Deck 45: Nursing Care of People With Eye and Ear Disorders

Question 1

A person is experiencing a severe episode of Ménière's disease. Which medication may help to reduce the sensations of spinning and nausea?

A)Hydrochlorothiazide (Dithiazide)
B)Diazepam (Valium)
C)Amoxicillin (Amoxil)
D)Prochlorperazine (Stemetil)

Answer 1

Prochlorperazine (Stemetil)

Question 2

During an assessment, a person without any health problems asks about periodical 'ear ringing.' To what should the nurse attribute this finding?

A)Aspirin overdose
B)Nothing of significance
C)Auditory nerve damage
D)Inner ear infection

Answer 2

Nothing of significance

Question 3

What should the nurse instruct a teenager who is diagnosed with a corneal abrasion?

A)Be very careful when rubbing the affected eye.
B)Use eye drops until the symptoms moderate.
C)Do not share or use another person's eye makeup.
D)Only share a towel with family members.

Answer 3

Do not share or use another person's eye makeup.

Question 4

The nurse is instructing a person who has a hearing and balance disorder. What should be included in these instructions? Select all that apply.

A)Turn the whole body, rather than just the head.
B)Change positions slowly.
C)Stand very still with the onset of vertigo.
D)Take anti-vertigo medication when lying down.

Question 5

A person with eversion of the left eyelid continues to experience eye dryness and corneal abrasions. What might this person benefit from?

A)UV protective sunglasses
B)An eye patch
C)Contact lenses
D)Corrective surgery

Question 6

A person with COPD is being treated for glaucoma. What medication will most likely be prescribed for this person?

A)Thiazide diuretic
B)Antibiotic
C)Beta-blocker
D)Adrenergic agonist

Question 7

A person with chronic otitis media is diagnosed with a cholesteatoma. What is the treatment for this person?

A)Anti-inflammatory medications
B)Tympanostomy tubes
C)Surgery
D)Antibiotics

Question 8

A person comes into the clinic complaining of 'flashes and a curtain dropping' in his right eye. What is this person most likely experiencing?

A)Cataract
B)Glaucoma
C)Macular degeneration
D)Detached retina

Question 9

A person has a new set of contact lenses. What should be included when teaching this person? Select all that apply.

A)Once applied, only remove the contact lens when dirty.
B)Minor eye irritation is a common complaint and should not be a concern.
C)Contact the eye doctor if the eyes become red or tear.
D)Wash hands before and after applying the lenses.

Question 10

A person who became blind in his left eye because of an industrial accident says, 'I still have one good eye and I can still do a lot.' What is this person demonstrating?

A)Powerlessness
B)Acceptance
C)Anticipatory grieving
D)Ineffective denial

Question 11

A person reports increased ear pain when the auricle is pulled up and back. What should the nurse consider this person is experiencing??

A)Mastoiditis
B)Otitis media
C)Otosclerosis
D)Otitis externa

Question 12

A person experiences hearing loss and odd popping noises in the left ear after 'having a cold.' What health problem is this person most likely demonstrating signs of having?

A)Suppurative otitis media
B)Otitis externa
C)Serous otitis media
D)Otitis interna

Question 13

An older adult with a mobility disorder is discharged after having outpatient cataract surgery. For what should this person be assessed?

A)Eye dressing change
B)Eye drops instillation
C)Safe ambulation
D)Discharge instruction comprehension

Question 14

A person with chronic acute otitis media infections is having tympanostomy tubes placed. What should be included as post-tube placement instructions for this person?

A)Wash hair only with warm water.
B)Make sure showers are completed within 10 minutes.
C)Avoid gum chewing.
D)Do not shower or go swimming.

Question 15

A person is hospitalised with blunt trauma to the left eye. What can the nurse do to minimise eye movement?

A)Patch the unaffected eye.
B)Patch or provide an eye shield for both eyes.
C)Have the person lay flat when in bed.
D)Place the person in a side lying position, with the affected eye down.

Question 16

A person is prescribed eye drops for acute conjunctivitis. What is the most important step that the nurse should instruct this person about self-instillation of this medication?

A)Proper handwashing before instilling the drops
B)Reuse of cotton swabs as needed
C)Rubbing the eyes only when necessary
D)Correct handwashing after instilling the drops

Question 17

A school-age child is having difficulty walking and seeing during the night. What health problem should the nurse consider this child is experiencing?

A)Cataracts
B)Early macular degeneration
C)Retinitis pigmentosa
D)Detached retina

Question 18

The nurse assesses a reduction in a person's peripheral vision. Which additional assessment should be performed?

A)Retina integrity
B)Intraocular pressure
C)Distant vision
D)Eye movements

Question 19

A person who is an avid reader is diagnosed with exudative macular degeneration. What should the nurse suggest to this person?

A)Listen to music instead of reading.
B)Watch more television.
C)Obtain audio books.
D)Find another activity that does not require reading.

Question 20

An older adult often responds incorrectly to questions or during general conversation. For what should this person be assessed?

A)Possible dementia
B)Level of education
C)History of strokes
D)Hearing disorder