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Nursing Management Visual And Auditory Problems

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Question 1
Free
Multiple Choice

The nurse is assessing a client in the outpatient eye clinic who has myopia and presbyopia. Which of the following assessments should the nurse implement to evaluate the effectiveness of the prescribed bifocals?

Choose correct answer/s
A

Strength of the eye muscles

B

Both near and distant vision

C

Cloudiness in the eye lenses

D

Intraocular pressure changes

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Question 2
Free
Multiple Choice

Aclient is seen in the ophthalmology clinic and diagnosed with recurrent staphylococcal and seborrheic blepharitis. Which of the following topics should the nurse include in the teaching plan?

Choose correct answer/s
A

Saline irrigation of the eyes

B

Surgical removal of the lesion

C

Using baby shampoo to clean the lids

D

The use of cool compresses to the eyes

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Question 3
Free
Multiple Choice

Which of the following actions should the nurse take when assisting a totally blind client to walk to the bathroom?

Choose correct answer/s
A

Take the client by the arm and lead the client slowly to the bathroom.

B

Have the client place a hand on the nurse's shoulder and guide the client.

C

Stay beside the client and describe any obstacles on the path to the bathroom.

D

Walk slightly ahead of the client and allow the client to hold the nurse's elbow.

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Question 4
Free
Multiple Choice

Aclient has been seen at a clinic for repeated hordeolum of the eyes during the last 6 months. Which of the following actions should the nurse recommend to the client to help prevent further infection?

Choose correct answer/s
A

Apply cold compresses at the first sign of recurrence.

B

Discard all open or used cosmetics used near the eyes.

C

Wash the scalp and eyebrows with an anti-seborrheic shampoo.

D

Seek evaluation for the presence of sexually transmitted infections (STIs).

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Question 5
Free
Multiple Choice

Which of the following topics should the nurse plan to include when teaching the client with herpes simplex keratitis of the left eye about management of the infection?

Choose correct answer/s
A

How to apply an occlusive dressing to the affected eye

B

Need for frequent handwashing and avoiding touching the eyes

C

Application of antibiotic drops to the left eye several times daily

D

Use of corticosteroid ophthalmic ointment to decrease inflammation

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Question 6
Multiple Choice

The nurse is caring for a client in the eye clinic who has 20/200 vision with the use of corrective lenses. Which of the following information should the nurse include when providing client teaching?

Choose correct answer/s
A
How to use a cane safely
B
How to access audio books
C
Where Braille instruction is available
D
Where to obtain specialized magnifiers
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Question 7
Multiple Choice

The nurse is caring for a client with adult inclusion conjunctivitis (AIC) caused by Chlamydia trachomatis. Which of these actions should be included in the plan of care?

Choose correct answer/s
A
Discussing the need for sexually transmitted infection testing
B
Applying topical corticosteroids to prevent further inflammation
C
Assisting with applying for community visual rehabilitation services
D
Educating about the use of antiviral eye drops to treat the infection
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Question 8
Multiple Choice

Which of the following topics will the nurse include in client teaching following outpatient cataract surgery and lens implantation?

Choose correct answer/s
A
Use of oral opioids for pain control
B
Administration of antibiotic eye drops
C
Importance of coughing and deep-breathing exercises
D
Need for bed rest for the first 24 hours after the surgery
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Question 9
Multiple Choice

The nurse is reviewing a client's medical record and notes that the last eye examination revealed an intraocular pressure of 28 mm Hg. Which of the following parameters should the nurse assess?

Choose correct answer/s
A
Visual acuity
B
Pupil reaction
C
Colour perception
D
Peripheral vision
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Question 10
Multiple Choice

The nurse is caring for a client with a left retinal detachment who had a pneumatic retinopexy procedure. Which of the following information should be included in the discharge teaching plan?

Choose correct answer/s
A
The use of bilateral eye patches to reduce movement of the operative eye
B
The need to wear dark or tinted glasses to protect the eyes from bright light
C
The procedure for sterile dressing changes when the eye dressing is saturated
D
The purpose of maintaining the head in a prescribed position for several weeks
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Question 11
Multiple Choice

The nurse is caring for a client with age-related macular degeneration who has just had photodynamic therapy. Which of the following statements by the client indicates that the discharge teaching has been effective?

Choose correct answer/s
A
"I will need to use bright lights to read for at least the next week."
B
"I will use drops to keep my pupils dilated until my appointment."
C
"I will not use facial lotions near my eyes during the recovery period."
D
"I will keep covered with long-sleeved shirts and pants for the next 5 days."
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Question 12
Multiple Choice

The nurse is assessing a client with primary open-angle glaucoma (POAG) to evaluate if the treatment has been effective. Which of the following parameters should the nurse assess to determine if there has been improvement?

Choose correct answer/s
A
Eye pain
B
Visual field
C
Blurred vision
D
Depth perception
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Question 13
Multiple Choice

A client with glaucoma who has been using timolol drops for several days tells the nurse that the eye drops cause eye burning and visual blurriness for a short time after administration. Which of the following responses by the nurse is most appropriate?

Choose correct answer/s
A
"These are normal adverse effects of the drug, which should become less noticeable with time."
B
"If you occlude the puncta after you administer the drops, it will help relieve these adverse effects."
C
"The drops are uncomfortable, but it is very important for you to use them as prescribed to retain your vision."
D
"These symptoms are caused by glaucoma and may indicate a need for an increased dosage of the eye drops."
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Question 14
Multiple Choice

The nurse is admitting a client to the hospital with severe COPD and a history of glaucoma. Which of the following prescribed medications should the nurse question?

Choose correct answer/s
A
Morphine sulphate 4 mg IV
B
Diazepam 5 mg IV
C
Betaxolol 0.25% eye drops
D
Levobunolol 0.5% eye drops
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Question 15
Multiple Choice

The nurse is caring for a client who has bacterial endophthalmitis in the left eye, is restless, frequently asking whether the eye is healing and whether removal of the eye will be necessary. Based on the assessment data, which of the following nursingdiagnoses is appropriate?

Choose correct answer/s
A
Hopelessness related to stressors (current loss of functional vision)
B
Anxiety related to threat to current status (uncertainty of outcome of treatment)
C
Situational low self-esteem related to decrease in control over environment (loss of visual function)
D
Risk for falls as evidenced by impaired vision
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Question 16
Multiple Choice

To decrease the risk for future hearing loss, which of the following actions should the nurse working with college students at the on-campus health clinic implement?

Choose correct answer/s
A
Arrange to include otoscopic examinations for all clients.
B
Administer rubella immunizations to all students at the clinic.
C
Discuss the importance of limiting exposure to very high amplified music.
D
Teach clients to regularly irrigate the ear to decrease cerumen impaction.
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Question 17
Multiple Choice

A client with external otitis has an ear wick placed and a new prescription for antibiotic otic drops. After the nurse provides client teaching, which of the following client statements indicates that more instruction is needed?

Choose correct answer/s
A
"I may use aspirin or acetaminophen for pain relief."
B
"I should apply the eardrops to the cotton wick in my ear canal."
C
"I should clean my ear canal daily with a cotton-tipped applicator."
D
"I may use warm compresses to the outside of my ear for comfort."
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Question 18
Multiple Choice

The nurse is preparing a client with chronic otitis media for a tympanoplasty. Which of the following information should the nurse include in preoperative teaching related to postoperative expectations?

Choose correct answer/s
A
Keeping the head elevated
B
The need for prolonged bed rest
C
Avoidance of coughing or blowing the nose
D
Continuous antibiotic irrigation of the ear canal
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Question 19
Multiple Choice

The nurse is assessing a client who has recently been treated with amoxicillin for acute otitis media of the right ear. Which of the following assessment data obtained by the nurse is of most concern?

Choose correct answer/s
A
The client has a temperature of 38.1°C (100.6°F).
B
The client complains of "popping" in the ear.
C
The client frequently asks the nurse to repeat information.
D
The client states that the right ear has a feeling of fullness.
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Question 20
Multiple Choice

The nurse is admitting a client with Ménière's disease who has vertigo, nausea, and vomiting. Which of the following nursing interventions should be included in the care plan?

Choose correct answer/s
A
Keep the client's room darkened.
B
Encourage oral fluids to 3 000 mL daily.
C
Change the client's position every 2 hours.
D
Keep the head of the bed elevated 30 degrees.
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