Chapter 52
Nursing Care of
Patients With
Sensory Disorders
Vision and
Hearing
,Chapter 52. Nursing Care of Patients With Sensory Disorders: Vision and
Hearing
MULTIPLE CHOICE
1. The nurse is collecting information from a patient who reports difficulty seeing the print in
the newspaper. The patient is 50 years of age and does not have any condition that requires
medical management. Which vision condition does the nurse suspect the patient is
experiencing?
1. Myopia
2. Presbyopia
3. Astigmatism
4. Emmetropia
ANS: 2
Chapter: Chapter 52. Nursing Care of Patients With Sensory Disorders: Vision and Hearing
Objective: Explain the etiologies, signs, and symptoms of each sensory disorder.
Page: 1119
Heading: Refractive Errors
Integrated Process: Clinical Problem-Solving Process (Nursing Process)
Client Need: Physiological Integrity—Physiological Adaptation
Cognitive Level: Analysis (Analyzing)
Concept: Sensory Perception
Difficulty: Moderate
Feedback
1 Myopia (nearsightedness) is when items up close can be seen clearly and
distant objects are unclear. It is caused when the eyeball is elongated and light
rays focus in front of the retina.
2 Presbyopia is a condition related to aging and occurs when the lens of the eye
loses elasticity. The lens is less able to focus light onto the retina to see close
objects. The condition occurs around age 40 and is likely this patient’s visual
difficulty.
3 Astigmatism is caused by uneven curvatures on the cornea causing the light
rays to be focused on two different points of the retina. The person with
astigmatism will experience blurred vision with distortion. The cause can be
from trauma, inflammation, or an autosomal dominant trait.
4 Emmetropia is the term used to define good vision.
PTS: 1 CON: Sensory Perception
2. The nurse is visiting the home of a patient diagnosed with visual impairment related to
macular degeneration. Which observation indicates to the nurse the patient is adjusting to
the condition?
1. The patient is in nightclothes in the middle of the afternoon.
2. The patient is moving about in the apartment without problems.
3. The patient’s refrigerator contains only condiments, eggs, and milk.
4. The patient has stacks of unopened mail on the kitchen table.
, ANS: 2
Chapter: Chapter 52. Nursing Care of Patients With Sensory Disorders: Vision and Hearing
Objective: Plan nursing care for patients with disorders of the eye or ear.
Page: 1127
Heading: Nursing Process for the Patient With Visual Impairment
Integrated Process: Clinical Problem-Solving Process (Nursing Process)
Client Need: Physiological Integrity—Reduction of Risk Potential
Cognitive Level: Analysis (Analyzing)
Concept: Sensory Perception
Difficulty: Moderate
Feedback
1 With a visually impaired patient, the goal is for independence in performing the
activities of daily living. The nurse needs to determine the reason that the
patient is not dressed in the middle of the afternoon.
2 When the nurse observes the patient’s ability to move about the apartment
without difficulty, it is an indication that the patient can be safe and
independent in the patient’s environment.
3 The nurse expects to see more in the patient’s refrigerator than condiments,
eggs, and milk. The nurse needs to determine how the patient is meeting
nutritional needs.
4 When the nurse sees piles of unopened mail on the patient’s kitchen table, the
nurse needs to explore the patient’s ability to read and care for personal
matters.
PTS: 1 CON: Sensory Perception
3. A patient with acute angle glaucoma and a fractured femur that is scheduled for surgery is
prescribed the preoperative medications morphine 10 mg intramuscularly (IM) and atropine
0.4 mg IM. Which action does the nurse take?
1. Hold the morphine.
2. Contact the physician.
3. Give medications as ordered.
4. Collect data on patient’s pain.
ANS: 2
Chapter: Chapter 52. Nursing Care of Patients With Sensory Disorders: Vision and Hearing
Objective: Identify medications contraindicated for patients with acute angle-closure
glaucoma.
Page: 1124
Heading: Glaucoma
Integrated Process: Clinical Problem-Solving Process (Nursing Process)
Client Need: Physiological Integrity—Reduction of Risk Potential
Cognitive Level: Analysis (Analyzing)
Concept: Sensory Perception
Difficulty: Moderate
Feedback
1 There is no reason to hold the morphine.
Nursing Care of
Patients With
Sensory Disorders
Vision and
Hearing
,Chapter 52. Nursing Care of Patients With Sensory Disorders: Vision and
Hearing
MULTIPLE CHOICE
1. The nurse is collecting information from a patient who reports difficulty seeing the print in
the newspaper. The patient is 50 years of age and does not have any condition that requires
medical management. Which vision condition does the nurse suspect the patient is
experiencing?
1. Myopia
2. Presbyopia
3. Astigmatism
4. Emmetropia
ANS: 2
Chapter: Chapter 52. Nursing Care of Patients With Sensory Disorders: Vision and Hearing
Objective: Explain the etiologies, signs, and symptoms of each sensory disorder.
Page: 1119
Heading: Refractive Errors
Integrated Process: Clinical Problem-Solving Process (Nursing Process)
Client Need: Physiological Integrity—Physiological Adaptation
Cognitive Level: Analysis (Analyzing)
Concept: Sensory Perception
Difficulty: Moderate
Feedback
1 Myopia (nearsightedness) is when items up close can be seen clearly and
distant objects are unclear. It is caused when the eyeball is elongated and light
rays focus in front of the retina.
2 Presbyopia is a condition related to aging and occurs when the lens of the eye
loses elasticity. The lens is less able to focus light onto the retina to see close
objects. The condition occurs around age 40 and is likely this patient’s visual
difficulty.
3 Astigmatism is caused by uneven curvatures on the cornea causing the light
rays to be focused on two different points of the retina. The person with
astigmatism will experience blurred vision with distortion. The cause can be
from trauma, inflammation, or an autosomal dominant trait.
4 Emmetropia is the term used to define good vision.
PTS: 1 CON: Sensory Perception
2. The nurse is visiting the home of a patient diagnosed with visual impairment related to
macular degeneration. Which observation indicates to the nurse the patient is adjusting to
the condition?
1. The patient is in nightclothes in the middle of the afternoon.
2. The patient is moving about in the apartment without problems.
3. The patient’s refrigerator contains only condiments, eggs, and milk.
4. The patient has stacks of unopened mail on the kitchen table.
, ANS: 2
Chapter: Chapter 52. Nursing Care of Patients With Sensory Disorders: Vision and Hearing
Objective: Plan nursing care for patients with disorders of the eye or ear.
Page: 1127
Heading: Nursing Process for the Patient With Visual Impairment
Integrated Process: Clinical Problem-Solving Process (Nursing Process)
Client Need: Physiological Integrity—Reduction of Risk Potential
Cognitive Level: Analysis (Analyzing)
Concept: Sensory Perception
Difficulty: Moderate
Feedback
1 With a visually impaired patient, the goal is for independence in performing the
activities of daily living. The nurse needs to determine the reason that the
patient is not dressed in the middle of the afternoon.
2 When the nurse observes the patient’s ability to move about the apartment
without difficulty, it is an indication that the patient can be safe and
independent in the patient’s environment.
3 The nurse expects to see more in the patient’s refrigerator than condiments,
eggs, and milk. The nurse needs to determine how the patient is meeting
nutritional needs.
4 When the nurse sees piles of unopened mail on the patient’s kitchen table, the
nurse needs to explore the patient’s ability to read and care for personal
matters.
PTS: 1 CON: Sensory Perception
3. A patient with acute angle glaucoma and a fractured femur that is scheduled for surgery is
prescribed the preoperative medications morphine 10 mg intramuscularly (IM) and atropine
0.4 mg IM. Which action does the nurse take?
1. Hold the morphine.
2. Contact the physician.
3. Give medications as ordered.
4. Collect data on patient’s pain.
ANS: 2
Chapter: Chapter 52. Nursing Care of Patients With Sensory Disorders: Vision and Hearing
Objective: Identify medications contraindicated for patients with acute angle-closure
glaucoma.
Page: 1124
Heading: Glaucoma
Integrated Process: Clinical Problem-Solving Process (Nursing Process)
Client Need: Physiological Integrity—Reduction of Risk Potential
Cognitive Level: Analysis (Analyzing)
Concept: Sensory Perception
Difficulty: Moderate
Feedback
1 There is no reason to hold the morphine.
