because of high amounts of monosodium glutamate
The ophthalmogist is performing a client's annual eye exam and notes an increase in intraocular pressure. The development is most likely the result of:
imbalance between aqueous production and outflow
The nurse is caring for an elderly client with a suspected diagnosis of presbycusis. What is the most likely manifestation that the nurse would note?
inability to understand words during a conversation
The nurse documents the presence of nystagmus when assessing a client. This can be intepreted as:
involuntary eye movements that preserve eye fixation on stable objects in the visual field
Assessment findings consistent with esotropia include:
medial deviation
What best describes meniere disease?
meniere disease is a disorder of the inner ear due to distention of the endolymphatic compartment of the inner ear, causing a triad of hearing loss, vertigo and tinnitus
A client reports feeling like the room is spinning around him when standing still. The client is most likely experiencing
objective vertigo
A client who experiences constant cloudiness of vision, sees floaters, and has an opaque lens is diagnosed with a cataract. The most appropriate treatment would be:
surgical lens replacement to correct vision
