Question 1

When removing a soft contact lens,the nurse finds that it is sticking together.What should the nurse do next?&#10;A) Rub the lens briskly.&#10;B) Soak the lens in saline.&#10;C) Place cleansing solution on the lens.&#10;D) Pry the lens apart with the fingertips.

Accepted Answer

Soaking the lens in saline can help to loosen it up and make it easier to remove without causing damage or discomfort to the patient. Rubbing the lens briskly or prying it apart with the fingertips can potentially damage or tear the lens, while adding cleansing solution may not be as effective in separating the lens.

Question 2

When providing care to a patient who has splashed bleach into his eye,the nurse will&#10;A) remove the patient's contacts immediately.&#10;B) flush the eye from the outer to the inner canthus.&#10;C) reinsert contacts as soon as irrigation is done.&#10;D) irrigate toward the lower conjunctival sac.

Accepted Answer

Ask the patient to look toward the brow.Gently irrigate with a steady stream toward the lower conjunctival sac.This will minimize the force of the stream on the cornea and will flush irritant out of the eye and away from the other eye and nasolacrimal duct.In an emergency such as first aid for a chemical burn,do not delay flushing by removing the patient's contact lens before irrigation.Do not remove the contact unless rapid swelling is occurring.Flush the eye from the inner to the outer canthus.Advise the patient to consult the prescriber before reusing the contact lens.

Question 3

The nurse caring for an unconscious patient determines that he is wearing contact lenses.Which of the following nursing interventions will the nurse use when removing the contact lenses?&#10;A) Put on snug,powdered,clean gloves.&#10;B) Ask the patient to look down to expose the lower eyeball.&#10;C) Use the fingernail to slide the lens off of the cornea.&#10;D) Inspect the eye after the lenses have been removed.

Accepted Answer

Inspecting the eye after removing the lenses ensures that the eye is not damaged and that the lenses have been completely removed.

Question 4

How does the nurse assess that a hearing aid is operating correctly?&#10;A) Speaking very softly behind the patient&#10;B) Covering the patient's unaffected ear and speaking&#10;C) Determining the patient's response to a normal tone of voice&#10;D) Removing the hearing aid and sending it to be checked by an audiologist

Accepted Answer

The nurse can determine if a hearing aid is operating correctly by talking to the patient in a normal tone of voice and observing their response. If the patient is able to hear and understand what the nurse is saying, then the hearing aid is likely working properly. Option A may not provide sufficient sound for testing, and option B may not differentiate if the issue is with the hearing aid or the unaffected ear. Option D may not be necessary unless there are clearly evident issues with the hearing aid.

Question 5

When instructing a patient on correct technique for inserting a hearing aid into the ear,the nurse will include which of the following instructions?&#10;A) Pull the outer ear up and out.&#10;B) Hold the aid with the long portion upright.&#10;C) Fit the aid snugly in the midline of the canal.&#10;D) Turn the aid to the desired sound level before insertion.

Accepted Answer

Hold the hearing aid in the dominant hand and insert the pointed end of the ear mold into the ear canal while following the natural contours of the canal.Pulling up and out on the outer ear has little effect on hearing aid insertion.Instead,hold the hearing aid in the dominant hand and insert the pointed end of the ear mold into the ear canal while following the natural contours of the canal.Turn the volume slowly to high to prevent damage to the hearing aid.

Question 6

The patient is brought into the emergency department after a motor vehicle accident.The patient is unresponsive.The nurse is concerned about whether or not the patient wears contact lenses because contact lenses that are not removed

A) can be damaged.
B) can cause corneal injury.
C) can set off the magnetic resonance imaging (MRI)machine.
D) can get stuck.

Accepted Answer

Contact lenses that are not removed can cause corneal injury, especially if the patient is unresponsive and unable to blink or produce tears to keep the eyes moist.

Question 7

Which of the following nursing interventions would the nurse perform first after a patient sustained a chemical splash injury to the eye?&#10;A) Assess visual acuity.&#10;B) Flush the eye with large amounts of irrigation fluid.&#10;C) Assess level of pain.&#10;D) Determine whether the pupils are equal,round,and reactive to light and accommodation (PERRLA).

Accepted Answer

The first priority in the case of a chemical splash injury to the eye is to flush the eye with large amounts of irrigation fluid to remove the chemical and prevent further damage.

Question 8

In caring for a patient with contact lenses,the nurse should be aware that&#10;A) rigid gas-permeable (RGP)lenses are no longer used.&#10;B) soft contact lenses are smaller than the cornea.&#10;C) all lenses must be removed periodically.&#10;D) extended wear lenses can be used for only 6 nights.

Accepted Answer

All contact lenses, whether RGP or soft, must be removed periodically to prevent complications such as corneal ulcers and infections. The frequency of removal varies depending on the type of lens and the recommendations of the eye care provider. Extended wear lenses can be worn for up to a week before they must be removed, cleaned, and reinserted.

Question 9

The nurse is preparing to provide eye care for an unconscious patient.The nurse realizes that unconscious patients do not have natural protective mechanisms to protect the cornea.These protective mechanisms include (Select all that apply.)

A) blinking.
B) squinting.
C) lubrication.
D) dilation.

Accepted Answer

Blinking helps to spread tears and remove debris, providing protection to the cornea. Lubrication from tears keeps the cornea moist and prevents drying out, which is crucial for corneal health.

Question 10

When providing eye care for the unconscious patient,the nurse should&#10;A) place the patient in a prone position for easier access.&#10;B) use a different corner of the washcloth for each eye.&#10;C) wipe each eye from outer to inner canthus.&#10;D) use a sterile medicine cup to instill lubricant.

Accepted Answer

Using a different corner of the washcloth for each eye helps prevent cross-contamination and infection.

Question 11

The elderly patient is instructed to store his hearing aid in a(n)&#10;A) cold place.&#10;B) container that keeps out moisture.&#10;C) easy to reach place.&#10;D) a cup of water.

Accepted Answer

The answer of The elderly patient is instructed to store...

Question 12

The patient is brought to the emergency department after receiving a chemical burn to his eyes.The doctor prescribes immediate eye irrigations.Of the following solutions,which would be the most beneficial for this patient?

A) Lactated Ringer's solution
B) Albumin
C) Tap water
D) Dextrose and water

Accepted Answer

The answer of The patient is brought to the emergency...

Question 13

The nurse decides that unregulated care providers can provide care to a patient with contact lenses when the unregulated care provider states:&#10;A) &#34;If I am in a hurry,I will use tap water for rinsing the lenses.&#34;&#10;B) &#34;Gloves aren't necessary; the eye is a clean organ.&#34;&#10;C) &#34;I will check with the patient to see if the lenses are disposable.&#34;&#10;D) &#34;It is normal for contact lens wearers to have red,teary eyes.&#34;

Accepted Answer

The answer of The nurse decides that unregulated care providers...

Question 14

How should the nurse position the ear when performing ear irrigation for a 2-year-old patient?&#10;A) Instill the irrigating solution quickly and forcefully.&#10;B) Pull the pinna up and back.&#10;C) Direct the fluid toward the anterior aspect of the ear canal.&#10;D) Pull the pinna down and back.

Accepted Answer

The answer of How should the nurse position the ear...

Question 15

The nurse is preparing to clean the patient's hearing aid.The nurse realizes that he or she must&#10;A) make sure the hearing aid volume is turned on before removing the hearing aid.&#10;B) hold the hearing aid over the sink when cleansing.&#10;C) insert a paper clip into the receiver port to cleanse cerumen buildup.&#10;D) make sure the pressure equalization channel is clear.

Accepted Answer

The answer of The nurse is preparing to clean the...

Question 16

The patient is found to have impacted cerumen in his ear canal.The nurse most likely will&#10;A) instill 1 to 2 drops of mineral oil.&#10;B) instill the irrigation under pressure.&#10;C) occlude the ear canal when irrigating.&#10;D) straighten the ear canal.

Accepted Answer

The answer of The patient is found to have impacted...

Deck 19: Care of the Eye and Ear