Deck 19: Care of Eye and Ear Prostheses

Question 1

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?

A) Lactated Ringer's solution
B) Normal saline
C) Tap water
D) Dextrose and water

Answer 1

Lactated Ringer's solution

Question 2

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

A) Make sure the hearing aid volume is turned on before removing
B) Hold the hearing aid over the sink when cleansing
C) Insert a paper clip into the receiver port to cleanse cerumen buildup
D) Make sure the pressure equalization channel is clear

Answer 2

Make sure the pressure equalization channel is clear

Question 3

In removing contact lenses,the nurse should:

A) Put on snug, powdered, clean gloves
B) Ask the patient to look down to expose lower eyeball
C) Use the fingernail to slide lens off of the cornea
D) Inspect the eye after lenses are removed

Answer 3

Inspect the eye after lenses are removed

Question 4

When removing and cleansing a patient's eye prosthesis,the nurse:

A) Places the patient in a prone position
B) Retracts the upper eyelid with her thumb and forefinger
C) Cleans the prosthesis using an alcohol solution
D) Cleans the prosthesis using mild soap and water

Question 5

A client with an artificial eye identifies that the prosthesis is uncomfortable.The nurse should remove the prosthesis and:

A) Check the prosthesis for rough edges
B) Rinse the prosthesis with alcohol
C) Irrigate the eye socket with saline
D) Leave the prosthesis out of the eye for at least 24 hours

Question 6

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

A) Rigid gas-permeable (RGP) lenses are no longer used
B) Soft contact lenses are smaller than the cornea
C) All lenses must be removed periodically
D) Extended wear lenses can be used for only 6 nights

Question 7

Correct insertion of a hearing aid includes:

A) Pulling up and out on the outer ear
B) Holding the aid with the long portion upright
C) Fitting the aid snugly in the midline of the canal
D) Turning the aid to the desired sound level before insertion

Question 8

In providing emergency eye irrigation,the nurse should:

A) Remove the patient's contacts immediately
B) Flush the eye from the outer to inner canthus
C) Reinsert contacts as soon as irrigation is done
D) Irrigate toward the lower conjunctival sac

Question 9

Before inserting a contact lens into the client's eye,the nurse should:

A) Apply sterile gloves
B) Rinse the hands with alcohol
C) Dry the hands with a fluffy towel
D) Apply snug, powder-free gloves

Question 10

The nurse is caring for an unconscious patient who has an artificial eye.To determine which eye is artificial,she shines a light into the patient's eyes.She does this because:

A) The light will cause the eye to move differently than the natural eye
B) An artificial eye pupil does not react to changes in light
C) It is essential to remove the prosthesis for cleaning
D) The implant can be seen only by shining a light

Question 11

The nurse decides that assistive personnel is able to assist with client care for contact lenses when the assistive personnel states:

A) "If I am in a hurry I will use tap water for rinsing the lenses."
B) "Gloves aren't necessary; the eye is a clean organ."
C) "I will check with the client to see if the lenses are disposable."
D) "It is normal for contact lens wearers to have red, teary eyes."

Question 12

When removing a soft contact lens,the nurse finds that it is sticking together.The nurse first should:

A) Rub the lens briskly
B) Soak the lens in saline
C) Place cleansing solution on the lens
D) Pry the lens apart with the fingertips

Question 13

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

A) Instill 1 to 2 drops of mineral oil
B) Instill the irrigation under pressure
C) Occlude the ear canal when irrigating
D) Straighten the ear canal

Question 14

In providing ear irrigation to a 2-year-old patient,the nurse is sure to:

A) Instill the irrigating solution quickly and forcefully
B) Pull the pinna up and back
C) Direct the fluid toward the anterior aspect of the ear canal
D) Pull the pinna down and back

Question 15

The nurse assesses that a hearing aid is operating correctly by:

A) Speaking very softly behind the client
B) Covering the client's unaffected ear and speaking
C) Determining the client's response to a normal tone of voice
D) Removing the hearing aid and sending it to be checked by an audiologist

Question 16

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

A) Place the patient in a prone position for easier access
B) Use a different corner of the washcloth for each eye
C) Wipe each eye from outer to inner canthus
D) Use a sterile medicine cup to instill lubricant

Question 17

When cleansing and disinfecting contact lenses,the nurse:

A) Holds the lens over the sink
B) Rinses the lens with warm tap water
C) Uses an enzymatic cleaner per prescriber's instruction
D) Places rigid lenses in the storage case inside down

Question 18

The elderly client is instructed to store his hearing aid:

A) In a cold place
B) In a silica gel case
C) On a low shelf that is easy to reach
D) In a cup of water

Question 19

When caring for the patient with an artificial eye,the nurse realizes that:

A) The prostheses must be cleansed daily
B) Implants are always visible
C) Modern implants move as the companion eye moves
D) The prosthesis always is made of glass

Question 20

When teaching about eye care for hard contact lenses,the nurse instructs the client that:

A) Tap water may be used to wet the lenses
B) Over-the-counter enzyme products should be applied routinely
C) Lenses should be removed periodically
D) If contact lens is out of place, use tip of fingernail to reposition it

Question 21

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

Question 22

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

A) Blinking
B) Squinting
C) Lubrication
D) Dilation

Question 23

A _________________ receives signals from a separate external processor and transmits theme electrically to the auditory nerve.

Question 24

____________ is the complete surgical removal of the eyeball.

Question 25

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

Question 26

In teaching a patient with a new eye prosthesis on how to care for his eye,the nurse informs the patient: (Select all that apply.)

A) The artificial eye should be checked at least twice a year
B) The artificial eye should be cleansed daily using an alcohol product
C) An artificial eye usually is replaced every 5 years
D) If the prosthesis is not to be reinserted, it should be wrapped in a dry sterile towel

Question 27

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 _______________.

Question 28

An artificial sensory device,known as a __________________,replaces or restores sensory function to a diseased or lost body part.