Exam 49: Sensory Alterations

The nurse is caring for a patient with conductive hearing loss resulting from prolonged cerumen impaction.Which intervention by the nurse is most important in establishing effective communication with the patient?

The nurse is caring for a patient with expressive aphasia from a traumatic brain injury.Which desired outcome should be included in the plan of care?

The nurse would utilize the Snellen chart for assessment of which patient?

Which of the following sensory changes are normal with aging?

A nurse is administering a vaccine to a 4-year-old child who is visually impaired.After the needle enters the arm,the child says,"Ow,that was sharp!" The nurse knows that the ability to recognize and interpret stimuli is known as

A patient informs the nurse that she often becomes nauseated when riding in motor vehicles.The nurse knows that this is related to which sensory deficit?

Which nursing assessment best measures cognitive functioning?

The nurse is developing a plan of care for a patient who is having a prosthetic eye placed.Which nursing diagnosis related to patient safety is the priority for the nurse to include in the plan of care?

A new nurse is caring for a patient who is undergoing chemotherapy for cancer.The patient is becoming malnourished because nothing tastes good.Which recommendation by the nurse would be most appropriate for this patient?

Which nursing diagnosis addresses psychological concerns for a patient with both hearing and visual sensory impairment?

The nurse is creating a plan of care for a patient with glaucoma.Which nursing diagnosis addresses the complication of the sensory deficit that places the patient at greatest risk for injury?

Which assessment question should the nurse ask to best understand how visual alterations are affecting the patient's self-care ability?

A nurse is caring for a patient with right-sided weakness following a stroke.Which nursing action would be least effective in promoting positive adaptation of the patient's sensory deficit?

The nurse is caring for a patient who is recovering from a traumatic brain injury and frequently becomes disoriented to everything except her location.Which nursing intervention would be effective in orienting a patient with neurological deficit?

The nurse would be most concerned about the risk of malnutrition for a patient with which sensory deficit?

A nurse is establishing a relationship with the patient who is visually impaired.Which is the most appropriate method to teach the patient how to contact the nurse for assistance?

Often blindness occurs during childhood.Which health preventative measure is most appropriate to prevent vision impairment?

A nurse is caring for an elderly patient who was in a motor vehicle accident because he thought the stop light was green.The patient asks the nurse if he should no longer drive.Which response by the nurse is most therapeutic?

The nurse is caring for a patient who is a well-known surgeon at the hospital.Because of his status,all the hospital's physicians want to be sure to pay him a visit.The nurse notices the patient becoming more agitated and withdrawn with each group of visitors.The nurse asks the patient if he would like a "Do not disturb" sign placed on the door.A few hours later,the nurse notices a physician who is not involved in the patient's care attempting to enter the room.Which response by the nurse is most appropriate?

What is the involuntary motion of retracting the body from painful stimuli?