Question 1

The nurse is conducting a prenatal assessment on a client.Which finding indicates a risk of sensory impairment in the unborn child?&#10;A)Lack of immunity to rubella&#10;B)History of otitis media&#10;C)Immunity to varicella&#10;D)Brief case of moderate conjunctivitis

Accepted Answer

A)Maternal infection with rubella during pregnancy can cause vision impairment in newborns. Thus, lack of immunity to rubella indicates an increased risk of sensory impairment in the newborn. Immunity to varicella is a desirable trait that reduces a mother's chance of illness during pregnancy, thus lessening the likelihood of harm to the newborn. Sensory deficits resulting from maternal otitis media would not be hereditary. Conjunctivitis, or pink eye, is an infection that usually clears up on its own and is not congenital.
B)Maternal infection with rubella during pregnancy can cause vision impairment in newborns. Thus, lack of immunity to rubella indicates an increased risk of sensory impairment in the newborn. Immunity to varicella is a desirable trait that reduces a mother's chance of illness during pregnancy, thus lessening the likelihood of harm to the newborn. Sensory deficits resulting from maternal otitis media would not be hereditary. Conjunctivitis, or pink eye, is an infection that usually clears up on its own and is not congenital.
C)Maternal infection with rubella during pregnancy can cause vision impairment in newborns. Thus, lack of immunity to rubella indicates an increased risk of sensory impairment in the newborn. Immunity to varicella is a desirable trait that reduces a mother's chance of illness during pregnancy, thus lessening the likelihood of harm to the newborn. Sensory deficits resulting from maternal otitis media would not be hereditary. Conjunctivitis, or pink eye, is an infection that usually clears up on its own and is not congenital.
D)Maternal infection with rubella during pregnancy can cause vision impairment in newborns. Thus, lack of immunity to rubella indicates an increased risk of sensory impairment in the newborn. Immunity to varicella is a desirable trait that reduces a mother's chance of illness during pregnancy, thus lessening the likelihood of harm to the newborn. Sensory deficits resulting from maternal otitis media would not be hereditary. Conjunctivitis, or pink eye, is an infection that usually clears up on its own and is not congenital.

Question 2

What characterizes individuals with achromatopsia?&#10;A)They perceive only the secondary colors of purple,orange,and green.&#10;B)They perceive only the primary colors of red,blue,and yellow.&#10;C)They perceive some colors as indistinguishable from other colors.&#10;D)They perceive only shades of gray and no colors.

Accepted Answer

Individuals with achromatopsia perceive only shades of gray and no colors. This is due to a lack of functioning cone cells in the eyes that are responsible for color perception.

Question 3

Which client should the nurse identify as having the greatest risk for hearing loss?&#10;A)Construction worker who typically works in urban centers&#10;B)Adolescent who occasionally listens to loud music on headphones&#10;C)Teacher who works at a large high school&#10;D)Lawyer who enjoys snowmobiling once a year

Accepted Answer

A)The construction worker is likely to have the greatest risk for hearing loss because the client's occupation and typical work environment probably involve sustained exposure to very loud noises. An adolescent who occasionally listens to loud music on headphones is also at risk for hearing loss, but the exposure to loud sounds is only occasional. The teacher working at a large high school works in a noisy environment but is probably not typically exposed to sounds louder than the human voice. Snowmobiles can be loud enough to present a risk for hearing loss, but the lawyer's exposure to them is only once a year.
B)The construction worker is likely to have the greatest risk for hearing loss because the client's occupation and typical work environment probably involve sustained exposure to very loud noises. An adolescent who occasionally listens to loud music on headphones is also at risk for hearing loss, but the exposure to loud sounds is only occasional. The teacher working at a large high school works in a noisy environment but is probably not typically exposed to sounds louder than the human voice. Snowmobiles can be loud enough to present a risk for hearing loss, but the lawyer's exposure to them is only once a year.
C)The construction worker is likely to have the greatest risk for hearing loss because the client's occupation and typical work environment probably involve sustained exposure to very loud noises. An adolescent who occasionally listens to loud music on headphones is also at risk for hearing loss, but the exposure to loud sounds is only occasional. The teacher working at a large high school works in a noisy environment but is probably not typically exposed to sounds louder than the human voice. Snowmobiles can be loud enough to present a risk for hearing loss, but the lawyer's exposure to them is only once a year.
D)The construction worker is likely to have the greatest risk for hearing loss because the client's occupation and typical work environment probably involve sustained exposure to very loud noises. An adolescent who occasionally listens to loud music on headphones is also at risk for hearing loss, but the exposure to loud sounds is only occasional. The teacher working at a large high school works in a noisy environment but is probably not typically exposed to sounds louder than the human voice. Snowmobiles can be loud enough to present a risk for hearing loss, but the lawyer's exposure to them is only once a year.

Question 4

The nurse is selecting sensory aids for a client with deficits in hearing and sight.Which aid would address both sensory deficits?&#10;A)Adequate room lighting with night lights&#10;B)Flashing alarm clock with large numbers&#10;C)Amplified telephone&#10;D)Large-print reading material

Accepted Answer

A flashing alarm clock with large numbers would address both deficits by providing visual cues with the large numbers and auditory cues with the flashing alarm. The other options only address one sensory deficit. Adequate room lighting with night lights addresses deficits in vision, amplified telephone addresses deficits in hearing, and large-print reading material addresses deficits in vision.

Question 5

What are the two components of the sensory process?&#10;A)Stimulus and receptor&#10;B)Kinesthesia and stereognosis&#10;C)Visual and auditory&#10;D)Reception and perception

Accepted Answer

The two components of the sensory process are reception (which involves the detection of the stimulus by the sensory receptor) and perception (which involves the interpretation of the stimulus by the brain). Option A is close, but not fully accurate, as it only includes the stimulus and the receptor, and does not account for the interpretation of the stimulus by the brain. Option B includes two specific sensory processes, but not the broader components of the sensory process. Option C refers specifically to the sensory modalities of vision and hearing, but not the components of the sensory process.

Question 6

Which nursing action is most appropriate when communicating with a client who has a hearing deficit?&#10;A)Drawing out the articulation of words with extra emphasis in order for the client to understand&#10;B)Using shorter phrases,which tend to be easier to understand than longer ones&#10;C)Varying the volume of voice,which is easier to understand than one consistent volume&#10;D)Writing ideas or pantomiming as appropriate in order for the client to understand

Accepted Answer

Writing ideas or pantomiming can be helpful for clients with hearing deficits as it allows for alternative methods of communication. Drawing out the articulation of words may not necessarily improve understanding, and varying the volume of voice may not be effective if the client has difficulty discerning certain frequencies. Using shorter phrases may be helpful but may not be as effective as providing visual aids.

Question 7

The nurse suspects that an older adult client has a hearing disorder;however,the client denies not being able to hear,and the family thinks the client is just becoming more absent minded with age.Which initial action by the nurse to assess the client's hearing is appropriate?

A)Use an otoscope to visualize the inner ear.
B)Schedule a Weber and Rinne test.
C)Confront the client with the suspicion.
D)Observe the client's interaction with family.

Accepted Answer

A)The most telling of these options would be to observe the client's interactions with family. The nurse should assess for frequent requests to repeat, inattention to conversation, turning one ear to the conversation, and lip reading. The Weber and Rinne test and use of an otoscope may be a part of an assessment but will not yield the immediate information that simple observation would. The client has already denied having a hearing problem, so confronting the client with the nurse's suspicion will probably only alienate the client from the nurse.
B)The most telling of these options would be to observe the client's interactions with family. The nurse should assess for frequent requests to repeat, inattention to conversation, turning one ear to the conversation, and lip-reading. The Weber and Rinne test and use of an otoscope may be a part of an assessment but will not yield the immediate information that simple observation would. The client has already denied having a hearing problem, so confronting the client with the nurse's suspicion will probably only alienate the client from the nurse.
C)The most telling of these options would be to observe the client's interactions with family. The nurse should assess for frequent requests to repeat, inattention to conversation, turning one ear to the conversation, and lip-reading. The Weber and Rinne test and use of an otoscope may be a part of an assessment but will not yield the immediate information that simple observation would. The client has already denied having a hearing problem, so confronting the client with the nurse's suspicion will probably only alienate the client from the nurse.
D)The most telling of these options would be to observe the client's interactions with family. The nurse should assess for frequent requests to repeat, inattention to conversation, turning one ear to the conversation, and lip-reading. The Weber and Rinne test and use of an otoscope may be a part of an assessment but will not yield the immediate information that simple observation would. The client has already denied having a hearing problem, so confronting the client with the nurse's suspicion will probably only alienate the client from the nurse.

Question 8

What is vertigo?&#10;A)Involuntary rapid eye movements&#10;B)A feeling of rotation or imbalance&#10;C)An infection of the vestibular nerve&#10;D)Impaired olfaction

Accepted Answer

Vertigo is a sensation of spinning or imbalance, often accompanied by nausea, vomiting, and sweating. It is caused by a disturbance in the inner ear or the vestibular nerve, which sends signals to the brain about head and body movements. It can also be a side effect of certain medications or a symptom of a more serious medical condition.

Question 9

A nurse is caring for a client with a genetic nerve disorder who has difficulty when attempting to move her tongue.The nurse recognizes that this may indicate a deficit in the functioning of which cranial nerve?

A)XII
B)XI
C)VIII
D)VI

Accepted Answer

The hypoglossal nerve (cranial nerve XII) controls movement of the tongue. Difficulty moving the tongue may indicate a deficit in this nerve's functioning.

Question 10

The nurse is planning care for an older adult client diagnosed with age-related macular degeneration (AMD)that is nonexudative.Which therapies should the nurse anticipate for this client? Select all that apply.

A)Laser surgery
B)Eye patches
C)Antioxidants
D)Eyedrops
E)Zinc

Accepted Answer

Nonexudative age-related macular degeneration is typically treated with nutritional supplements, specifically antioxidants (such as vitamins C and E) and zinc. Laser surgery and eye patches are not typically used for this type of AMD, and eyedrops may be used for things like glaucoma or dry eye but are not specific to AMD treatment.

Question 11

Where does perception,or the awareness and interpretation of stimuli,take place?&#10;A)The brain&#10;B)The nerve receptors&#10;C)The peripheral nervous system&#10;D)The impulses

Accepted Answer

The answer of Where does perception,or the awareness and interpretation...

Question 12

Which diagnostic test should the nurse use to assess hearing in an infant?&#10;A)Otoacoustic emissions test&#10;B)Weber test&#10;C)Rinne test&#10;D)Whisper test

Accepted Answer

The answer of Which diagnostic test should the nurse use...

Question 13

The nurse is identifying nursing diagnoses appropriate for a client with severe symptoms of tinnitus,vertigo,sensorineural hearing deficit,nausea,and vomiting.Which diagnosis would be the lowest priority for this client?

A)Impaired Verbal Communication
B)Social Isolation
C)Nausea
D)Risk for Injury

Accepted Answer

The answer of The nurse is identifying nursing diagnoses appropriate...

Question 14

The nurse is providing teaching on the recommended hearing tests for older adults.Which information should be included in this teaching?&#10;A)Schedule an annual hearing test until the age of 50 and then have a test every 6 months.&#10;B)Annual screenings are recommended for adults with diabetes.&#10;C)For individuals without comorbidities,hearing exams should be repeated every 1-3 years for ages 55-64,and every 1-2 years for ages 65 and above.&#10;D)Have a hearing test every 10 years until age 50 and then every 3 years.

Accepted Answer

The answer of The nurse is providing teaching on the...

Question 15

Which strategy for communication enhancement incorporates the use of shapes?&#10;A)Sign language&#10;B)Oral approach&#10;C)Total communication&#10;D)Cued speech

Accepted Answer

The answer of Which strategy for communication enhancement incorporates the...

Question 16

Which is the decibel level for mild hearing loss?&#10;A)16-40 dB&#10;B)41-70 dB&#10;C)71-90 dB&#10;D)91+ dB

Accepted Answer

The answer of Which is the decibel level for mild...

Question 17

A client tells the nurse about having increasing difficulty seeing the print while reading a newspaper.Which tool should the nurse select to assess this client?&#10;A)Rosenbaum eye chart&#10;B)Penlight&#10;C)Cover-uncover test&#10;D)Snellen eye chart

Accepted Answer

The answer of A client tells the nurse about having...

Question 18

A client is experiencing visual overstimulation.What can the nurse do immediately to reduce this client's visual sensory overload?&#10;A)Suggest the client wear sunglasses that block UVA rays only.&#10;B)Reduce the amount of light in the room by lowering shades and turning off overhead lights.&#10;C)Provide the client with large-print reading materials.&#10;D)Encourage the patient to employ relaxation techniques to reduce anxiety and stress.

Accepted Answer

The answer of A client is experiencing visual overstimulation.What can...

Question 19

A nurse is evaluating the care received by a client who has a hearing deficit.Which statement indicates that the client is effectively addressing variables that may lead to social isolation?&#10;A)&#34;I ask others to face me when they talk because I can hear them better.&#34;&#10;B)&#34;I keep the television volume raised to a high level.&#34;&#10;C)&#34;I don't use my hearing aid unless someone seems to need to talk to me.&#34;&#10;D)&#34;I might use the hearing aid when I go shopping.&#34;

Accepted Answer

The answer of A nurse is evaluating the care received...

Question 20

A nurse is providing teaching to a young adult client who is occasionally exposed to loud explosions on the job site.Which statement on the part of the client indicates that he accurately understands the potential risk to his hearing?

A)"If my hearing is damaged on the job,I can have surgery to fix it."
B)"Hearing loss from exposure to loud noises actually has a genetic component."
C)"Damage to the ear from loud noises can cause permanent hearing loss."
D)"Hearing loss attributed to loud noises is normally reversible,especially in younger people."

Accepted Answer

The answer of A nurse is providing teaching to a...

Question 21

What is conductive hearing loss?&#10;A)Degeneration of the hair cells of the cochlea&#10;B)Damage to the hair cells of the organ of Corti&#10;C)Disruption of the transmission of sound from the external auditory meatus to the inner ear&#10;D)Decrease or distortion in the ability of the inner ear to receive and interpret auditory stimuli

Accepted Answer

The answer of What is conductive hearing loss?&#10;A)Degeneration of the...

Question 22

Which assessment finding supports the nurse's conclusion that a client is at risk for cataracts?&#10;A)Age 75 years&#10;B)Hypertension&#10;C)Moderate alcohol use&#10;D)Smoker

Accepted Answer

The answer of Which assessment finding supports the nurse's conclusion...

Question 23

The nurse is evaluating instructions provided to a client with glaucoma.Which client statement indicates that teaching has been effective?&#10;A)&#34;The eyedrops only need to be used when my eyes hurt.&#34;&#10;B)&#34;I can stop the eyedrops when the glaucoma has resolved.&#34;&#10;C)&#34;I must use my eyedrops as prescribed for the rest of my life.&#34;&#10;D)&#34;I will need to continually increase the dose of my eyedrops.&#34;

Accepted Answer

The answer of The nurse is evaluating instructions provided to...

Question 24

Which of the following best describes tinnitus?&#10;A)A ringing sound accompanying perception of high-frequency tones&#10;B)Auditory perception from visual stimuli&#10;C)Lack of auditory perception of external auditory stimuli&#10;D)Auditory perception without external auditory stimuli

Accepted Answer

The answer of Which of the following best describes tinnitus?&#10;A)A...

Question 25

Which assessment finding is consistent with a diagnosis of open-angle glaucoma?&#10;A)A client loses vision intermittently several times over the course of several hours.&#10;B)A client has an episode of lost vision when experiencing a panic attack.&#10;C)A client loses the ability to see at all during a city-wide blackout.&#10;D)A client experiences gradually diminishing vision in both eyes over an extended period.

Accepted Answer

The answer of Which assessment finding is consistent with a...

Question 26

A nurse is caring for several pediatric clients who are affected by cataracts.Of these clients,which is the most obvious candidate for surgical removal of the cataract?&#10;A)Two-month-old infant who is asymptomatic&#10;B)Six-month-old infant with difficulty noticing toys or faces&#10;C)Three-month-old infant with diminished reaction to bright light&#10;D)One-month-old infant with no reaction to bright light and failure to notice toys or faces

Accepted Answer

The answer of A nurse is caring for several pediatric...

Question 27

An older adult client is using prescription eyedrops to treat her glaucoma.When providing client teaching about this medication,which of the following should the nurse mention as potential side effects? Select all that apply.

A)Blurred vision
B)Intermittent loss of eyesight
C)Headaches
D)Clouding of the eyes
E)Change in eye color

Accepted Answer

The answer of An older adult client is using prescription...

Question 28

The nurse is planning care for a client scheduled for cataract surgery.Which intervention should the nurse include in the plan of care to help provide a safe environment for the client following surgery?

A)Ensuring fall hazards are removed from the client's home and additional lighting is provided
B)Educating the client about what self-care activities are necessary following surgery
C)Making the client's close family aware of the self-care instructions the client has received
D)Ensuring the client's employer does not expect the client to return to standard duties until clearance for such activities by the healthcare provider

Accepted Answer

The answer of The nurse is planning care for a...

Question 29

A nurse is caring for a client who is receiving IV tobramycin for the treatment of a respiratory infection.Which of the following should the nurse plan on teaching the client how to do?&#10;A)Understand the actions and drug interactions of aminoglycosides.&#10;B)Self-monitor for hearing loss.&#10;C)Use total communication.&#10;D)Understand cued speech.

Accepted Answer

The answer of A nurse is caring for a client...

Question 30

What is characteristic of conductive hearing loss?&#10;A)For loss of hearing to be the same at all frequencies&#10;B)For loss of hearing to primarily involve the upper frequencies&#10;C)For loss of hearing to primarily involve the middle frequencies&#10;D)For loss of hearing to primarily involve the lower frequencies

Accepted Answer

The answer of What is characteristic of conductive hearing loss?&#10;A)For...

Question 31

The nurse is providing teaching to a client who was prescribed an ophthalmic beta blocker for glaucoma.The client is having difficulty understanding how to self-administer the medication.Which instruction by the nurse is best?

A)"Occlude your lacrimal duct."
B)"Close your eyes."
C)"Guard against systemic absorption."
D)"Use punctal occlusion."

Accepted Answer

The answer of The nurse is providing teaching to a...

Question 32

Which of the following diagrams would the nurse use when describing open-angle glaucoma to a client?&#10;A)A diagram showing a completely closed anterior chamber angle&#10;B)A diagram showing a completely occluded outflow of aqueous humor&#10;C)A diagram showing a blockage of the trabecular meshwork and canal of Schlemm&#10;D)A diagram showing congestion of the trabecular meshwork and reduced flow of aqueous humor through the canal of Schlemm

Accepted Answer

The answer of Which of the following diagrams would the...

Question 33

An older adult client with bilateral cataracts,arthritis,and a hearing deficit is scheduled for cataract surgery.Which is the priority nursing diagnosis for this client?&#10;A)Disturbed Body Image&#10;B)Decisional Conflict: Cataract removal&#10;C)Risk for Ineffective Health Maintenance&#10;D)Ineffective Coping

Accepted Answer

The answer of An older adult client with bilateral cataracts,arthritis,and...

Question 34

A nurse is working with several clients who are experiencing hearing loss.Of these clients,which is the best candidate for a cochlear implant?&#10;A)A client with a perforated tympanic membrane&#10;B)A client with sensorineural hearing loss from long-term exposure to loud noise&#10;C)A client with an obstruction of the external ear canal&#10;D)A client with a tumor of the middle ear

Accepted Answer

The answer of A nurse is working with several clients...

Question 35

A client has been diagnosed with cataracts of both eyes.The client's vision and activities of daily living have become severely impaired.What collaborative intervention does the nurse anticipate for this client?

A)Corrective lenses for the cataracts
B)Two surgical procedures,separated by a few weeks,to remove the cataracts
C)Two surgical procedures to remove both cataracts at the same time
D)Eyedrops to treat the cataracts

Accepted Answer

The answer of A client has been diagnosed with cataracts...

Question 36

The nurse is planning care for a client scheduled for cataract surgery.Which intervention should the nurse include in the plan of care to help provide a safe environment for the client following surgery?

A)Ensuring fall hazards are removed from the client's home and additional lighting is provided
B)Educating the client about what self-care activities are necessary following surgery
C)Making the client's close family aware of the self-care instructions the client has received
D)Ensuring the client's employer does not expect the client to return to standard duties until clearance for such activities by the healthcare provider

Accepted Answer

The answer of The nurse is planning care for a...

Question 37

A client is undergoing surgery to manage glaucoma.When providing postoperative teaching to this client,the nurse should emphasize that the client is now at increased risk for which form of cataracts?&#10;A)Congenital&#10;B)Secondary&#10;C)Radiation&#10;D)Traumatic

Accepted Answer

The answer of A client is undergoing surgery to manage...

Question 38

Which diagnostic technique is used to confirm the location and extent of cataracts?&#10;A)Visually inspecting the optic fundus using an ophthalmoscope&#10;B)Using tonometry to indirectly measure intraocular pressure&#10;C)Revealing a dark area instead of the red reflex through ophthalmoscopy&#10;D)Identifying patient history consistent with risk of cataracts and examining the eye to diagnose the cataract

Accepted Answer

The answer of Which diagnostic technique is used to confirm...

Question 39

A school nurse is identifying students who may have hearing loss.Which student would the nurse be most concerned about?&#10;A)A child who startles easily at loud noises&#10;B)A child who gets annoyed when things like televisions are too loud&#10;C)A child who cannot follow conversations in the hallways between classes or in the cafeteria&#10;D)A child who likes to listen to music on earbuds

Accepted Answer

The answer of A school nurse is identifying students who...

Question 40

After being diagnosed with cataracts,a client believes the right eye has a cataract but not the left eye,as there are no vision changes with the left eye.Which response by the nurse is accurate?&#10;A)&#34;Only your doctor can tell if you have a cataract in your left eye.&#34;&#10;B)&#34;Cataracts develop at different rates,so one eye may be more affected than the other.&#34;&#10;C)&#34;The changes being confined to one eye indicate a less severe cataract.&#34;&#10;D)&#34;Surgery is still necessary for both eyes.&#34;

Accepted Answer

The answer of After being diagnosed with cataracts,a client believes...

Question 41

A nurse working in the emergency department is caring for a client with an eye injury.The client describes spots in the field of vision.Based on this finding,which of the following is the nurse's priority concern?

A)The possibility that the client will immediately lose all vision
B)The possibility that the client will experience a progressive deterioration of vision
C)The possibility that the client will begin to experience intense eye pain
D)The possibility that the client's conjunctiva will become red and edematous

Accepted Answer

The answer of A nurse working in the emergency department...

Question 42

The nurse is caring for a client who has been using timolol (Timoptic)to manage glaucoma.Which assessment finding supports an adverse effect associated with systemic absorption of the drug?&#10;A)Eye pain&#10;B)Heart rate of 57&#10;C)Urinary frequency&#10;D)Blurred vision

Accepted Answer

The answer of The nurse is caring for a client...

Question 43

The home care nurse is assessing a client with macular degeneration.What interventions would be appropriate to ensure home safety for this client? Seslect all that apply.&#10;A)Keep the stairs free of clutter.&#10;B)Wear socks without shoes when walking in the home.&#10;C)Use one electrical outlet for devices.&#10;D)Have grab bars installed in the bathroom.&#10;E)Remove scatter rugs from the floors in the home.

Accepted Answer

The answer of The home care nurse is assessing a...

Question 44

Which best describes photophobia?&#10;A)Fear of light&#10;B)Aversion to light&#10;C)Reactive to light&#10;D)Need for light

Accepted Answer

The answer of Which best describes photophobia?&#10;A)Fear of light&#10;B)Aversion to...

Question 45

The nurse is preparing discharge instructions for a client with age-related macular degeneration (AMD)and type 1 diabetes mellitus.What should the nurse include in this client's teaching plan?&#10;A)Information on assisted-living facilities&#10;B)Information on the need to have routine eye examinations every 5 years&#10;C)Referral to home care to ensure safety with administering insulin and AMD medications at home&#10;D)Information on Stargardt disease

Accepted Answer

The answer of The nurse is preparing discharge instructions for...

Question 46

The nurse is planning instruction for a client who is newly diagnosed with glaucoma.What should be included in this teaching? Select all that apply.&#10;A)Manage eye pain with over-the-counter analgesics.&#10;B)Clouding of the affected eye(s)is expected.&#10;C)Self-administer prescribed eye medication properly.&#10;D)Attend follow-up appointments with the physician.&#10;E)Avoid over-the-counter medication unless discussed with the physician.

Accepted Answer

The answer of The nurse is planning instruction for a...

Question 47

A client comes into the emergency department with an eye injury.Which assessment findings suggest that this injury is the result of blunt trauma? Select all that apply.&#10;A)Lid ecchymosis&#10;B)Eye pain and decreased sharpness of vision&#10;C)Photophobia and eye tearing&#10;D)A well-defined bright area of erythema under the conjunctiva&#10;E)A feeling of something in the eye

Accepted Answer

The answer of A client comes into the emergency department...

Question 48

An older adult client tells the nurse that reading is easier when the material is held to the left or right.What should the nurse suspect this client is experiencing?&#10;A)Cataract&#10;B)Detached retina&#10;C)Exudative macular degeneration&#10;D)Nonexudative macular degeneration

Accepted Answer

The answer of An older adult client tells the nurse...

Question 49

The nurse is caring for a client who recently sustained a blow to the head.Which of the following assessment findings suggest that the client should be more closely evaluated for retinal detachment?&#10;A)Eye pain and redness&#10;B)Floaters in the visual field&#10;C)Subconjunctival hemorrhage&#10;D)Hyphema

Accepted Answer

The answer of The nurse is caring for a client...

Question 50

An older adult client with intermediate dry macular degeneration calls the nurse complaining that his vision is suddenly much more distorted and colors do not seem right.Which action by the nurse is priority?&#10;A)Talk with the client to assess for other hallucinations that might be occurring.&#10;B)Check the client's medications for side effects of vision changes.&#10;C)Ensure the client's safety by raising the bedrails.&#10;D)Contact the healthcare provider for an immediate ophthalmologic evaluation.

Accepted Answer

The answer of An older adult client with intermediate dry...

Question 51

Which of the following clients most likely will require assistance with properly taking medications for macular degeneration?&#10;A)72-year-old client,no dementia,no arthritis,hypertension&#10;B)67-year-old client,dementia,arthritis,no hypertension&#10;C)47-year-old client,no comorbidities&#10;D)52-year-old client,gastroesophageal reflux disease (GERD),hypertension

Accepted Answer

The answer of Which of the following clients most likely...

Question 52

A client is receiving verteporfin treatment for macular degeneration.The client asks the nurse what the expected outcome of treatment is.Which response by the nurse is most appropriate?&#10;A)It will increase the effectiveness of surgery.&#10;B)It will reverse the effects on the disease.&#10;C)It will promote the development of new blood vessels.&#10;D)The progression of the disease will be slowed.

Accepted Answer

The answer of A client is receiving verteporfin treatment for...

Question 53

The nurse is providing teaching to a client who was prescribed an ophthalmic beta blocker for glaucoma.The client is having difficulty understanding how to self-administer the medication.Which instruction by the nurse is best?

A)"Occlude your lacrimal duct."
B)"Close your eyes."
C)"Guard against systemic absorption."
D)"Use punctal occlusion."

Accepted Answer

The answer of The nurse is providing teaching to a...

Question 54

The nurse is caring for a client in the early stage of macular degeneration.What dietary changes should the nurse recommend to slow the progression of the disease?&#10;A)High-antioxidant diet&#10;B)Low-antioxidant diet&#10;C)Low-fat diet&#10;D)High-fat diet

Accepted Answer

The answer of The nurse is caring for a client...

Question 55

Which client is most at risk for eye injuries?&#10;A)A firefighter who wears all required safety gear on calls&#10;B)A baseball player who wears nothing over the eyes&#10;C)A self-employed home worker who wears ANSI Z87 eyewear when doing any household cleaning or yard work&#10;D)A construction worker who wears OSHA-required eyewear at all times while on site

Accepted Answer

The answer of Which client is most at risk for...

Question 56

A nurse is caring for a client with glaucoma who is prescribed an ophthalmic beta-adrenergic blocking agent.When teaching the client about the therapeutic action of this medication,which of the following statements should the nurse include?&#10;A)&#34;This drug reduces pressure in the eye by relaxing the muscles of the eye.&#34;&#10;B)&#34;This medication only needs to be taken when eye pain is experienced.&#34;&#10;C)&#34;Systemic absorption may occur,resulting in hypotension,bradycardia,and shortness of breath.&#34;&#10;D)&#34;This drug reduces intraocular pressure by decreasing the production of fluid in the eye.&#34;

Accepted Answer

The answer of A nurse is caring for a client...

Question 57

What class of drugs both decreases production of aqueous humor in the eye and increases drainage of aqueous humor from the uveoscleral pathway? A)Beta-adrenergic blockers B)Prostaglandin analogs C)Alpha₂-adrenergic agonists D)Cholinergic agonists

Accepted Answer

The answer of What class of drugs both decreases production...

Question 58

Laser surgery and photodynamic therapy are both treatments for what disease of the eye?&#10;A)Congenital cataracts&#10;B)Age-related cataracts&#10;C)Nonexudative macular degeneration&#10;D)Exudative macular degeneration

Accepted Answer

The answer of Laser surgery and photodynamic therapy are both...

Question 59

Which statement about cataract surgery is correct?&#10;A)Cataract surgery should be quick but may have to take place in stages.&#10;B)Cataract surgery may only be done on an inpatient basis with general anesthesia.&#10;C)Cataract surgery is not recommended except in cases of opacification of the remaining posterior capsule.&#10;D)Cataract surgery is typically bilateral and can be performed in a single day.

Accepted Answer

The answer of Which statement about cataract surgery is correct?&#10;A)Cataract...

Question 60

Which of the following scenarios is consistent with secondary congenital glaucoma?&#10;A)A newborn is diagnosed with glaucoma at birth.&#10;B)An infant is diagnosed at 6 months with glaucoma.&#10;C)A 1-year-old infant develops glaucoma following neurofibromatosis.&#10;D)A 5-year-old child is diagnosed with glaucoma.

Accepted Answer

The answer of Which of the following scenarios is consistent...

Question 61

The nurse is caring for a client who receives vitamin B₁₂ injections to control her peripheral neuropathy.The client tells the nurse that she recently started experiencing increased tingling in her fingers and toes,and she asks the nurse what this means.How should the nurse reply? A)"The tingling suggests that you are due for another injection." B)"The tingling means that the injections are not producing their intended effect." C)"The tingling is a common side effect of B₁₂ injections." D)"The tingling is most likely unrelated to your injections."

Accepted Answer

The answer of The nurse is caring for a client...

Question 62

A client recovering from a penetrating eye injury tells the nurse that some shadows and movement can be seen with the eye.Based on this data,what should the nurse do next?&#10;A)Note a deterioration in vision.&#10;B)Administer ultrasonography to assess the eye for a detached retina.&#10;C)Compare this data to the initial assessment.&#10;D)Note an improvement in vision

Accepted Answer

The answer of A client recovering from a penetrating eye...

Question 63

The nurse is planning teaching for a client diagnosed with diabetic neuropathy.What should the nurse include in this teaching?&#10;A)Set the water heater at 120&#176;F.&#10;B)Avoid hand and foot massages.&#10;C)Use a mirror to inspect feet daily.&#10;D)Increase medication for pain as necessary.

Accepted Answer

The answer of The nurse is planning teaching for a...

Question 64

Which statement is true?&#10;A)Eye injuries almost always take place in the home.&#10;B)Construction workers have a reduced risk of eye injury because of the many protective measures they take.&#10;C)The pathophysiology of an eye injury depends on the nature of the injury.&#10;D)Eye injuries are relatively uncommon with advances in safety and risk prevention.

Accepted Answer

The answer of Which statement is true?&#10;A)Eye injuries almost always...

Deck 18: Sensory Perception