GERO EXAM 2 : LEWIS : CHAPTER 22:
NURSING MANAGEMENT: VISUAL AND
AUDITORY PROBLEMS. EXAM 2025
QUESTIONS AND ANSWERS
1. To evaluate the effectiveness of the prescribed bifocals for a patient with myopia and
presbyopia, the nurse in the eye clinic will check the patient for
a.
strength of the eye muscles.
b.
both near and distant vision.
c.
cloudiness in the eye lenses.
d.
intraocular pressure changes. - ANS ANS: B
The lenses are prescribed to correct the patient's near and distant vision. The nurse also may
assess for cloudiness of the lenses, increased intraocular pressure, and eye movement, but
these data will not evaluate whether the patient's bifocals are effective.
2. A patient is seen in the ophthalmology clinic and diagnosed with recurrent staphylococcal
and seborrheic blepharitis. The nurse will plan to teach the patient about
a.
saline irrigation of the eyes.
b.
surgical removal of the lesion.
c.
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,using baby shampoo to clean the lids.
d.
the use of cool compresses to the eyes. - ANS ANS: C
Baby shampoo is used to soften and remove crusts associated with blepharitis. The other
interventions are not used in treating this disorder.
3. Which action should the nurse take when assisting a totally blind patient to walk to the
bathroom?
a.
Take the patient by the arm and lead the patient slowly to the bathroom.
b.
Have the patient place a hand on the nurse's shoulder and guide the patient.
c.
Stay beside the patient and describe any obstacles on the path to the bathroom.
d.
Walk slightly ahead of the patient and allow the patient to hold the nurse's elbow. -
ANS ANS: D
When using the sighted-guide technique, the nurse walks slightly in front and to the side of the
patient and has the patient hold the nurse's elbow. The other techniques are not as safe in
assisting a blind patient.
4. A patient is seen at a clinic for repeated hordeolum of the eyes during the last 6 months. To
help prevent further infection, the nurse advises the patient to
a.
apply cold compresses at the first sign of recurrence.
b.
discard all open or used cosmetics used near the eyes.
c.
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, wash the scalp and eyebrows with an antiseborrheic shampoo.
d.
be evaluated for the presence of sexually transmitted diseases (STDs). - ANS ANS: B
Hordeolum (styes) are commonly caused by Staphylococcus aureus, which may be present in
cosmetics that the patient is using. Warm compresses are recommended to treat hordeolum.
Antiseborrheic shampoos are recommended for seborrheic blepharitis. Patients with adult
inclusion conjunctivitis, which is caused by Chlamydia trachomatis, should be referred for STD
testing.
5. Which topic will the nurse plan to include when teaching the patient with herpes simplex
keratitis of the left eye about management of the infection?
a.
How to apply an occlusive dressing to the affected eye
b.
Need for frequent hand washing and avoiding touching the eyes
c.
Application of antibiotic drops to the left eye several times daily
d.
Use of corticosteroid ophthalmic ointment to decrease inflammation - ANS ANS: B
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 the eyes is unavoidable.
Occlusive dressings are not used for herpes keratitis. Herpes simplex is a virus and antibiotic
drops will not be prescribed. Topical corticosteroids typically are not ordered because they can
contribute to a longer course of infection and more complications.
6. A new patient with 20/200 vision (with the use of corrective lenses) is being cared for by the
nurse in the eye clinic. The nurse will plan to teach the patient about
a.
how to use a cane safely.
b.
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NURSING MANAGEMENT: VISUAL AND
AUDITORY PROBLEMS. EXAM 2025
QUESTIONS AND ANSWERS
1. To evaluate the effectiveness of the prescribed bifocals for a patient with myopia and
presbyopia, the nurse in the eye clinic will check the patient for
a.
strength of the eye muscles.
b.
both near and distant vision.
c.
cloudiness in the eye lenses.
d.
intraocular pressure changes. - ANS ANS: B
The lenses are prescribed to correct the patient's near and distant vision. The nurse also may
assess for cloudiness of the lenses, increased intraocular pressure, and eye movement, but
these data will not evaluate whether the patient's bifocals are effective.
2. A patient is seen in the ophthalmology clinic and diagnosed with recurrent staphylococcal
and seborrheic blepharitis. The nurse will plan to teach the patient about
a.
saline irrigation of the eyes.
b.
surgical removal of the lesion.
c.
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,using baby shampoo to clean the lids.
d.
the use of cool compresses to the eyes. - ANS ANS: C
Baby shampoo is used to soften and remove crusts associated with blepharitis. The other
interventions are not used in treating this disorder.
3. Which action should the nurse take when assisting a totally blind patient to walk to the
bathroom?
a.
Take the patient by the arm and lead the patient slowly to the bathroom.
b.
Have the patient place a hand on the nurse's shoulder and guide the patient.
c.
Stay beside the patient and describe any obstacles on the path to the bathroom.
d.
Walk slightly ahead of the patient and allow the patient to hold the nurse's elbow. -
ANS ANS: D
When using the sighted-guide technique, the nurse walks slightly in front and to the side of the
patient and has the patient hold the nurse's elbow. The other techniques are not as safe in
assisting a blind patient.
4. A patient is seen at a clinic for repeated hordeolum of the eyes during the last 6 months. To
help prevent further infection, the nurse advises the patient to
a.
apply cold compresses at the first sign of recurrence.
b.
discard all open or used cosmetics used near the eyes.
c.
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, wash the scalp and eyebrows with an antiseborrheic shampoo.
d.
be evaluated for the presence of sexually transmitted diseases (STDs). - ANS ANS: B
Hordeolum (styes) are commonly caused by Staphylococcus aureus, which may be present in
cosmetics that the patient is using. Warm compresses are recommended to treat hordeolum.
Antiseborrheic shampoos are recommended for seborrheic blepharitis. Patients with adult
inclusion conjunctivitis, which is caused by Chlamydia trachomatis, should be referred for STD
testing.
5. Which topic will the nurse plan to include when teaching the patient with herpes simplex
keratitis of the left eye about management of the infection?
a.
How to apply an occlusive dressing to the affected eye
b.
Need for frequent hand washing and avoiding touching the eyes
c.
Application of antibiotic drops to the left eye several times daily
d.
Use of corticosteroid ophthalmic ointment to decrease inflammation - ANS ANS: B
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 the eyes is unavoidable.
Occlusive dressings are not used for herpes keratitis. Herpes simplex is a virus and antibiotic
drops will not be prescribed. Topical corticosteroids typically are not ordered because they can
contribute to a longer course of infection and more complications.
6. A new patient with 20/200 vision (with the use of corrective lenses) is being cared for by the
nurse in the eye clinic. The nurse will plan to teach the patient about
a.
how to use a cane safely.
b.
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