Exam 23: Nursing Assessment Visual and Auditory Systems

The nurse is preparing a client in the eye clinic for refractometry. Which of the following information should the nurse include in client teaching?

The nurse is obtaining a nursing history from a client when the client indicates symptoms of dizziness when bending over and nausea and dizziness associated with physical activities. Which of the following topics should the nurse include in this client's teaching plan?

The nurse is teaching a client about routine glaucoma testing. Which of the following information should the nurse include in the teaching plan?

The nurse is conducting a vision assessment on a client and is assessing the client's visual field. Which of the following actions should the nurse include?

The nurse is assessing a client's auditory canal and tympanic membrane. Which of the following findings is a priority to report to the health care provider?

The nurse is delivering a health-promotion session at the eye clinic and advises all clients to wear sunglasses that protect the eyes from ultraviolet light. Which of the following conditions is associated with ultraviolet sunlight exposure?

Which of the following actions should the nurse include in the plan of care for a client who has vestibular disease?

The nurse is preparing to assess the visual acuity for a client in the outpatient clinic. Which of the following supplies should the nurse obtain to prepare for this assessment?

The nurse in the eye clinic is examining an older-adult client who says "I see small spots that move around in front of my eyes." Which of the following actions should the nurse take first?

The nurse is performing an eye examination on a client and is assessing for accommodation. Which of the following actions should the nurse implement?

The nurse's assessment of a client'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. Which of the followingfindings should the nurse document?

The nurse is caring for a client in the emergency department with symptoms of eye itching and pain caused by sleeping with contact lenses in place. Which of the following equipment should the nurse anticipate preparing to facilitate further examinationoftheclient's eye?

The nurse is assessing an older-adult client for the presence of presbyopia. Which of the following equipment will the nurse need to obtain before the examination?

The nurse is obtaining a health history from a middle-aged adult client. Which of the following client statements is most important to communicate to the health care provider?

The nurse is conducting a health history with a new client in the outpatient clinic. Which of the following medications in the health history may indicate the need to perform a focused hearing assessment?

Which assessment information obtained by the nurse when performing an eye examination for an older-adult client indicates that more extensive examination of the eyes is needed?

The nurse is observing a student who is preparing to perform an ear examination of an adult client. Which of the following actions by the student should cause the nurse to intervene in the assessment?

The nurse is admitting a client to the hospital preoperatively. Which of the following findings may indicate that the client is at risk for falls while hospitalized?

The nurse is taking a health history of a new client at the ear clinic and the client states, "I always sleep with the radio on." Which of the following questions is most appropriate to obtain more information about possible hearing problems?

The nurse is admitting a client to the hospital who 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 of the following nursing diagnoses will the nurse include in the plan of care?