NCLEX: EYES AND EARS questions and answers 100% verified.

NCLEX: EYES AND EARS questions and answers 100% verified. The nurse is developing a teaching plan for a client with glaucoma. Which instruction should the nurse include in the plan of care? - correct answers.3. Eye medications will need to be administered for life. The nurse is performing an admission assessment on a client with a diagnosis of detached retina. Which sign or symptom is associated with this eye disorder? - correct answers.4. A sense of a curtain falling across the field of vision The nurse is performing an otoscopic examination on a client with mastoiditis. On examination of the tympanic membrane, which finding should the nurse expect to observe? - correct answers.4. A red, dull, thick, and immobile tympanic membrane A client is diagnosed with a disorder involving the inner ear. Which is the most common client complaint associated with a disorder involving this part of the ear? - correct answers.2. Tinnitus The nurse is performing an assessment on a client with a suspected diagnosis of cataract. Which clinical manifestation should the nurse expect to note in the early stages of cataract formation? - correct answers.4. Blurred vision The nurse is preparing a teaching plan for a client who had a cataract extraction with intraocular implantation. Which home care measures should the nurse include in the plan? Select all that apply. - correct answers.1. Avoid activities that require bending over. 3. Take acetaminophen for minor eye discomfort. 5. Place an eye shield on the surgical eye at bedtime. 6. Contact the surgeon if a decrease in visual acuity occurs. Tonometry is performed on a client with a suspected diagnosis of glaucoma. The nurse looks at the documented test results and notes an intraocular pressure (IOP) value of 23. What should be the nurse's initial action? - correct answers.2. Note the time of day the test was done. The nurse is caring for a client following craniotomy for removal of an acoustic neuroma. Assessment of which cranial nerve would identify a complication specifically associated with this surgery? - correct answers.4. Cranial nerve VII, facial nerve The nurse notes that the health care provider has documented a diagnosis of presbycusis on a client's chart. Based on this information, what action should the nurse take? - correct answers.3. Speak at normal tone and pitch, slowly and clearly. A client with Ménière's disease is experiencing severe vertigo. Which instruction should the nurse give to the client to assist in controlling the vertigo? - correct answers.2. Avoid sudden head movements. A client's vision is tested with a Snellen chart. The results of the tests are documented as 20/60. What action should the nurse implement based on this finding? - correct answers.2. Instruct the client that he or she may need glasses when driving. The nurse is caring for a hearing-impaired client. Which approach will facilitate communication? - correct answers.3. Speak at a normal volume. A client is diagnosed with glaucoma. Which piece of nursing assessment data identifies a risk factor associated with this eye disorder? - correct answers.1. Cardiovascular disease A client with retinal detachment is admitted to the nursing unit in preparation for a repair procedure. Which prescription should the nurse anticipate? - correct answers.4. Placing an eye patch over the client's affected eye The nurse is caring for a client who was recently diagnosed with primary open-angle glaucoma (POAG). Which assessment finding is specific to this type of glaucoma? - correct answers.2. Client report of "tunnel vision"