Deck 52: Nursing Care of Patients With Sensory Disorders: Vision and Hearing

Question 1

The nurse is collecting data from a patient with cataracts.Which symptom should the nurse expect because of this health problem?

A) Visual fatigue
B) Loss of visual acuity
C) Loss of central vision
D) Floating filaments in vision

Answer 1

Loss of visual acuity

Question 2

A family member of an 85-year-old patient explains that the patient sits about 2 feet away from the television and is not interested in going out anymore.Which additional information should the nurse use to support visual impairment?

A) The patient watches television.
B) The patient does not go out anymore.
C) The patient visits with a relative occasionally.
D) The patient has not moved to a new home in 45 years.

Answer 2

The patient does not go out anymore.

Question 3

The nurse is caring for a patient recovering from a stapedectomy.What is the priority nursing action to maintain safety?

A) Check for drainage.
B) Put the side rails up.
C) Test hearing capability.
D) Have patient cough and deep breathe.

Answer 3

Put the side rails up.

Question 4

The nurse is collecting data from a patient who has a bulging eardrum.For which health problem should the nurse anticipate providing care to this patient?

A) Otitis media
B) External ear infection
C) Hematoma in the middle ear
D) Normal tympanic membrane

Question 5

The nurse is caring for a patient who has an acute attack of Ménière's disease.What action should the nurse take first?

A) Administer prescribed diuretics.
B) Administer an antianxiety medication.
C) Help the patient into bed with side rails up.
D) Ensure that the patient is on fluid restriction.

Question 6

The nurse is caring for a patient after a left stapedectomy.In which position should the nurse place the patient?

A) Flat
B) Prone
C) Left ear upward
D) Right ear upward

Question 7

The nurse is collecting data from a patient with an inner ear disorder.Which findings should be the most concerning to the nurse?

A) Otalgia
B) Vertigo
C) Nausea
D) Headache

Question 8

The nurse is reinforcing teaching provided to a patient with open-angle glaucoma.What is most important for the nurse to include in the patient teaching?

A) Regardless of treatment, peripheral vision will be eventually lost.
B) Compliance with drug therapy is essential to prevent loss of vision.
C) Damage to the eye caused by glaucoma is reversible in early stages.
D) Eye pain is experienced until the optic nerve atrophies, causing blindness.

Question 9

The caregiver of a patient with macular degeneration.The patient's caregiver becomes increasingly is frustrated because of food spills on the patient's clothing.Which explanation should help the caregiver understand what the patient is experiencing?

A) "The patient's vision is blurred."
B) "There is total blindness in one eye occurring."
C) "The central vision is gone and only peripheral vision remains."
D) "There are black dots in the field of vision that cause confusion."

Question 10

The nurse is collecting data from aa patient who has Ménière's disease.Which finding should the nurse expect?

A) Nystagmus, nausea, and edema
B) Syncope, headache, and diplopia
C) Hearing loss, vertigo, and tinnitus
D) Blurred vision, vomiting, and arthralgia

Question 11

The nurse is teaching a patient with glaucoma how to instill eyedrops.Which action should the nurse instruct the patient to take?

A) Look up while pulling lower lid outward.
B) Squeeze the eyelids shut for 2 minutes after instillation.
C) Look straight ahead while pulling down the lower eyelid.
D) If the eye waters, wipe from the outer canthus to the inner canthus.

Question 12

A patient with acute angle glaucoma and a fractured femur that is scheduled for surgery is prescribed the preoperative medications morphine 10 mg intramuscularly (IM),and atropine 0.4 mg IM.Which action should the nurse take?

A) Hold the morphine.
B) Contact the physician.
C) Give medications as ordered.
D) Collect data on patient's pain.

Question 13

A patient diagnosed with cataracts asks how they develop.What should the nurse respond to this patient?

A) "Cataracts usually result from chronic systemic diseases."
B) "Cataracts usually result from the prolonged use of toxic substances."
C) "Cataracts are believed to result from eye injuries sustained early in life."
D) "Cataracts may form as a result of exposure to ultraviolet light over time."

Question 14

The nurse is caring for a patient with chronic otitis media.For which complication should the nurse observe in the patient?

A) Tonsillitis
B) Sore throat
C) Hearing loss
D) Cerebral edema

Question 15

A patient being sent home from a clinic after evaluation for a perforated eardrum is advised not to shower.Which statement indicates that the patient understands why showering should not be performed?

A) Water should not enter the ear.
B) Motion of the ear would cause pain.
C) Showering would disturb equilibrium.
D) The patient should move as little as possible.

Question 16

A patient diagnosed with myopia asks the nurse to explain the condition.How should the nurse respond?

A) "It is blindness."
B) "It is farsightedness."
C) "It is nearsightedness."
D) "It is cataract development."

Question 17

The nurse is assisting with the auditory assessment phase of the physical examination for a high school swimming team.The nurse identifies a student who has pain and itching of the ear.For which disorder should the nurse anticipate treatment is needed?

A) Otitis media
B) Furunculosis
C) External otitis
D) Chronic mastoiditis

Question 18

During a home visit the nurse identifies signs of visual impairment in a 74-year-old patient.Which action should the nurse recommend?

A) Avoid travel.
B) Make adjustments in lifestyle.
C) Schedule an eye examination.
D) Accept visual impairment as part of aging.

Question 19

A patient with glaucoma is prescribed pilocarpine 1% eye drops every 6 hours.What outcome should the nurse expect from this medication?

A) Reduction of inflammation of the iris and choroids
B) Prevention of dryness of the cornea and conjunctiva
C) Dilation of the pupil by paralyzing the ciliary muscle
D) Promotion of drainage of aqueous humor from the anterior chamber of the eye

Question 20

The nurse is contributing to the plan of care for a patient recovering from a myringoplasty.Which intervention should be included in this patient's plan of care?

A) Restricting fluids
B) Coughing each hour
C) Avoiding excessive movement
D) Encouraging visitors to speak loudly

Question 21

The nurse is reinforcing teaching provided to a patient with Ménière's disease.Which discharge order should the nurse question?

A) Return if symptoms worsen.
B) Increase daily sodium intake to 4 g.
C) Ask for assistance when ambulating.
D) During an attack, lie down and keep head still.

Question 22

The nurse is having difficulty communicating with a hearing-impaired patient.Which action should the nurse take to improve communication?

A) Speak softly
B) Speak rapidly
C) Avoid verbal communication
D) Face the patient when speaking

Question 23

A patient with otitis media is experiencing severe ear pain.Which nonpharmacologic measures should the nurse use to help this patient? (Select all that apply.)

A) Offer a massage.
B) Apply heat to the area.
C) Offer liquid or soft diet.
D) Apply an ice pack to the area.
E) Dim the lights and reduce environmental noise.

Question 24

A patient with diabetic retinopathy is being discharged home.Which patient statement indicates understanding of the discharge plan to maintain vision?

A) "I should avoid being in the sun."
B) "I should reduce my insulin dosage."
C) "I should keep my diabetes under control."
D) "I will need to schedule routine eye examinations every 3 years."

Question 25

A patient with Ménière's disease is crying and wants to know why this disease is occurring.Which outcome should the nurse recommend for this patient's care?

A) Prevent injury.
B) Decrease anxiety.
C) Prevent ear infection.
D) Maintain fluid volume.

Question 26

The nurse is reinforcing teaching provided to a patient recovering from a stapedectomy.Which patient statement indicates teaching has been effective?

A) "I will avoid airplane travel for 6 months."
B) "I will cough or sneeze with my mouth open."
C) "I will gently blow my nose with both sides open."
D) "I will keep the ear moist by packing it with cotton balls."

Question 27

After surgery for a detached retina,a patient is experiencing nausea and is prescribed prochlorperazine (Compazine),10 mg IM prn every 6 hours.Compazine is available as 5 mg/mL.The nurse should administer ____________________ mL in each dose.

Question 28

The nurse is collecting data from a patient with a detached retina.Which findings should the nurse expect in this patient? (Select all that apply.)

A) Severe pain
B) Blurred vision
C) Flashing lights
D) Loss of peripheral vision
E) Loss of acuity in the affected eye

Question 29

The nurse is reinforcing teaching provided to a patient with Ménière's disease.Which patient statement indicates understanding of how to manage the vertigo?

A) "Listen to soft music."
B) "Increase fluid intake."
C) "Increase sodium intake."
D) "Avoid sudden movement."

Question 30

The nurse notes that a patient has astigmatism.What should the nurse expect when collecting data from this patient?

A) Blind spots
B) Blurred vision
C) Distorted near vision
D) Distorted distance vision

Question 31

The nurse is reinforcing teaching provided to a patient with primary open-angle glaucoma (POAG)about symptoms to report.Which patient statement indicates a correct understanding of the teaching?

A) "Hypotension and bradycardia."
B) "Fever and reddened conjunctiva."
C) "Loss of central vision and dizziness."
D) "Headache and seeing halos around lights."

Question 32

The nurse is planning to perform an ear irrigation to remove a patient's cerumen.Which patient condition would contraindicate this procedure?

A) Previous hearing loss
B) Chronic, severe earache
C) Previous perforated eardrum
D) Previous external ear infection

Question 33

The nurse is teaching a patient about conjunctivitis.Which statement indicates that the patient understands the most important means to prevent the spread of this infection?

A) "Wash hands."
B) "Patch the eyes."
C) "Irrigate the eyes."
D) "Keep the eyes moist."

Question 34

The nurse is reinforcing teaching provided to a patient being treated for myopia.Which patient statement indicates a correct understanding of the teaching?

A) Cataract surgery must occur
B) Corrective convex lenses are needed
C) Mydriatic ophthalmic drops are used
D) Corrective concave lenses are needed

Question 35

A patient scheduled for cataract surgery asks if the surgery is safe.What should the nurse do?

A) Ask the surgeon to talk to the patient.
B) Encourage visitors to distract the patient.
C) Give the patient a sedative for relaxation.
D) Reassure the patient that everything will be all right.

Question 36

The nurse is caring for a patient with a sensorineural hearing loss.Which prescribed medications should the nurse question before providing to this patient? (Select all that apply.)

A) Gentamicin
B) Furosemide
C) Indomethacin
D) Acetaminophen
E) Warfarin sodium

Question 37

A patient with acute ear pain and drainage comes into the community clinic.Which diagnostic tests should the nurse prepare to collect prior to beginning treatment for this patient? (Select all that apply.)

A) Biopsy
B) Audiometric testing
C) Complete blood count
D) Rinne and Weber tests
E) Culture of ear discharge