Question 1

The elderly patient is instructed to store his hearing aid in a(n):

Accepted Answer

Hearing aids can be damaged by moisture, which can lead to malfunction. Therefore, it is important to store them in a container that keeps out moisture to protect them from damage. A cold place or a cup of water is not suitable for storing hearing aids. It should also be stored in an easy to reach place for the patient's convenience.

Question 2

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 can cause _______________.

Accepted Answer

corneal injury

Question 3

Which of the following nursing interventions would the nurse perform first after a patient sustained a chemical splash injury to the eye?

Accepted Answer

The first priority for 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. Assessing visual acuity, pain level, and PERRLA can be done after the eye has been flushed.

Question 4

How does the nurse assess that a hearing aid is operating correctly?

Accepted Answer

The nurse can determine if a hearing aid is operating correctly by assessing the patient's response to a normal tone of voice. This can be done by speaking to the patient in a normal tone and observing if they are able to hear and understand what is being said. This is a simple and non-invasive way to assess the functionality of a hearing aid.

Question 5

The patient is found to have impacted cerumen in his ear canal.The nurse most likely will:

Accepted Answer

The nurse should instill 1 to 2 drops of mineral oil to soften the impacted cerumen before attempting any other intervention. This will facilitate the removal of the cerumen and prevent any trauma to the ear canal. The other options may be considered after the cerumen is softened.

Question 6

How should the nurse position the ear when performing ear irrigation for a 2-year-old patient?

Accepted Answer

When performing ear irrigation on a 2-year-old patient, the nurse should pull the pinna down and back to straighten the ear canal and allow for easier insertion of the irrigation solution. This position also helps to prevent the solution from flowing back out of the ear canal. It is important to instill the irrigating solution gently and slowly to avoid discomfort or injury to the ear. Directing the fluid towards the anterior aspect of the ear canal is not recommended as it can impact the earwax further into the ear canal.

Question 7

The nurse caring for a comatose patient determines that he is wearing contact lenses.Which of the following nursing interventions will the nurse use when removing the contact lenses?

Accepted Answer

After the lenses have been removed,inspect the eye for redness,pain,swelling of the eyelids or conjunctivae,discharge,or excess tearing.Perform hand hygiene.Don snug,powder-free,clean gloves,and place a towel just below the patient's face.Ask the patient to look up to expose the lower eyeball to which the lens will be displaced.With the pad of the index finger of the same hand,slide the lens off the cornea down onto the lower sclera.Use of the pad rather than the fingernail prevents injury to the cornea and damage to the lens.

Question 8

When removing a soft contact lens,the nurse finds that it is sticking together.What should the nurse do next?

Accepted Answer

Soaking the lens in saline will help to loosen it and make it easier to remove without damaging it or causing discomfort to the patient. Rubbing the lens briskly or prying it apart with fingertips can damage the lens, and placing cleansing solution on the lens may not be effective in separating the lens.

Question 9

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

Accepted Answer

Lactated Ringer's solution is the most beneficial solution for eye irrigations in a patient with a chemical burn as it is an isotonic solution that closely resembles the body's natural fluids and is able to effectively flush out the chemical. Albumin may cause further damage to the eyes and should not be used. Tap water and dextrose and water are hypotonic solutions and may cause additional damage to the eyes by altering their electrolyte balance.

Question 10

When providing care to a patient who has splashed bleach into his eye,the nurse will:

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 11

The nurse is preparing to provide eye care for a comatose patient.The nurse realizes that comatose patients do not have natural protective mechanisms to protect the cornea.These protective mechanisms include:

Accepted Answer

Comatose patients are unable to blink and therefore cannot protect their corneas from drying out. Additionally, they may not produce sufficient tears to lubricate the eyes. Squinting and dilation are not protective mechanisms for the cornea.

Question 12

The nurse decides that assistive personnel can provide care to a patient with contact lenses when the assistive personnel states:

Accepted Answer

Checking with the patient to see if the lenses are disposable is a safe and appropriate action for the assistive personnel to take. Cleaning contact lenses with tap water, not wearing gloves when handling them, and assuming red, teary eyes are normal are all incorrect and potentially harmful actions.

Question 13

The substance found in the ear canal that has an antibacterial effect and maintains an acid pH is called ______________.

Accepted Answer

The answer of The substance found in the ear canal...

Question 14

When providing eye care for the comatose patient,the nurse should:

Accepted Answer

Use a separate,clean cotton ball or corner of the washcloth for each eye.Place the patient in supine position.Gently wipe each eye from inner to outer canthus.Use an eyedropper to instill the prescribed lubricant (e.g. ,saline,methylcellulose,and liquid tears)as ordered.

Question 15

When instructing a patient on correct technique for inserting a hearing aid into the ear,the nurse will include which of the following instructions?

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 16

The nurse is preparing to clean the patient's hearing aid.The nurse realizes that she must:

Accepted Answer

It is important for the nurse to make sure the pressure equalization channel is clear before cleaning the hearing aid. This will prevent damage to the hearing aid and ensure that the patient is able to hear properly. Options A and B are incorrect as they can cause damage to the hearing aid. Option C is also incorrect as it can push the cerumen deeper into the receiver port and cause damage.

Question 17

In caring for a patient with contact lenses,the nurse should be aware that:

Accepted Answer

All contact lenses, whether they are rigid gas-permeable (RGP) or soft lenses, must be removed periodically to avoid the risk of infection or other complications. It is important for the patient to follow the recommended wearing schedule provided by their eye care provider. Extended wear lenses can be worn for longer periods, but the specific duration will depend on the type of lenses and the individual patient's needs.

Question 18

A _____________ is a small,battery-powered,electronic device that amplifies sound.

Accepted Answer

The answer of A _____________ is a small,battery-powered,electronic device that...

Quiz 19: Care of the Eye and Ear

The elderly patient is instructed to store his hearing aid in a(n) :