NursingNursing PracticeConcepts for Nursing PracticePractice Set 8Sensory Perception
Questions Bank
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A 75-year-old woman walks into the emergency department with complaints of "not feeling well." Her blood pressure is 145/95, pulse 85 beats/min, respirations 24 breaths/min, and blood sugar 300. Upon inspection, the nurse notices that the woman has an open wound on the bottom of her foot, but the patient states she is not aware of this. How should the nurse interpret these findings?
Normal in the older adult
A need for the patient to be evaluated for cognitive impairment
A side effect of anti-hypertensive medication
Pathologic impairment of sensory responses
The nurse requests that a mother give permission for a hearing test in a newborn infant. The mother questions the importance of such a test. The nurse correctly responds with which of the following statements?
"This will help us to identify your baby's risk for ear infections the first year of life."
"Hearing is important so your baby hears and responds to your voice, which makes you feel like a mother."
"Socialization skills include the need to hear in order to interpret the emotional aspect of the words that are spoken to your child."
"Imitation of sounds is the first step in language development, and it is important to identify alterations early."
An adult male patient is complaining of decreased appetite. He states he just finished taking his antibiotics for an episode of pneumonia. What is the nurse's best response?
"Your wife should increase the spices in your food, as the pneumonia changes your sense of smell."
"Notify your doctor immediately, because this is a concerning reaction to the medication."
"You need to take an appetite stimulant, as your body will need good nutrition to recover from the infection."
"You should see an improvement in the next week or so. Call if this continues."
An 80-year-old patient is being discharged after he was diagnosed with diabetes mellitus and retinopathy. His daughter has been part of the discharge instruction process. Understanding of the instructions is evident when the daughter says which of the following?
"I will make sure that Dad always wears warm socks."
"Dad needs to wear his glasses so he can delay the onset of macular degeneration."
"I will ask the home health aide to carefully inspect Dad's feet every day when she helps him bathe."
"We will give him only warm foods, so that he doesn't burn his mouth."
The patient who had a hip replacement yesterday has a visual acuity of 20/200 after correction. What is the nurse's best action to provide recreational activities during the rehabilitation phase?
Place the television to the left or right of patient's visual field.
Encourage the patient to learn braille.
Suggest use of talking books.
Provide headphones for listening to music.