Chapter 21: Visual and Auditory
Problems Lewis Test Bank
The nurse evaluates that wearing bifocals improved the patient's
myopia andby assessing
presbyopia
for
a. strength of the eye
muscles.
b. both near and distant
vision.
c. cloudiness in the eye
lenses.
d. intraocular pressure changes. correct answers
ANS:lenses
The B are prescribed to correct the patient's near and distant vision.
The nurse
may also assess for cloudiness of the lenses, increased intraocular
pressure,
movement, and
buteyethese data do not evaluate whether the patient's bifocals
are effective.
A nurse should instruct a patient with recurrent staphylococcal and
seborrheic
blepharitis
to
a. irrigate the eyes with saline
solution.
b. schedule an appointment for eye
surgery.
c. use a gentle baby shampoo to clean the eyelids. d. apply cool
compresses
eyes to thedaily. correct answers
three times
ANS: C
Baby shampoo is used to soften and remove crusts associated with
blepharitis.
other The
interventions are not used in treating this
disorder.
The safest technique for the nurse to use when assisting a blind patient in
ambulating
the bathroom to is
to
a. have the patient place a hand on the nurse's shoulder and guide
thelead
b. patient.
the patient slowly to the bathroom, holding on to the patient
bystay
c. the arm.
beside the patient and describe any obstacles on the path to the
bathroom.
d. walk slightly ahead of the patient, allowing the patient to hold the
nurse's answers
correct elbow. ANS:
When using the sighted-guide technique, the nurse walks slightly in front and
D
to the patient
of side and has the patient hold the nurse's elbow. The other
techniques
as are not a blind
safe in assisting
patient.
A nurse should include which instructions when teaching a patient
with repeated
hordeolum how to prevent further
infection?
a. Apply cold
compresses.
b. Discard used eye
cosmetics.
c. Wash the scalp and eyebrows with an antiseborrheic
shampoo.
, d. Be examined for recurrent sexually transmitted infections (STIs).
correct answers
ANS:
B
Hordeolum (styes) are commonly caused by Staphylococcus aureus,
which may
present be
in cosmetics that the patient is using. Warm compresses are
recommended
treat hordeolum. to Antiseborrheic shampoos are recommended for seborrheic
blepharitis.
Patients with adult inclusion conjunctivitis, which is caused by Chlamydia
trachomatis,
should be referred for STI
testing.
The nurse developing a teaching plan for a patient with herpes simplex
keratitiswhich
include should
instruction?
a. Wash hands frequently and avoid touching
theApply
b. eyes.antibiotic drops to the eye several
times
c. Applydaily.
a new occlusive dressing to the affected eye at
bedtime.
d. Use corticosteroid ophthalmic ointment to decrease inflammation.
correct answers
ANS:
A
The best way to avoid the spread of infection from one eye to another
is to avoid
rubbing or touching the eyes and to use careful hand washing when
touching
is the eyes
unavoidable. Occlusive dressings are not used for herpes keratitis. Herpes
simplex
a is antibiotic drops will not be prescribed. Topical
virus, and
corticosteroids are and typically are not ordered because they can
immunosuppressive
contribute
longer to aof infection and more
course
complications.
Which teaching point should the nurse plan to include when caring for a
patientiswhose
vision corrected to
20/200?
a. How to access audio
books
b. How to use a white cane
safely
c. Where Braille instruction is
available
d. Where to obtain hand-held magnifiers correct answers
ANS: D types of magnifiers can enhance the remaining vision enough
Various
to allow the of many tasks and activities of daily living. Audio books, Braille
performance
instruction,
and canes usually are reserved for patients with no
functional vision.
The nurse is developing a plan of care for an adult patient diagnosed
with adultconjunctivitis (AIC) caused by Chlamydia trachomatis. Which action
inclusion
should bein the plan of
included
care?
a. Applying topical corticosteroids to decrease
inflammation
b. Discussing the need for sexually transmitted
infection
c. Educatingtesting
about the use of antiviral eyedrops to treat the
infection
d. Assisting with applying for community visual rehabilitation services
correct answers
ANS:
B
Patients with AIC have a high risk for concurrent genital Chlamydia infection
andreferred
be should for sexually transmitted infection testing. AIC is treated with
antibiotics.
Antiviral and corticosteroid medications are not appropriate therapies.
Although some
Problems Lewis Test Bank
The nurse evaluates that wearing bifocals improved the patient's
myopia andby assessing
presbyopia
for
a. strength of the eye
muscles.
b. both near and distant
vision.
c. cloudiness in the eye
lenses.
d. intraocular pressure changes. correct answers
ANS:lenses
The B are prescribed to correct the patient's near and distant vision.
The nurse
may also assess for cloudiness of the lenses, increased intraocular
pressure,
movement, and
buteyethese data do not evaluate whether the patient's bifocals
are effective.
A nurse should instruct a patient with recurrent staphylococcal and
seborrheic
blepharitis
to
a. irrigate the eyes with saline
solution.
b. schedule an appointment for eye
surgery.
c. use a gentle baby shampoo to clean the eyelids. d. apply cool
compresses
eyes to thedaily. correct answers
three times
ANS: C
Baby shampoo is used to soften and remove crusts associated with
blepharitis.
other The
interventions are not used in treating this
disorder.
The safest technique for the nurse to use when assisting a blind patient in
ambulating
the bathroom to is
to
a. have the patient place a hand on the nurse's shoulder and guide
thelead
b. patient.
the patient slowly to the bathroom, holding on to the patient
bystay
c. the arm.
beside the patient and describe any obstacles on the path to the
bathroom.
d. walk slightly ahead of the patient, allowing the patient to hold the
nurse's answers
correct elbow. ANS:
When using the sighted-guide technique, the nurse walks slightly in front and
D
to the patient
of side and has the patient hold the nurse's elbow. The other
techniques
as are not a blind
safe in assisting
patient.
A nurse should include which instructions when teaching a patient
with repeated
hordeolum how to prevent further
infection?
a. Apply cold
compresses.
b. Discard used eye
cosmetics.
c. Wash the scalp and eyebrows with an antiseborrheic
shampoo.
, d. Be examined for recurrent sexually transmitted infections (STIs).
correct answers
ANS:
B
Hordeolum (styes) are commonly caused by Staphylococcus aureus,
which may
present be
in cosmetics that the patient is using. Warm compresses are
recommended
treat hordeolum. to Antiseborrheic shampoos are recommended for seborrheic
blepharitis.
Patients with adult inclusion conjunctivitis, which is caused by Chlamydia
trachomatis,
should be referred for STI
testing.
The nurse developing a teaching plan for a patient with herpes simplex
keratitiswhich
include should
instruction?
a. Wash hands frequently and avoid touching
theApply
b. eyes.antibiotic drops to the eye several
times
c. Applydaily.
a new occlusive dressing to the affected eye at
bedtime.
d. Use corticosteroid ophthalmic ointment to decrease inflammation.
correct answers
ANS:
A
The best way to avoid the spread of infection from one eye to another
is to avoid
rubbing or touching the eyes and to use careful hand washing when
touching
is the eyes
unavoidable. Occlusive dressings are not used for herpes keratitis. Herpes
simplex
a is antibiotic drops will not be prescribed. Topical
virus, and
corticosteroids are and typically are not ordered because they can
immunosuppressive
contribute
longer to aof infection and more
course
complications.
Which teaching point should the nurse plan to include when caring for a
patientiswhose
vision corrected to
20/200?
a. How to access audio
books
b. How to use a white cane
safely
c. Where Braille instruction is
available
d. Where to obtain hand-held magnifiers correct answers
ANS: D types of magnifiers can enhance the remaining vision enough
Various
to allow the of many tasks and activities of daily living. Audio books, Braille
performance
instruction,
and canes usually are reserved for patients with no
functional vision.
The nurse is developing a plan of care for an adult patient diagnosed
with adultconjunctivitis (AIC) caused by Chlamydia trachomatis. Which action
inclusion
should bein the plan of
included
care?
a. Applying topical corticosteroids to decrease
inflammation
b. Discussing the need for sexually transmitted
infection
c. Educatingtesting
about the use of antiviral eyedrops to treat the
infection
d. Assisting with applying for community visual rehabilitation services
correct answers
ANS:
B
Patients with AIC have a high risk for concurrent genital Chlamydia infection
andreferred
be should for sexually transmitted infection testing. AIC is treated with
antibiotics.
Antiviral and corticosteroid medications are not appropriate therapies.
Although some
