Question 1

The nurse finds a patient with Ménière's disease crying and saying, "I don't understand why this is happening to me." Which of these outcomes is most appropriate for the nurse to recommend for the patient's plan of care?

Accepted Answer

The patient is experiencing emotional distress and needs support to decrease anxiety. It is important for the nurse to provide emotional and psychological support to patients with Ménière's disease to help them cope with the disease and manage the associated symptoms. Maintaining fluid volume and preventing injury and ear infection are important aspects of patient care, but they are not the most appropriate outcomes for this particular patient at this time.

Question 2

The nurse is reinforcing teaching for a patient after a stapedectomy. Which of the following statements by the patient would indicate a correct understanding of the teaching?

Accepted Answer

After a stapedectomy, the patient must avoid activities that cause sudden changes in pressure, such as flying or scuba diving, for 6-8 weeks. The ear should not be packed with anything, including cotton balls, as it could introduce bacteria or damage the healing tissue. The patient should not blow their nose forcefully, but should instead gently blow with one nostril at a time and with their mouth open to prevent pressure buildup in the ear. Coughing or sneezing with the mouth open will also help prevent pressure buildup. Therefore, the correct statement is D, which indicates the patient understands the proper technique for coughing or sneezing after a stapedectomy.

Question 3

The nurse is to perform an ear irrigation to remove cerumen on a patient. Which of the following does the nurse understand would contraindicate this procedure?

Accepted Answer

A previous perforated eardrum would contraindicate an ear irrigation. This is because it could further damage the eardrum and potentially cause hearing loss.

Question 4

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

Accepted Answer

Diabetic retinopathy is a complication of diabetes that affects the eyes. The best way to prevent further vision loss is to keep blood sugar levels under control. Therefore, the patient's statement of understanding the importance of keeping their diabetes under control indicates that they understand the discharge plan to maintain vision. The other options, reducing insulin dosage and avoiding the sun, are not directly related to managing diabetic retinopathy. Scheduling routine eye examinations every 3 years is not frequent enough for a patient with diabetic retinopathy, who should have regular eye exams every year or as recommended by their eye doctor.

Question 5

The nurse is teaching a patient about conjunctivitis. Which of these, if stated by a patient, indicates to the nurse correct understanding of the most important means to prevent spread of conjunctivitis?

Accepted Answer

The most important means to prevent the spread of conjunctivitis is good hand hygiene, including washing hands frequently and avoiding touching or rubbing the eyes. Patching the eyes, irrigating the eyes, and keeping the eyes moist may be recommended for specific types of conjunctivitis or to relieve symptoms, but they do not directly prevent the spread of the infection.

Question 6

The nurse is reinforcing teaching for a patient with Ménière's disease. Which of these discharge orders would the nurse question?

Accepted Answer

Patients with Ménière's disease are advised to limit their sodium intake, not increase it. Excessive sodium intake can exacerbate symptoms of vertigo and increase fluid buildup in the inner ear.

Question 7

The nurse is reinforcing teaching for a patient who has just been diagnosed with Ménière's disease. Which of these, if stated by a patient, indicates to the nurse correct understanding of how to manage the vertigo?

Accepted Answer

Avoiding sudden movement can help manage the vertigo experienced by patients with Ménière's disease. Increasing sodium intake can actually worsen symptoms, and increasing fluid intake may not have any effect. Listening to soft music may be a helpful coping mechanism for some patients, but it will not directly manage vertigo.

Question 8

The nurse is having difficulty communicating with a hearing-impaired patient. Which of these nursing actions is most important?

Accepted Answer

Facing the patient when speaking is the most important nursing action when communicating with a hearing-impaired patient. This allows the patient to see the nurse's facial expressions and lip movements, which can aid in understanding. Speaking softly and avoiding rapid speech can also be helpful, but avoiding verbal communication altogether is not a feasible option.

Question 9

The nurse is reinforcing teaching for symptoms to report for a patient with primary open-angle glaucoma (POAG). Which of the following statements by the patient would indicate a correct understanding of the teaching?

Accepted Answer

Headache and seeing halos around lights are symptoms that should be reported for a patient with POAG as they may indicate increasing pressure in the eye. Hypotension and bradycardia, fever and reddened conjunctiva, and loss of central vision and dizziness are not typical symptoms of POAG and should be reported to the healthcare provider for further evaluation.

Question 10

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.

Accepted Answer

The answer of After surgery for a detached retina, a...

Question 11

The nurse is reinforcing teaching for a patient being treated for myopia. Which of the following statements by the patient would indicate a correct understanding of the teaching?

Accepted Answer

Corrective concave lenses are used to treat myopia (nearsightedness) because they help to diverge light rays before they reach the eye, allowing for a focused image on the retina. Convex lenses, cataract surgery, and mydriatic drops are not treatments for myopia.

Question 12

The nurse is caring for a patient who is to have cataract surgery. The patient says, "Are you sure this surgery is safe?" Which of the following nursing actions is most appropriate?

Accepted Answer

Asking the surgeon to talk to the patient is the most appropriate action because it directly addresses the patient's concerns by providing expert information and reassurance from the person who will be performing the surgery. This can help alleviate anxiety by offering the patient an opportunity to have their questions answered by a medical professional with the most knowledge about the procedure.

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