Exam 21: Nursing Assessment: Visual and Auditory Systems

The nurse in the eye clinic is examining a 65-year-old patient who says "I see small spots that move around in front of my eyes." Which action will the nurse take first?

The nurse is assessing a 48-year-old patient for presbyopia. Which equipment will the nurse need to obtain before the examination?

A patient arrives in the emergency department complaining of eye itching and pain caused by sleeping with contact lenses in place. To facilitate further examination of the eye, the nurse will anticipate the need for

When obtaining a health history from a 52-year-old patient, which patient statement is most important to communicate to the health care provider?

The nurse at the eye clinic advises all patients to wear sunglasses that protect the eyes from ultraviolet light because ultraviolet sunlight exposure is associated with the development of

A patient in the eye clinic is scheduled for refractometry. Which information will the nurse include in patient teaching?

During the nursing history, a patient complains of dizziness when bending over and of nausea and dizziness associated with physical activities. The nurse will plan to teach the patient about

Which nursing action is included when assessing a patient's visual field?

The nurse is observing a student who is preparing to perform an ear examination of a 24-year-old patient. The nurse will need to intervene if the student

Which observation by the nurse when examining a patient's auditory canal and tympanic membrane is a priority to report to the health care provider?

A patient being admitted to the hospital has an eye patch in place and tells the nurse "I had a recent eye injury, so I need to wear this patch for a few weeks." Which nursing diagnosis will the nurse include in the plan of care?

Which action will the nurse include in the plan of care for a patient who has vestibular disease?

Which information will the nurse include when teaching a patient about routine glaucoma testing?

Which assessment information obtained by the nurse when performing an eye examination for a 78-year-old patient indicates that more extensive examination of the eyes is needed?

Assessment of a patient's visual acuity reveals that the left eye can see at 20 feet what a person with normal vision can see at 40 feet and the right eye can see at 20 feet what a person with normal vision can see at 50 feet. The nurse records which of the following findings as visual acuity?

When taking a health history from a new patient in the outpatient clinic, which information may indicate the need to perform a focused hearing assessment?

The nurse is obtaining a health history for a 64-year-old patient with glaucoma who is a new patient at the eye clinic. Which information given by the patient will have the most implications for the patient's treatment?

Which finding by the nurse during the admission assessment for a patient may indicate that the patient is at risk for falls while hospitalized?

When performing an eye examination, the nurse will assess for accommodation by

When the nurse is taking a health history of a new patient at the ear clinic, the patient states, "I always sleep with the radio on." Which follow-up question is most appropriate to obtain more information about possible hearing problems?