Eyes & Ears - (exam 1) questions with verified
answers
1 (Balance disturbance, or true vertigo, rarely
occurs with other middle-ear surgical procedures,
but it does occur for a short time
after a stapedectomy. Safety is an important
issue, and ambulating without assistance
would require intervention by the nurse) Ans✓✓✓The client has
undergone a bilateral stapedectomy. Which action by the client would
warrant immediate intervention by the nurse?
1. The client is ambulating without assistance.
2. The client is blowing the nose with the mouth open.
3. There is some slight serosanguineous drainage.
4. The client reports hearing popping in the affected ear.
1 (If gas tamponade is used to flatten the
retina, the client may have to be specially
positioned to make the gas bubble float
into the best position; clients must lie face down or on the side for days.)
Ans✓✓✓The client with a retinal detachment has just undergone a gas
tamponade repair. Which
discharge instruction should the nurse include in the teaching?
1. The client must lie flat with the face down.
2. The head of the bed must be elevated 45 degrees.
,3. The client should wear sunglasses when outside.
4. The client should avoid reading for three (3) weeks.
1 (Loss of peripheral vision as a result of glaucoma
causes the client problems with
seeing things on each side, resulting in a
"blind spot." This problem can lead to the
client having car accidents when switching
lanes.) Ans✓✓✓Which situation would make the nurse think the client
has glaucoma?
1. An automobile accident because the client not seeing the car in the
next lane.
2. The cake tasted funny because the client could not read the recipe.
3. The client has been wearing mismatched clothes and socks.
4. The client ran a stoplight and hit a pedestrian walking in the
crosswalk.
1 (The acuity of taste buds decreases with age,
which may cause a decreased appetite and
subsequent weight loss. Extra seasoning
may help the food taste better to the client.) Ans✓✓✓The 72-year-old
client tells the nurse that food does not taste good anymore and that
he has lost a little weight. Which information should the nurse discuss
with the client?
1. Suggest using extra seasoning when cooking.
,2. Instruct the client to keep a seven (7)-day food diary.
3. Refer the client to a dietitian immediately.
4. Recommend eating three meals a day.
1 (The purpose of aural rehabilitation is to
maximize the communication skills of the
client who is hearing impaired. It includes
auditory training, speech reading, speech
training, and the use of hearing aids and
hearing guide dogs.) Ans✓✓✓Which referral would be most important
for the client with permanent hearing loss?
1. Aural rehabilitation.
2. Speech therapist.
3. Social worker.
4. Vocational rehabilitation.
1 (The tuning fork should be struck to produce
vibrations and then placed midline
between the ears on top of the head.) Ans✓✓✓The nurse is conducting
a Weber test on the client who is suspected of having conductive
hearing loss in the left ear. Where should the nurse place the tuning fork
when
conducting this test?
1. A
, 2. B
3. C
4. D
2 (Anticholinergic medications, such as scopolamine
patches, can be recommended by
the nurse; this is not prescribing. Motion
sickness is a disturbance of equilibrium
caused by constant motion.) Ans✓✓✓The female client tells the clinic
nurse that she is going on a seven (7)-day cruise and
is worried about getting motion sickness. Which information should the
nurse discuss
with the client?
1. Make an appointment for the client to see the health-care provider.
2. Recommend getting an over-the-counter scopolamine patch.
3. Discourage the client from taking the trip because she is worried.
4. Instruct the client to lie down and the motion sickness will go away.
2 (The eyes are closed so that tactile, superficial
pain, vibration, and position sense
(proprioception) can be assessed without
the client seeing what the nurse is doing.) Ans✓✓✓During a sensory
assessment, which instruction should the nurse discuss with the
client?
answers
1 (Balance disturbance, or true vertigo, rarely
occurs with other middle-ear surgical procedures,
but it does occur for a short time
after a stapedectomy. Safety is an important
issue, and ambulating without assistance
would require intervention by the nurse) Ans✓✓✓The client has
undergone a bilateral stapedectomy. Which action by the client would
warrant immediate intervention by the nurse?
1. The client is ambulating without assistance.
2. The client is blowing the nose with the mouth open.
3. There is some slight serosanguineous drainage.
4. The client reports hearing popping in the affected ear.
1 (If gas tamponade is used to flatten the
retina, the client may have to be specially
positioned to make the gas bubble float
into the best position; clients must lie face down or on the side for days.)
Ans✓✓✓The client with a retinal detachment has just undergone a gas
tamponade repair. Which
discharge instruction should the nurse include in the teaching?
1. The client must lie flat with the face down.
2. The head of the bed must be elevated 45 degrees.
,3. The client should wear sunglasses when outside.
4. The client should avoid reading for three (3) weeks.
1 (Loss of peripheral vision as a result of glaucoma
causes the client problems with
seeing things on each side, resulting in a
"blind spot." This problem can lead to the
client having car accidents when switching
lanes.) Ans✓✓✓Which situation would make the nurse think the client
has glaucoma?
1. An automobile accident because the client not seeing the car in the
next lane.
2. The cake tasted funny because the client could not read the recipe.
3. The client has been wearing mismatched clothes and socks.
4. The client ran a stoplight and hit a pedestrian walking in the
crosswalk.
1 (The acuity of taste buds decreases with age,
which may cause a decreased appetite and
subsequent weight loss. Extra seasoning
may help the food taste better to the client.) Ans✓✓✓The 72-year-old
client tells the nurse that food does not taste good anymore and that
he has lost a little weight. Which information should the nurse discuss
with the client?
1. Suggest using extra seasoning when cooking.
,2. Instruct the client to keep a seven (7)-day food diary.
3. Refer the client to a dietitian immediately.
4. Recommend eating three meals a day.
1 (The purpose of aural rehabilitation is to
maximize the communication skills of the
client who is hearing impaired. It includes
auditory training, speech reading, speech
training, and the use of hearing aids and
hearing guide dogs.) Ans✓✓✓Which referral would be most important
for the client with permanent hearing loss?
1. Aural rehabilitation.
2. Speech therapist.
3. Social worker.
4. Vocational rehabilitation.
1 (The tuning fork should be struck to produce
vibrations and then placed midline
between the ears on top of the head.) Ans✓✓✓The nurse is conducting
a Weber test on the client who is suspected of having conductive
hearing loss in the left ear. Where should the nurse place the tuning fork
when
conducting this test?
1. A
, 2. B
3. C
4. D
2 (Anticholinergic medications, such as scopolamine
patches, can be recommended by
the nurse; this is not prescribing. Motion
sickness is a disturbance of equilibrium
caused by constant motion.) Ans✓✓✓The female client tells the clinic
nurse that she is going on a seven (7)-day cruise and
is worried about getting motion sickness. Which information should the
nurse discuss
with the client?
1. Make an appointment for the client to see the health-care provider.
2. Recommend getting an over-the-counter scopolamine patch.
3. Discourage the client from taking the trip because she is worried.
4. Instruct the client to lie down and the motion sickness will go away.
2 (The eyes are closed so that tactile, superficial
pain, vibration, and position sense
(proprioception) can be assessed without
the client seeing what the nurse is doing.) Ans✓✓✓During a sensory
assessment, which instruction should the nurse discuss with the
client?
