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The nurse is completing an assessment of a client's eyes. Which describes the function of
the optic nerve? Answer: It conducts nerve impulses from the retina to the brain
The nurse is assessing the vision of an older adult. Which of the following is an age-related
change to vision? Answer: Yellow or fatty deposits create a yellowish tinge in the sclera
With regard to preserving vision, which intervention constitutes a tertiary preventative
approach throughout a client's life span? Answer: Encouraging a client with cataracts to
see a provider
Which meal should the nurse recommend to prevent night blindness or slow adaptation to
darkness? Answer: Sweet potatoes, and cantaloupe
A client asks the nurse about the risk of developing an eye infection when using makeup.
Which information will the nurse
provide? Answer: Eye makeup should never be shared be between people
During a home visit with a client who is blind, which nursing actions are appropriate?
Select all that apply. One, some, or all may be correct. Answer: - The nurse returns all
supplies to where they were found
- The nurse informs the client they are leaving the room
- The nurse ensures that doors are closed per the client's wishes
- The nurse removes garbage from the floor
A client coping with recent hearing loss is learning to use a hearing aid. Which client
statement indicates additional teaching is required? Answer: " cant wait to have normal
hearing again!"
Which of the following adolescents has the greatest risk for hearing loss? Answer: A 14-
year-old that listens to the car radio at 110 dB
APPHIA – Crafted with Care and Precision for Academic Excellence. 1
, The nurse is assessing a client who is taking a medication known to cause ototoxicity.
Which questions would the nurse include in her assessment? Answer: "Do you experience
ringing in your ears or loss of hearing ability?"
Which of the following drugs are linked to ototoxicity? Select all that apply. One, some, or
all responses may be correct. Answer: - Furosemide
- Vancomycin
- Methadone
Which structure in the ear helps to equalize pressure in the middle ear? Answer:
Eustachian tubes
Which instructions would the nurse provide to a client undergoing speech audiometry?
Answer: "I will play a live conversation via earphones in your ears; please repeat back what
you hear.'
Which client is undergoing diagnostic surgery? Answer: A 34-year-old client scheduled for
a breast biopsy
Due to the COVID-19 pandemic, only emergent surgeries are considered. Which of the
following situations would required
emergency surgery? Answer: A pediatric client requiring an appendectomy
A client is undergoing surgery to remove a fibrous tumor from under the skin. Which is the
surgery referred to as? Answer: Excision of a fibroma
The pre-operative nurse is assessing a client for risk of surgical complications. Which of the
following clients has the lowest risk for wound dehiscence after abdominal surgery?
Answer: A client with a body mass index (BMI) of 19
Which of the following medications should a client be screened for during the preoperative
phase because it has the potential to delay wound healing after surgery? Answer:
Prednisone
The nurse is scheduled to administer oral potassium to the client who has had surgery.
Which of the following assessment findings would prompt the nurse to hold the
potassium? Answer: The client's urinary output is less than 20 mL per hour
APPHIA – Crafted with Care and Precision for Academic Excellence. 2