Deck 47: Sensory Alterations

Question 1

During a home safety assessment,the nurse identifies a number of hazards.Of the following hazards that are noted by the nurse,which one represents the greatest risk for the patient with diabetic peripheral neuropathy?

A) Improper water heater settings
B) Absence of smoke detectors
C) Cluttered walkways
D) Lack of bathroom grab bars

Answer 1

A

Question 2

The patient was working in the kitchen and was splashed in the face with a caustic cleaning agent.His eyes were affected,and he was brought to the hospital for treatment.After cleansing and evaluation,his eyes were bandaged.How should the nurse assist this patient to eat during this temporary visual loss?

A) Feed the patient his meal.
B) Allow the patient to experiment with foods.
C) Orient the patient to the location of the foods on the plate.
D) Encourage the family to feed the patient his meal.

Answer 2

C

Question 3

A 79-year-old patient drives his car in the local areas near his home.Which of the following is the most appropriate driving tip that the nurse can give this patient?

A) "Go very, very slowly, so you will have some chance of reacting."
B) "Take your time on long road trips when you are by yourself."
C) "Remember to keep your car maintained with regular checkups."
D) "To avoid sun glare, you should drive at night."

Answer 3

C

Question 4

Which of the following is an age-related change that affects the individual's hearing ability?

A) Decreased rigidity of the ossicles
B) Increased elasticity of the tympanic membrane
C) Decrease in number of neurons and blood vessels
D) Increased hair cells in the inner ear

Question 5

Which part of the ear is responsible for transmitting sound to the inner ear?

A) Auditory canal
B) Middle ear
C) External ear
D) Labyrinth

Question 6

During a community screening,the nurse informs a 50-year-old Black patient about the recommended frequency of eye examinations.How often does the nurse recommend that this patient have an eye examination?

A) Every three to four months
B) Every six months
C) Every one to two years
D) Every four years

Question 7

The nurse recommends follow-up auditory testing for a child who was exposed in utero to which one of the following?

A) Excessive oxygen
B) Diabetes
C) Respiratory infection
D) Rubella

Question 8

The patient is legally blind in both eyes.Which of the following statements is most appropriate for the nurse to make to the patient regarding providing the patient with assistance?

A) "I will walk in front of you, and you can hold onto my belt."
B) "I know that you must need me to be your sighted guide to get around in this facility."
C) "I will warn you of upcoming curbs or stairs."
D) "I will get you a wheelchair so that I can move you around safely."

Question 9

The nurse completes a safety assessment during a home visit to an older adult patient.Of the following observations made by the nurse,which one is of greatest concern for this patient who shows evidence of a sensory impairment?

A) Low-pile carpeting throughout the home
B) A handrail on the stairs that extends the full length
C) Higher wattage iridescent lighting in all the rooms
D) The grey-black settings on the stove handles

Question 10

The nurse teaches the patient that prolonged use of the antibiotic streptomycin may result in which one of the following outcomes?

A) Damage to the auditory nerve
B) Alteration in perception
C) Optic irritation
D) Loss of taste

Question 11

Which normal physiological change in sensory function occurs with advancing age?

A) Decreased sensitivity to glare
B) Increased number of taste buds
C) Difficulty discriminating vowel sounds
D) Decreased sensitivity to pain

Question 12

The nurse is working with a patient who has a moderate hearing impairment.Which of the following actions should the nurse take to promote communication with this patient?

A) Use a louder than normal tone of voice.
B) Use visual aids such as the hands and eyes when speaking to the patient.
C) Approach a patient quietly from behind before speaking.
D) Select a public area to have a conversation with the patient.

Question 13

Which of the following is a common progressive hearing disorder in older adults that results in the inability to hear high-pitched sounds?

A) Otosclerosis
B) Otitis media
C) Presbycusis
D) Meniére's disease

Question 14

The family of an older adult patient asks the nurse how the stairways and hallways in the home can be enhanced to promote safety.In addition to extra lighting,the nurse recommends the use of which colours of paint and decorations?

A) Red and yellow
B) Black and white
C) Brown and green
D) Blue and purple

Question 15

An older adult patient in a long-term care facility has visual and hearing losses.The nurse is alert to which of the following signs that represents the effects of sensory deprivation?

A) Diminished anxiety
B) Improved task completion
C) Altered spatial and time perception
D) Decreased need for physical stimulation

Question 16

The nurse in the pediatric clinic is checking the basic visual acuity of a 4-year-old child.What should the nurse ask the child to do as part of this assessment?

A) Use the standard Snellen chart.
B) Read a few lines from a children's book.
C) Follow the peripheral movement of an object.
D) Identify crayon colours.

Question 17

Which of the following is an age-related change that affects visual ability?

A) Increased peripheral vision
B) Decreased pupil size
C) Increased tear production
D) Decreased opaqueness of the cornea

Question 18

Which of the following is an affective effect of sensory deprivation?

A) Disorientation
B) Altered colour perception
C) Boredom
D) Decreased anxiety

Question 19

A patient has hyperesthesia apparently associated with a neurological trauma.Which one of the following is an appropriate nursing intervention in regard to the patient's sense of touch?

A) Reminding the patient of the need to have frequent tactile contact
B) Keeping the patient loosely covered with sheets and blankets
C) Allowing the patient to lie motionless
D) Using touch as a form of therapy

Question 20

The nurse is working with older adult patients in an extended care facility.Which of the following actions should the nurse take to enhance the patients' sense of taste?

A) Mix foods together.
B) Assist with oral hygiene.
C) Provide foods of similar texture and consistency.
D) Make sure foods are extremely spicy.