Deck 80: Cardiovascular Disorders

Question 1

A nurse is assisting a healthcare provider during a refractive error examination. Which intervention should the nurse implement during the procedure?

A) Position the client 10 ft from the phoropter.
B) Place the phoropter at the sides of the client's eyes.
C) Position the client 20 ft from the phoropter.
D) Place the phoropter in front of the client's eyes.

Answer 1

Place the phoropter in front of the client's eyes.

Question 2

The nurse is assisting an ophthalmologist with a test to measure the pressure in the eyes of a client to detect glaucoma. Which test is being performed?

A) Tonometry
B) Slit lamp examination
C) Ophthalmoscopic examination
D) Refractive Examination

Answer 2

Tonometry

Question 3

The nurse is preparing a client for an electroretinogram (ERG) to confirm a diagnosis of retinitis pigmentosa. Which explanation should be included in the preparation of this client?

A) "You will be placed in a brightly lit room for this test."
B) "Radiopaque dye will be injected into your eye before the test."
C) "A contact lens containing an electrode will be placed on your eye."
D) "You will see a bright beam of light directed at your eye."

Answer 3

"A contact lens containing an electrode will be placed on your eye."

Question 4

The nurse is assisting with a caloric test to determine if an alteration exists in the vestibular origin of the acoustic nerve. Which intervention will the nurse implement during this procedure to support the desired results?

A) Place the client in a prone position to perform the examination.
B) Instill cold and/or warm water into the external ear canal.
C) Test the affected side after testing the normal side.
D) Replace water with hot air for a client with a punctured eardrum.

Question 5

A client has an eye patch to allow the eye to rest following an injury playing soccer. Which teaching point should the nurse provide the client?

A) Do not to drive a car or other machinery.
B) Remove the patch at night.
C) Report any changes in depth perception.
D) Report any changes in peripheral vision.

Question 6

A nurse is irrigating the ear of a client to clear an external auditory canal obstruction. Which measure should the nurse employ when caring for this client?

A) Warm the irrigating solution to body temperature.
B) Straighten the client's ear canal down and back.
C) Place the syringe at the tip of the external auditory meatus.
D) Keep the ear canal wet to promote client comfort.

Question 7

Which teaching points should be included in post-surgery education for a client scheduled for eye surgery? Select all that apply.

A) Remove the dressings when alert.
B) Wear a metal shield, if prescribed, for up to 4 weeks.
C) Sleep on the operative side for the first week.
D) On the second postoperative day, clean the eye with moist cotton balls.
E) Avoid sudden movements and straining at stool.
F) Do not lift more that 20 to 30 lb for about a week.

Question 8

The nurse is caring for a client with a prosthetic eye. Which information should be included in discharge education?

A) Make sure the prosthesis is dry when inserting it.
B) Close the eyelid and slip the prosthesis under the top lid.
C) Press inward on the bottom of the prosthesis to seat it in place.
D) Ask the client to blink to seat the prosthesis in place.

Question 9

The nurse caring for a client following eye surgery reports to the surgeon that the client is showing signs of ptosis (drooping eyelid). What might this finding indicate?

A) Dehydration
B) Paralysis
C) Edema
D) Hemorrhage

Question 10

The nurse is providing discharge teaching for a client following ear surgery. Which information would the nurse include in the teaching plan for this client?

A) When changing positions, sit or stand up quickly to help the ears to adjust.
B) Report any fever, headache, vertigo, or ear pain immediately.
C) When lying down, lie on the operative side to facilitate drainage.
D) Resume normal activities after about 1 week following a check-up.

Question 11

The nurse is caring for a client in the hospital who is visually impaired. Which nursing considerations would be appropriate for this client? Select all that apply.

A) Let the client know when you are leaving the room.
B) Speak in a louder tone to compensate for loss of vision.
C) Touch clients before speaking to them to keep from frightening them.
D) Identify self when entering the room.
E) Place food on the plate in a "clock position" and identify the food.
F) Lightly push the client from behind when helping the client to ambulate.

Question 12

The nurse is entering the hospital room of a client who has a severe hearing deficit. Which nursing considerations would be appropriate for this client? Select all that apply.

A) Get the client's attention before speaking.
B) Face the client on the same level.
C) Speak slowly and clearly.
D) Repeat specific words rather than entire phrases.
E) Use hand motions to facilitate the conversation.
F) Verify that the person understood the conversation.

Question 13

Several specialists are involved in the treatment of the eye. Who would be licensed to perform cataract surgery?

A) Ophthalmologist
B) Optometrist
C) Optician
D) Ophthalmic technician

Question 14

Which statement describes astigmatism?

A) Elongation of the eyeball
B) Shorter than normal eyeball
C) Loss of elasticity of the lens
D) Unequal curvature in shape of the lens

Question 15

An older adult diagnosed with presbyopia is experiencing errors in far and near vision. Which is the most common treatment option for this client?

A) Eye surgery
B) Hard contact lenses
C) Bifocals
D) Lens implants

Question 16

A hospitalized client wakes up in the morning with his eyelids sticking together from a thick and copious discharge. After the nurse applies warm soaks to help remove the crusts, the client then reports pain, redness, and itching of the eyes. What inflammatory disorder would the nurse suspect?

A) Hordeolum
B) Conjunctivitis
C) Chalazion
D) Keratitis

Question 17

The nurse performing a physical assessment of an 80-year-old client documents the structural disorder known as entropion. What occurs in this condition?

A) Outward turning of the eyelid caused by the aging process
B) Drooping of the upper eyelid owing to muscle weakness or nerve damage
C) Inward turning of the lid margin common in older adults
D) Increased fluid pressure within the eye

Question 18

An elderly client is diagnosed with cataracts. The client reports double vision and says he sees halos around lights. What should the nurse expect to find in the client's eyes during the nursing assessment?

A) Redness of lid margins
B) Cloudiness of the lens
C) Drooping of the eyelid
D) Dilation of the pupils

Question 19

A nurse is caring for a client with a sty on his left upper eyelid. Which measure should the nurse employ when caring for this client?

A) Compress the sty to prevent spread of infection.
B) Apply pressure patching for 24 to 48 hours.
C) Apply warm, moist compresses over the eyelid.
D) Administer miotic drops, as ordered.

Question 20

A client who was in a motor vehicle accident has a "black eye." What nursing intervention is appropriate for this client?

A) Apply warm packs to the eye for the first 24 to 48 hours.
B) Apply cold packs to the eye for the first 24 to 48 hours.
C) Soak the eye with normal saline for the first 24 to 48 hours.
D) Apply warm packs to the eye once the swelling has stopped.

Question 21

A nurse is caring for a client with a contusion injury to his right eye. Which sign reported by the client should alert the nurse to a possible detached retina?

A) Severe eye pain
B) Flashes of light
C) Wavy lines
D) Immediate loss of vision

Question 22

A client is diagnosed with conductive hearing loss. Which are common causes of this condition? Select all that apply.

A) Otitis media
B) Excessive noise
C) Tumors
D) Perforated eardrum
E) Foreign bodies
F) Viral infections

Question 23

A client visits the healthcare facility with an insect fluttering in his ear. Which should the nurse do to extract the insect?

A) Administer a few drops of mineral oil.
B) Apply eardrops containing acetic acid.
C) Apply eardrops containing boric acid.
D) Administer a few drops of glycerin.

Question 24

Which is a characteristic of serous otitis media?

A) Fluid collects in the middle ear, causing an obstruction of the auditory tube.
B) An upper respiratory infection spreads through the auditory tube.
C) This condition develops if acute purulent otitis media is not treated promptly.
D) This condition is usually associated with a punctured eardrum.

Question 25

The nurse is providing teaching for a 7-year-old child who is having polyethylene (PE) tubes inserted because of recurrent inner ear infections. Which teaching point should the nurse provide this client and family?

A) The child will be on antibiotics for the first month.
B) The child's ear should be plugged with cotton.
C) The child should be trained to lip read.
D) The child should not use a shower or swim.

Question 26

A nurse is caring for a client who is diagnosed with Ménière disease. Which measure should the nurse take when caring for this client?

A) Encourage the client to take in more fluids.
B) Elevate the head of the bed to about 45 degrees.
C) Explain all actions to the client ahead of time.
D) Provide the client a diet rich in sodium.

Question 27

Which client should the nurse monitor for tactile sense disorders?

A) A client after a myocardial infarction
B) A client who has uncontrolled diabetes
C) A client with renal failure
D) A client with rheumatoid arthritis

Question 28

A nurse is caring for a client with gustatory disorder. The nurse knows that which is a sign of gustatory disorder?

A) Inability to maintain balance
B) Reduced interest in eating
C) Lack of pain perception
D) Inappropriate reaction to injuries