Sensory Perception
A client asks for information about glaucoma. How should the nurse explain glaucoma to the client? A. An increase in the pressure within the eyeball B. An opacity of the crystalline lens or its capsule C. A curvature of the cornea that becomes unequal D. A separation of the neural retina from the pigmented retina
A. An increase in the pressure within the eyeball
A client who has recently become blind as a result of an injury responds to the loss of autonomy by being sarcastic. How can the nurse best respond to this behavior? A. By accepting the behavior B. By setting limits on the behavior C. By instituting behavior modification techniques D. By explaining that this behavior will alienate people
A. By accepting the behavior
A nurse is caring for an older adult with a hearing loss secondary to aging. What can the nurse expect to identify when assessing this client? Select all that apply. A. Dry cerumen B. Tears in the tympanic membrane C. Difficulty hearing high pitched voices D. Decrease of hair in the auditory canal E. Overgrowth of the epithelial auditory lining
A. Dry cerumen C. Difficulty hearing high pitched voices
A 7-year-old child with cerebral palsy who wears leg braces has a slight sensory loss in the lower extremities. What is the most essential information for the nurse to teach the child and parents? A. Examine the skin for evidence of pressure points. B. Keep the braces in good repair and pad them well. C. Select shoes that have heels that are wide and low. D. Check that the brace joints are aligned with body joints.
A. Examine the skin for evidence of pressure points
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? A. Myopia B. Hyperopia C. Presbyopia D. Astigmatism
A. Myopia
What instruction would the nurse be most likely to give a client with reduced sensory perception to prevent injury from scalding? A. "Apply moisturizers." B. "Use a bath thermometer." C. "Dress warmly in cold weather." D. "Avoid frequent bathing with hot water."
B. "Use a bath thermometer
By which age do children develop binocularity? A. 8 to 9 weeks B. 3 to 4 months C. 7 to 8 months D. 9 to 12 months
B. 3 to 4 months
Client: Symptom: Client A: Impaired near vision Client B: Loss of Central vision Client C: Cross appearance of eyes Client D: Inability to see distant objects The symptoms of four clients with different levels of impaired vision are given above: Which client is expected to be diagnosed with macular degeneration? A. Client A B. Client B C. Client C D. Client D
B. Client B
An 85-year-old client has just been admitted to a nursing home. When designing a plan of care for this older adult, the nurse recalls what expected sensory losses associated with aging? Select all that apply. A. Difficulty in swallowing B. Diminished sensation of pain C. Heightened response to stimuli D. Impaired hearing of high frequency sounds E. Increased ability to tolerate environmental heat
B. Diminished sensation of pain D. Impaired hearing of high frequency sounds
Which refractive error condition is due to a decrease in elasticity of the client's lens? A. Myopia B. Hyperopia C. Presbyopia D. Astigmatism
C. Presbyopia
A nurse is planning to screen a school-aged child for impaired hearing because the child is receiving an antibiotic that affects hearing. Which medication does the nurse suspect may have caused hearing impairment? A. Amoxicillin B. Ciprofloxacin C. Clindamycin D. Gentamicin
D. Gentamicin
A client who is legally blind is admitted to the hospital for surgery. Which nursing action is most appropriate when caring for this client? A. Enter the room while speaking softly. B. Touch the client gently before speaking. C. Hold the client by the elbow when ambulating. D. Keep the furniture in the same location in the room.
D. Keep the furniture in the same location in the room.
