Question 1

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

Accepted Answer

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 B

Question 2

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

Accepted Answer

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 B

Question 3

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

Accepted Answer

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 D

Question 4

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

Accepted Answer

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 5

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

Accepted Answer

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

Question 6

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

Accepted Answer

The answer of The substance found in the ear canal...

Question 7

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

Accepted Answer

The answer of A _________________ receives signals from a separate...

Question 8

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

Accepted Answer

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 9

Correct insertion of a hearing aid includes:

Accepted Answer

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 10

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?

Accepted Answer

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

Question 11

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:

Accepted Answer

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 12

____________ is the complete surgical removal of the eyeball.

Accepted Answer

The answer of ____________ is the complete surgical removal of...

Question 13

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

Accepted Answer

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 14

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

Accepted Answer

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 15

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

Accepted Answer

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 16

When cleansing and disinfecting contact lenses,the nurse:

Accepted Answer

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 17

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 _______________.

Accepted Answer

The answer of The patient is brought into the emergency...

Question 18

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

Accepted Answer

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 19

In removing contact lenses,the nurse should:

Accepted Answer

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

Question 20

The elderly client is instructed to store his hearing aid:

Accepted Answer

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

Exam 19: Care of Eye and Ear Prostheses