Sensory EAQ

The nurse is teaching a client about the post-surgical care that needs to be taken following eye surgery. Which statement given by the client indicates the need for further teaching?

)"I will use proper hygiene to prevent contamination of my medications." 2)"I will report any pain to my primary care physician if not relieved by medication." 3)"I will avoid using the Valsalva maneuver to prevent increased intraocular pressure." 4)"I will wait for more obvious signs of infection before reporting to my primary physician."

While assessing a client for hearing acuity, which questions asked by the nurse helps in assessing the personal history of the client? Select all that apply.

1)"Are you diabetic?" 2)"Do you work in a noisy environment?" 3)"Do you have a history of ear infections?" 4)"Do you have a history of diseases due to vitamin C deficiency?" 5)"Do you have a habit of listening to loud music?"

The nurse is teaching a client about self-ear irrigation for cerumen removal at home. Which statements made by the client indicate the nurse needs to follow up? Select all that apply.

1)"I should fill the syringe with hot water." 2)"I should use a designed ear syringe for wax removal." 3)"I should decrease the pressure if I feel any ear pain." 4)"I should use cotton to remove any extra water in my ear." 5)"I should irrigate until at least a cup of solution has been washed out of my ear canal."

A client asks for information about glaucoma. How should the nurse explain glaucoma to the client?

1)An increase in the pressure within the eyeball*** 2)An opacity of the crystalline lens or its capsule 3)A curvature of the cornea that becomes unequal 4)A separation of the neural retina from the pigmented retina

10. An older adult is found to have a thin white ring around the margin of the iris. What condition does this denote?

1)Cataract 2)Arcus senilis 3)Conjunctivitis 4)Macular degeneration

While interacting with a client who reported visual changes, the nurse finds that the client is frequently exposed to the sun. Which conditions might this client have? Select all that apply.

1)Cataracts 2)Entropion 3)Pterygium 4)Pinguecula 5) Arcus senilis

Which clinical indicator is the nurse most likely to identify when exploring the history of a client with open angle glaucoma?

1)Constant blurring 2)Abrupt attacks of acute pain 3)Sudden, complete loss of vision 4)Impairment of peripheral vision***

The nurse is providing preoperative teaching for a client who is to have cataract surgery. Which is appropriate for the nurse to include concerning what the client should do after surgery? Select all that apply.

1)Do not blow your nose. 2)Remain flat for three hours. 3)Eat a soft diet for two days. 4)Breathe and cough deeply. 5)Avoid bending from the waist.

The nurse is assessing an older adult client with suspected hearing loss. Which observations made by the nurse in the client indicates a decrease in hearing acuity? Select all that apply.

1)Frequent usage of words such as "what" 2)Postural changes while listening to the speaker3 3)Bending towards the other person while talking 4)Mismatch in the questions asked and the responses given 5)Startled expression when there is any unexpected sound in the environment

After assessing a client's vision, the nurse observes the client has difficulty seeing objects that are far away. Which condition does the nurse suspect the client is experiencing?

1)Myopia 2)Hyperopia 3)Presbyopia 4)Astigmatism

After cataract surgery the nurse teaches a client how to self-administer eyedrops. The nurse reinforces the use of what technique?

1)Placing the drops on the cornea of the eye 2)Raising the upper eyelid with gentle traction 3)Holding the dropper tip above the conjunctival sac 4)Squeezing the eye shut after instilling the medication

A client who just has been diagnosed with primary open-angle glaucoma (POAG) refuses therapy. The nurse reinforces that it is important for the client to seek treatment. Which goal is the nurse trying to achieve?

1)Prevent cataracts 2)Prevent blindness 3)Prevent retinal detachment 4)Prevent blurred distance vision

A debilitated older client with glaucoma who places great value on independence is being prepared for discharge from the hospital. To promote independence, what should the nurse encourage the client to do?

1)Prevent stressful events that can increase symptoms 2)Conserve eyesight by not reading or watching television 3)Perform household chores and shopping without assistance 4)Self-administer the eye medications using appropriate technique

13. A client has sensorineural hearing loss. Which finding in the client's history will alert the nurse to the most likely cause of the sensorineural hearing loss?

1)Prolonged exposure to noise 2)Buildup of cerumen in the ear 3)Blockage of the ear from a foreign body 4)Perforation of the tympanic membrane

Immediately after cataract surgery a client reports feeling nauseated. What should the nurse do?

1)Provide some dry crackers to eat 2)Administer the prescribed antiemetic 3)Explain that this is expected after surgery 4)Encourage deep breathing until the nausea subsides

After an assessment, the nurse finds that the client has a partial loss of peripheral vision. The client's eye examination report shows an intraocular pressure of 24 mmHg. What does the nurse suspect is causing this condition?

1)Reduced elasticity of the lens 2)Unevenness in the cornea3 3)Excess production of aqueous humor 4)Presence of nontransparent substance in the vitreous humor

An older client with macular degeneration comes to the eye clinic. Which response reported by the client does the nurse identify as consistent with the diagnosis?

1)Sees best in dim light 2)Sees halos around lights 3)Cannot see objects in the periphery 4)Cannot see objects in the center of the visual field***

The nurse is assessing a client with impaired hearing. Which action of the nurse is most important for establishing a good communication with the client?

1)Speaking at a normal volume 2)Reducing environmental noise 3)Getting the client's attention before speaking 4)Rephrasing rather than repeating if misunderstood

A nurse is caring for a client with glaucoma. Which rationale associated with the need for treatment of this condition should the nurse include in a teaching program?

1)Total blindness is inevitable. 2)Lost vision cannot be restored. 3)Use of both eyes usually is restricted. 4)Surgery will help the problem only temporarily.