NCLEX-PN 6th Edition Ear & Eye_ Complete questions & Answers.

NCLEX-PN 6th Edition Ear & Eye_ Complete questions & Answers. 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? 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? Stand in front of the client Which intervention should be implemented for the older client with presbycusis who has a hearing loss? 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. 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? 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? 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? 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? 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? 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? 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? 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? 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? 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? 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? 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? 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? Low-sodium diet A client is diagnosed with glaucoma. Which data gathered by the nurse indicate a risk factor associated with glaucoma? 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? 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? 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? 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? 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? 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? 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 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? 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? 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? 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? 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? 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? 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? 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? 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? 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? 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? 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? 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? 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? 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? 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? 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? 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? 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? 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? I will wear my eye shield at night and my glasses during the day A client with glaucoma asks the nurse if complete vision will return. The nurse should make which response to the client? Although some vision has been lost and cannot be restored, further loss may be prevented by adhering to the treatment plan A client with retinal detachment is admitted to the outpatient nursing unit in preparation for a scleral buckling procedure. Which prescription should the nurse anticipate? Placing an eye patch over the client's affected eye The nurse should check for vision loss in a client with which condition? Diabetes mellitus The nurse is assisting the health care provider with performing a Weber tuning fork test on a client. What does this test assess for? Hearing loss The nurse is providing discharge instructions for a client who has had a fenestration procedure for the treatment of otosclerosis. Which statement by the client indicates an understanding of the instructions? I will take stool softeners as prescribed by my doctor The nurse is caring for a client following craniotomy for removal of an acoustic neuroma. The nurse understands that assessment of which cranial nerve should identify a complication specifically associated with this surgery? Cranial nerve VII, facial nerve The nurse is assigned to care for a client with a diagnosis of Ménière's disease. Which part of the ear is affected with Ménière's disease? Inner ear Surgery has been recommended for the client with otosclerosis. The client tells the nurse that she would prefer not to have surgery and asks the nurse about alternative methods to improve hearing. The nurse should make which appropriate response to the client? A hearing aid may improve your hearing The nurse is caring for a client hospitalized with an acute attack from Ménière's disease. The client verbalizes concern because the client has experienced a hearing loss as a result of the attack. Which response should the nurse make to the client regarding the hearing loss? The attack leaves a hearing loss in the involved ear." The nurse is reviewing the health care provider's prescriptions for a client admitted to the hospital with a diagnosis of an acute attack of Ménière's disease. Which prescription noted on the client's chart should the nurse question? The administration of a vasoconstrictor A client with a diagnosis of otosclerosis is admitted to the ambulatory care unit for stapedectomy, and the nurse reinforces instructions to the client regarding home care following the procedure. Which statement by the client indicates a need for further teaching? I need to avoid air travel for at least 6 months The nurse is reinforcing discharge instructions with a client who is being discharged following a fenestration procedure for the treatment of otosclerosis. Which should be included on the list of instructions prepared for the client? You need to avoid air travel A myringotomy is performed on a client in the ambulatory care center. The ambulatory care nurse calls the client 24 hours after the procedure to evaluate the status of the client. The client reports to the nurse that a small amount of brownish drainage has been coming from the ear. Which instruction should the nurse provide to the client? Continue to monitor the drainage because this is normal and may occur for 24 to 48 hours following the surgery." The nurse is communicating with a client who is hard of hearing in both ears. To facilitate communication with this client, the nurse should perform which? Lower the voice pitch and face the client when speaking. The nurse has reinforced discharge instructions to the client who has had ocular surgery of the right eye. The nurse determines that the client needs further teaching if the client states which? I will call the health care provider if a temperature of 99° F is present." A client with glaucoma has suffered significant eye damage before diagnosis and now has impaired vision. The nurse determines that the client needs further assistance in adapting to this situation if the client makes which statement? There is no difficulty driving at dusk A client reports to the health care clinic for an eye examination, and a diagnosis of primary open-angle glaucoma is suspected. Which question will elicit information regarding the signs/symptoms associated with this disorder? Have you had difficulty with peripheral vision The nurse is preparing to reinforce instructions to a client with glaucoma regarding the prescribed treatment measures for the disorder. The nurse prepares the instructions based on which treatment goal? Maintaining intraocular pressure at a reduced level The nurse in the outpatient unit is preparing a client who is scheduled for a laser trabeculoplasty for the treatment of primary open-angle glaucoma. Which instructions should the nurse reinforce to the client You may return to work 1 or 2 days following the procedure The nurse reinforces instructions to a client with The nurse reinforces instructions to a client with glaucoma regarding measures that will prevent an increase in intraocular pressure in the eyes. Which statement by the client indicates a need for further teaching? I can tie my shoelaces by bending over slowly The nurse reinforces instructions to a client with A clinic nurse is reviewing the record of a client recently diagnosed with a cataract. Which clinical manifestation associated with this disorder should the nurse expect to be documented in the client's record? Painless, progressive loss of vision Prescriptive glasses are prescribed for a client with bilateral aphakia, and the nurse reinforces instructions to the client regarding the use of the glasses. Which statement by the client indicates the need for further teaching? The prescriptive glasses will correct my visual field of sight A client is brought to the ambulatory care department by the spouse one day following a cataract extraction procedure. A diagnosis of hyphema is made, which occurred as a result of the surgical procedure. The nurse reinforces instructions to the client and spouse regarding the treatment for the complication and makes which statement?