Question 1

Four hours after a stapedectomy the patient complains that hearing has not improved at all. What knowledge would the nurse use to shape a response?

Accepted Answer

A)  A large percentage of stapedectomies are not successful 
B)  It will take at least 10 days for the graft to heal 
C)  Hearing will not return until edema subsides 
D)  Hearing will improve after irrigation of the ear 
A)  A large percentage of stapedectomies are not successful 
B)  It will take at least 10 days for the graft to heal 
C)  Hearing will not return until edema subsides 
D)  Hearing will improve after irrigation of the ear

Question 2

The home health patient complains of tearing and a feeling of dryness in the right eye. The nurse assesses that the eyelid is turned inward and the sclera is red. The nurse documents the presence of a(n)_________________.

Accepted Answer

entropion
An entropion is the

Question 3

A patient who had an enucleation of the right eye has been admitted PACU. What should the nurse include in the plan of care?

Accepted Answer

A)  Turn, cough, and deep breathe every 3 hours 
B)  Apply a pressure dressing over the right eye socket 
C)  Document dressing assessment every 2 hours 
D)  Turn on the affected side 
A)  Turn, cough, and deep breathe every 3 hours 
B)  Apply a pressure dressing over the right eye socket 
C)  Document dressing assessment every 2 hours 
D)  Turn on the affected side

Question 4

The nurse clarifies that the difference between a photorefractive keratectomy (PRK) and a laser in-situ keratomileusis (LASIK) is that a LASIK:

Accepted Answer

A)  reshapes the central cornea. 
B)  makes partial-thickness radial incisions in the cornea. 
C)  removes some internal layers of the cornea. 
D)  implants intracorneal rings. 
A)  reshapes the central cornea. 
B)  makes partial-thickness radial incisions in the cornea. 
C)  removes some internal layers of the cornea. 
D)  implants intracorneal rings.

Question 5

Place the nursing intervention in appropriate order for the immediate care of a patient with a penetrating wound of the eye. (Separate letters by a comma and space as follows: A, B, C, D)
A) Assess eye, do not remove object
B) Cover both eyes with an eye shield or cup
C) Lay the patient down flat
D) Check for the irregularity of the pupil
E) Obtain medical attention immediately

Accepted Answer

C, A, D, B, E
The patient should be plac

Question 6

What does the cataract treatment of phacoemulsification involve?

Accepted Answer

A)  "Drying" the cataract with hypertonic saline 
B)  Removing the lens through the anterior capsule 
C)  The insertion of a new lens 
D)  Breaking the cataract with ultrasound 
A)  "Drying" the cataract with hypertonic saline 
B)  Removing the lens through the anterior capsule 
C)  The insertion of a new lens 
D)  Breaking the cataract with ultrasound

Question 7

Which is a sign of acute angle closure glaucoma (AACG)?

Accepted Answer

A)  Large fixed pupil 
B)  Nystagmus 
C)  Bluish color in sclera 
D)  Drooping eyelid 
A)  Large fixed pupil 
B)  Nystagmus 
C)  Bluish color in sclera 
D)  Drooping eyelid

Question 8

Which of the following are causes of cataracts? (Select all that apply.)

Accepted Answer

A)  Long-term use of corticosteroids 
B)  Hypotension 
C)  Congenital from exposure to maternal rubella 
D)  Diabetes mellitus 
E)  Exposure to sand and dust
F) Smoking 
A)  Long-term use of corticosteroids 
B)  Hypotension 
C)  Congenital from exposure to maternal rubella 
D)  Diabetes mellitus 
E)  Exposure to sand and dust
F) Smoking

Question 9

Progressive deafness caused by the ankylosis of the stapes is the condition of__________.

Accepted Answer

otosclerosis
Progressive deafn

Question 10

The nurse takes into consideration that the Weber test indicated a conductive hearing loss in a patient because the patient reported hearing the tone:

Accepted Answer

A)  equally in both ears. 
B)  as a shrill noise. 
C)  louder in his affected ear. 
D)  very faintly. 
A)  equally in both ears. 
B)  as a shrill noise. 
C)  louder in his affected ear. 
D)  very faintly.

Question 11

Arrange the parts of the eye from the exterior to the most interior. (Separate letters by a comma and space as follows: A, B, C, D)
A) Choroid
B) Cornea
C) Aqueous humor
D) Retina
E) Lens 
F) Iris

Accepted Answer

B, C, F, E, D, A
The cornea is

Question 12

What should a patient who has had a cataract repair avoid?

Accepted Answer

A)  The use of eye patches 
B)  The use of sunglasses 
C)  The lifting of heavy objects 
D)  Reading for long periods of time 
A)  The use of eye patches 
B)  The use of sunglasses 
C)  The lifting of heavy objects 
D)  Reading for long periods of time

Question 13

Why is otitis media found more frequently in children 6 to 36 months?

Accepted Answer

A)  Eustachian tubes in children are shorter and straighter. 
B)  Infection descends via the eustachian tube to the throat. 
C)  Children's eustachian tubes are more vertical and longer. 
D)  Otitis media is seen equally in both children and adults. 
A)  Eustachian tubes in children are shorter and straighter. 
B)  Infection descends via the eustachian tube to the throat. 
C)  Children's eustachian tubes are more vertical and longer. 
D)  Otitis media is seen equally in both children and adults.

Question 14

Which may contribute to otitis media? (Select all that apply.)

Accepted Answer

A)  Exposure to cigarette smoke 
B)  Allergies 
C)  Upper respiratory infections 
D)  Swimming 
E)  Trauma
F) Prolonged exposure to loud noise 
A)  Exposure to cigarette smoke 
B)  Allergies 
C)  Upper respiratory infections 
D)  Swimming 
E)  Trauma
F) Prolonged exposure to loud noise

Question 15

The surgical incision into the eardrum with either a knife or a heated wire loop to relieve pressure in the middle ear is a(n) ___________.

Accepted Answer

myringotomy
The opening of the

Question 16

The patient tells the nurse that he is legally blind. How would this information impact the nurse's plan of care for this patient?

Accepted Answer

A)  The patient would be considered totally blind. 
B)  This patient probably has some light perception, but no usable vision. 
C)  This patient has some usable vision, which enables function at an acceptable level. 
D)  The nurse would need to determine how this patient's visual impairment affects normal functioning. 
A)  The patient would be considered totally blind. 
B)  This patient probably has some light perception, but no usable vision. 
C)  This patient has some usable vision, which enables function at an acceptable level. 
D)  The nurse would need to determine how this patient's visual impairment affects normal functioning.

Question 17

What must a patient do following a left vitrectomy?

Accepted Answer

A)  Remain flat in bed for 48 hours 
B)  Position self in a face-down position for 4 to 5 days 
C)  Assume a side-lying position with the left side down for 3 days 
D)  Keep head upright and cushioned with pillows for 24 hours 
A)  Remain flat in bed for 48 hours 
B)  Position self in a face-down position for 4 to 5 days 
C)  Assume a side-lying position with the left side down for 3 days 
D)  Keep head upright and cushioned with pillows for 24 hours

Question 18

The nurse is aware that the patient has 20/40 vision. This means that the patient can see at 20 feet what the normal eye can see at _______ feet.

Accepted Answer

A)  100 
B)  200 
C)  300 
D)  400 
A)  100 
B)  200 
C)  300 
D)  400

Question 19

When the newly blind male home health patient asks the nurse how he might get assistance, who might the nurse suggest he contact?

Accepted Answer

A)  American Red Cross 
B)  American Foundation for the Blind for a list of agencies 
C)  Local hospital social worker 
D)  The public health department 
A)  American Red Cross 
B)  American Foundation for the Blind for a list of agencies 
C)  Local hospital social worker 
D)  The public health department

Question 20

What does diabetes retinopathy result from?

Accepted Answer

A)  Capillaries in retina hemorrhage 
B)  Long-term overdosing of insulin 
C)  Retinal detachment 
D)  Aging 
A)  Capillaries in retina hemorrhage 
B)  Long-term overdosing of insulin 
C)  Retinal detachment 
D)  Aging

Exam 52: Care of the Patient with a Sensory Disorder

Four hours after a stapedectomy the patient complains that hearing has not improved at all. What knowledge would the nurse use to shape a response?

The home health patient complains of tearing and a feeling of dryness in the right eye. The nurse assesses that the eyelid is turned inward and the sclera is red. The nurse documents the presence of a(n)_________________.

A patient who had an enucleation of the right eye has been admitted PACU. What should the nurse include in the plan of care?

The nurse clarifies that the difference between a photorefractive keratectomy (PRK) and a laser in-situ keratomileusis (LASIK) is that a LASIK:

What does the cataract treatment of phacoemulsification involve?

Which is a sign of acute angle closure glaucoma (AACG)?

Which of the following are causes of cataracts? (Select all that apply.)

Progressive deafness caused by the ankylosis of the stapes is the condition of__________.

The nurse takes into consideration that the Weber test indicated a conductive hearing loss in a patient because the patient reported hearing the tone:

Arrange the parts of the eye from the exterior to the most interior. (Separate letters by a comma and space as follows: A, B, C, D) A) Choroid B) Cornea C) Aqueous humor D) Retina E) Lens F) Iris

What should a patient who has had a cataract repair avoid?

Why is otitis media found more frequently in children 6 to 36 months?

Which may contribute to otitis media? (Select all that apply.)

The surgical incision into the eardrum with either a knife or a heated wire loop to relieve pressure in the middle ear is a(n) ___________.

The patient tells the nurse that he is legally blind. How would this information impact the nurse's plan of care for this patient?

What must a patient do following a left vitrectomy?

The nurse is aware that the patient has 20/40 vision. This means that the patient can see at 20 feet what the normal eye can see at _______ feet.

When the newly blind male home health patient asks the nurse how he might get assistance, who might the nurse suggest he contact?

What does diabetes retinopathy result from?

Evolution of Nursing

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