NCLEX-PN 6th Edition Ear & Eye questions and answers well illustrated.

NCLEX-PN 6th Edition Ear & Eye questions and answers well illustrated. The nurse is reinforcing home-care instructions to a client and family regarding care after cataract removal from the right eye. Which statement made by the client indicates an understanding of the instructions? - correct answers.I should not sleep on my right side The nurse is preparing to communicate with an older client who is hearing impaired. Which intervention should be implemented initially? - correct answers.Stand in front of the client Which intervention should be implemented for the older client with presbycusis who has a hearing loss? - correct answers.Use low-pitched tones The nurse is preparing to reinforce a teaching plan for a client who is undergoing cataract extraction with intraocular implant. Which home care measures should the nurse include in the plan? Select all that apply. - correct answers.To avoid activities that require bending over To place an eye shield on the surgical eye at bedtime To contact the surgeon if a decrease in visual acuity occurs To take acetaminophen (Tylenol) for minor eye discomfort The nurse is assisting in developing a teaching plan for the client with glaucoma. Which instruction should the nurse suggest to include in the plan of care? - correct answers.Eye medications will need to be administered for the rest of your life The nurse is assigned to care for a client with a detached retina. Which finding should the nurse expect to be documented in the client's record? - correct answers.A sense of a curtain falling across the field of vision The nurse is assigned to care for a client with a diagnosis of detached retina. Which finding would indicate that bleeding has occurred as a result of retinal detachment? - correct answers.Complaints of a burst of black spots or floaters A client arrives in the emergency department after an automobile crash. The client's forehead hit the steering wheel, and a hyphema has been diagnosed. Which position should the nurse prepare to position the client? - correct answers.On bed rest in a semi-Fowler's position A client sustains a contusion of the eyeball after a traumatic injury with a blunt object. The nurse should take which immediate action? - correct answers.Apply ice to the affected eye A client sustains a chemical eye injury from a splash of battery acid. The nurse should prepare the client for which immediate measure? - correct answers.Irrigating the eye with sterile normal saline The nurse is caring for a client after enucleation and notes the presence of bright red drainage on the dressing. The nurse should take which appropriate action? - correct answers.Report the finding to the registered nurse (RN). The nurse is preparing to administer eardrops to an adult client. The nurse administers the eardrops by which technique? - correct answers.Pulling the pinna up and back The nurse is caring for a client who is hearing-impaired and should take which approach to facilitate communication? - correct answers.Speak in a normal tone A client arrives at the emergency department with a foreign body in the left ear that has been determined to be an insect. Which initial intervention should the nurse anticipate to be prescribed? - correct answers.Instillation of mineral oil or diluted alcohol The nurse notes that the health care provider has documented a diagnosis of presbycusis on the client's chart. The nurse understands that this condition is accurately described as which? - correct answers.A sensorineural hearing loss that occurs with aging A client with Ménière's disease is experiencing severe vertigo. The nurse reinforces instructions to the client to do which to assist in controlling the vertigo? - correct answers.Avoid sudden head movements. The nurse is assigned to care for a client hospitalized with Ménière's disease. The nurse expects that which would most likely be prescribed for the client? - correct answers.Low-sodium diet A client is diagnosed with glaucoma. Which data gathered by the nurse indicate a risk factor associated with glaucoma? - correct answers.Cardiovascular disease Betaxolol hydrochloride (Betoptic) eyedrops have been prescribed for the client with glaucoma. Which nursing action is most appropriate related to monitoring for the side/adverse effects of this medication? - correct answers.Monitoring blood pressure The nurse assists to prepare the client for ear irrigation as prescribed by the health care provider. Which action should the nurse plan to take? - correct answers.Warm the irrigating solution to 98° F. In preparation for cataract surgery, the nurse is to administer cyclopentolate (Cyclogyl) eyedrops. The nurse administers the eyedrops knowing that the purpose of this medication is which? - correct answers.Dilate the pupil of the operative eye. The nurse is providing instructions to a client who will be self-administering eyedrops. To minimize the systemic effects that eyedrops can produce, the client is instructed to perform which? - correct answers.Occlude the nasolacrimal duct with a finger over the inner canthus for 30 to 60 seconds after instilling the drops. The client is receiving an eyedrop and an eye ointment to the right eye. Which action should the nurse take? - correct answers.Administer the eyedrop first, followed by the eye ointment The nurse is caring for a client with glaucoma. Which medication prescribed for the client should the nurse question? - correct answers.Atropine sulfate (Isopto Atropine) The nurse is preparing to administer eyedrops. Which interventions should the nurse take to administer the drops? Select all that apply - correct answers.Wash hands. Put on gloves. Place the drop in the conjunctival sac. Pull the lower lid down against the cheekbone A client was just admitted to the hospital to rule out a gastrointestinal (GI) bleed. The client has brought several bottles of medications prescribed by different specialists. During the admission assessment, the client states, "Lately, I have been hearing some roaring sounds in my ears, especially when I am alone." Which medication should the nurse determine to be the cause of the client's complaint? - correct answers.Acetylsalicylic acid (aspirin) Pilocarpine hydrochloride (Isopto Carpine) is prescribed for the client with glaucoma. Which medication should the nurse plan to have available in the event of systemic toxicity? - correct answers.Atropine sulfate A miotic medication has been prescribed for the client with glaucoma. The client asks the nurse about the purpose of the medication. The nurse should tell the client which? - correct answers.The medication causes the pupil to constrict and will lower the pressure in the eye The nurse is attempting to communicate with a hearing-impaired client. Which strategy by the nurse would be least helpful when talking to this client? - correct answers.Smiling continuously during conversation The nurse is reviewing the record of a client with mastoiditis. The nurse should expect to note which documented characteristic regarding the results of the otoscopic examination? - correct answers.Red, dull, thick, and immobile tympanic membrane A client is diagnosed with a disorder involving the inner ear. The nurse caring for the client understands that which is the most common client complaint associated with a disorder involving the inner ear? - correct answers.Tinnitus The nurse is reviewing the health care record of a client with a diagnosis of otosclerosis. The nurse should expect to note documentation of which early symptom of this disorder? - correct answers.Ringing in the ears The nurse provides discharge instructions to the client who was hospitalized for an acute attack of Ménière's disease. Which statement made by the client indicates a need for further teaching? - correct answers.It is not necessary to restrict salt in my diet." The nurse is reinforcing instructions to a client regarding the use of a hearing aid. Which statement by the client indicates a need for further teaching? - correct answers.I should turn the hearing aid off after removing it from my ear Tonometry is performed on the client with a suspected diagnosis of glaucoma. The nurse reviews the test and determines that the intraocular pressure is normal if which result is noted? - correct answers.15 mm Hg The nurse is assisting in developing a plan of care for the client scheduled for cataract surgery. The nurse makes suggestions regarding the plan, knowing that which problem is specifically associated with this type of surgery? - correct answers.Sensory perceptual alteration The nurse is reviewing the health record of a client diagnosed with a cataract. The initial sign/symptom that the nurse should expect to note in the early stages of cataract formation is which? - correct answers.Blurred vision The nurse is assigned to care for a client following a cataract extraction. The nurse plans to place the client in which position? - correct answers.On the nonoperative side During the early postoperative stage, the cataract extraction client complains of nausea and severe eye pain over the operative site. Which action should the nurse implement? - correct answers.Report the client's complaints. The nurse reinforces home care instructions to a client after cataract removal and placement of an intraocular implant in the right eye. Which statement by the client indicates a need for further teaching? - correct answers.I need to remove the eye dressing as soon as I get home and place a warm pack on my eye The nurse provides dietary instructions to a client with Ménière's disease. The nurse tells the client that which food or fluid item is acceptable to consume? - correct answers.Sugar-free Jell-O The nurse is caring for a client who will be undergoing surgical treatment for Ménière's disease. The nurse plans care based on which expected outcome? - correct answers.The surgery relieves pressure from accumulation of inner ear fluid in the endolymphatic sac A clinic nurse notes that following several eye examinations the health care provider has documented a diagnosis of legal blindness in the client's chart. Which should the nurse expect to note documented as the result of the Snellen chart test? - correct answers.20/200 vision The nurse is assigned to administer the prescribed eye drops for a client preparing for cataract surgery. Which type of eye drops should the nurse expect to be prescribed? - correct answers.A mydriatic medication A client is being discharged from the ambulatory care unit following cataract removal, and the nurse provides instructions regarding home care. Which statement by the client indicates an understanding of the instructions? - correct answers.I will wear my eye shield at night and my glasses during the day