Sensory Disorders

A pt has been blind for the past 10 years. He is hospitalized with congestive heart failure. In the care of a long-term blind individual, it is important to

announce when you enter and leave the room

The most common cause of congenital hearing loss from birth or early infancy is

anoxia or trauma

_____________ is a medical term for blurred vision

astigmatism

Astigmatism is a medical term meaning which visual disorder

blurred vision

A pt has a family history of cataracts. He asks what symptom would be present if he begins to develop them. The nurse might respond that the first symptom of a cataract is usually

blurring of vision

A pt has an infectious/inflammatory process of the eyelid. The primary goal of nursing intervention is

preventing further infection

The priority nursing responsibility while caring for a pt with vertigo is

safety

During a nursing history related to a pts activity-exercise functional health pattern, the pt comments that he cannot bend over and lift an object without becoming dizzy and that he frequently has to stop physical activities because of dizziness and nausea. Which structure of this patients ear is most likely to have a dysfunction causing his symptoms?

semicircular canals

A pt is scheduled for a stapedectomy. Appropriate postoperative teaching should include

teaching patient to open mouth when sneezing or coughing

The nurse answers the call light of a newly admitted patient. The pt tells the nurse she is blind and asks the nurse to assist her to the bathroom. Which action by the nurse is most appropriate

walk slightly ahead of the patient and allow the patient to hold the nurse's elbow

Select all the conditions that may cause conductive hearing loss

a. buildup of cerumen b. foreign bodies c. otosclerosis of external auditory canal f. otitis media with effusion

What factors must the nurse consider when assessing readiness to learn when teaching health promotion practices for the visually and hearing impaired

a. cultural belifs b. values c. habits

Which may contribute to otitis media

a. exposure to cigarette smoke b. allergies c. upper respiratory infections

What are the major senses

a. taste b. touch c. smell d. sight e. hearing/balance

When the eye adjusts to seeing objects at various distances, it is called

accommodation

The pt, age 42, notices that she is having difficulty reading typed print. The nurse would explain that the decreased ability to accomodate for hear vision is called

presbyopia

Rapid onset of decreased vision, halos around lights, and severe eye pain are indications of

closed-angle glaucoma

A 32 year old construction worker has suffered a penetrating would to his right eye. The best intervention for anyone to perform at the scene while waiting to be transported to the hospital is to

cover both eyes with a paper cup and tape

A pt visits the physician for a routine physical exam that involves testing distance vision. As she faces the Snellen chart, the nurse is to instruct the pt to

cover one eye while testing the other

A pt, age 76, is partially blind. His physician is diagnosed open-angle glaucoma. The goal of treatment in glaucoma is to

decrease aqueous humor

The patient, age 62, has had insulin-dependent diabetes mellitus for 20 years and had symptoms of proliferate diabetic retinopathy. He is scheduled for his first panretinal photocoagulation treatment. The nurse explains to him that the purpose of this procedure is to

destroy new blood vessels, seal leaking vessels, and help prevent retinal edema

most patients with Meniere's disease are treated with

diuretics

The best prevention of serious complications of ear disorders like infections, mastoiditis and brain abscesses is

early detection and treatment

The pt, age 42, has chronic otitis media. Otoscopic examination reveals a central perforation of the eardrum with purulent drainage into the ear canal. A CT scan confirms the presence of a cholesteatoma in the middle ear, and he is scheduled for a tympanoplasty. Which postop activity does the nurse teach him about preoperatively

elevation of head of bed with operative side facing upward

Otitis media is more frequently seen in children 6 to 36 months because

eustachian tubes in children are shorter and straighter

The pt tells the nurse that he is legally blind. This information provides the nurse with which info to use in planning care

further questioning is needed to determine how this patients visual impairment affects his normal functioning

Schiotz tonometry is a diagnostic test for ________

glaucoma

A pt, age 23, has been diagnosed with external otitis on return from vacation at the beach. The physician places an ear wick in the external ear canal and prescribes antibiotic otic drops. Before the patient leaves the clinic, the nurse reviews the mgmt of the disorder with her. Which statement indicates the need for further instruction.

i should remove the wick tomorrow

During examination of his external ear, the patient tells the nurse that his ear is very painful when touched. The nurse recognizes that this finding is commonly associated with

inflammation of the ear canal

A pt is cleaning the garage and splashes a chemical in his eyes. The initial priority after the chemical burn is to

irrigate with H2O for 15 minutes or longer

Sjogren's syndrome is associated with which eye disorder

keratoconjunctivitis sicca

The patient, age 71, has severe vertigo. A nursing action to help him reduce the symptoms is

lie immobile and hold the head in one position until the vertigo lessens

The aging process can be a factor in the patient's smell and taste. Which may contribute to altered nutrition for the elderly?

medications

A pt is prescribed eyedrops that constrict the pupil, permitting aqueous humor to flow. The nurse would reinforce the teaching by referring to the drops as

miotics

Myopia is a medical term meaning which visual disorder

nearsightedness

decreasing visual acuity is a sign of _______ _______

normal aging

A hearing-impaired patient is having problems communicating with staff members. Which behaviors would continue to hinder communication

overaccentuating words

A male pt brings home a note from the occupational nurse that states "you have acute bacterial conjunctivitis" this condition is more commonly called

pink eye