Eyes & Ears Test Bank questions with verified
answers
. A patient arrives in the emergency department complaining of eye
itching and pain after sleeping with contact lenses in place. To facilitate
further examination of the eye, fluorescein angiography is ordered. The
nurse will teach the patient to
a. hold a card and fixate on the center dot.
b. report any burning or pain at the IV site.
c. remain still while the cornea is anesthetized.
d. let the examiner know when images shown appear clear. Ans✓✓✓b.
report any burning or pain at the IV site.
Fluorescein angiography involves injecting IV dye. If extravasation
occurs, fluorescein is toxic to the tissues. The patient should be
instructed to report any signs of extravasation such as pain or burning.
The nurse should closely monitor the IV site as well. The cornea is
anesthetized during ultrasonography. Refractometry involves measuring
visual acuity and asking the patient to choose lenses that are the
sharpest; it is a painless test. The Amsler grid test involves using a hand
held card with grid lines. The patient fixates on the center dot and
records any abnormalities of the grid lines
. An 82-year-old patient who is being admitted to the hospital repeatedly
asks the nurse to speak up so that I can hear you. Which action should
the nurse take?
a. Overenunciate while speaking.
b. Speak normally but more slowly.
,c. Increase the volume when speaking.
d. Use more facial expressions when talking. Ans✓✓✓b. Speak
normally but more slowly.
Patient understanding of the nurses speech will be enhanced by speaking
at a normal tone, but more slowly. Increasing the volume,
overenunciating, and exaggerating facial expressions will not improve
the patients ability to comprehend the nurse.
A 42-year-old woman with Mnires disease is admitted with vertigo,
nausea, and vomiting. Which nursing intervention will be included in the
care plan?
a. Dim the lights in the patients room.
b. Encourage increased oral fluid intake.
c. Change the patients position every 2 hours.
d. Keep the head of the bed elevated 30 degrees. Ans✓✓✓a. Dim the
lights in the patients room.
A darkened, quiet room will decrease the symptoms of the acute attack
of Mnires disease. Because the patient will be nauseated during an acute
attack, fluids are administered IV. Position changes will cause vertigo
and nausea. The head of the bed can be positioned for patient comfort.
A 65-year-old patient is being evaluated for glaucoma. Which
information given by the patient has implications for the patients
treatment?
a. I use aspirin when I have a sinus headache.
,b. I have had frequent episodes of conjunctivitis.
c. I take metoprolol (Lopressor) daily for angina.
d. I have not had an eye examination for 10 years. Ans✓✓✓c. I take
metoprolol (Lopressor) daily for angina.
It is important to note whether the patient takes any b-adrenergic
blockers because this classification of medications is also used to treat
glaucoma, and there may be an increase in adverse effects. The use of
aspirin does not increase intraocular pressure and is safe for patients
with glaucoma. Although older patients should have yearly eye
examinations, the treatment for this patient will not be affected by the
10-year gap in eye care. Conjunctivitis does not increase the risk for
glaucoma.
A 72-year-old patient with age-related macular degeneration (AMD) has
just had photodynamic therapy. Which statement by the patient indicates
that the discharge teaching has been effective?
a. I will need to use bright lights to read for at least the next week.
b. I will use drops to keep my pupils dilated until my appointment.
c. I will not use facial lotions near my eyes during the recovery period.
d. I will cover up with long-sleeved shirts and pants for the next 5 days.
Ans✓✓✓d. I will cover up with long-sleeved shirts and pants for the
next 5 days.
The photosensitizing drug used for photodynamic therapy is activated by
exposure to bright light and can cause burns in areas exposed to light for
5 days after the treatment. There are no restrictions on the use of facial
, lotions, medications to keep the pupils dilated would not be appropriate,
and bright lights would increase the risk for damage caused by the
treatment.
A 75-year-old patient who lives alone at home tells the nurse, I am
afraid of losing my independence because my eyes dont work as well
they used to. Which action should the nurse take first?
a. Discuss the increased risk for falls that is associated with impaired
vision.
b. Explain that there are many ways to compensate for decreases in
visual acuity.
c. Suggest ways of improving the patients safety, such as using brighter
lighting.
d. Ask the patient more about what type of vision problems are being
experienced. Ans✓✓✓d. Ask the patient more about what type of
vision problems are being experienced.
The nurses initial action should be further assessment of the patients
concerns and visual problems. The other actions may be appropriate,
depending on what the nurse finds with further assessment.
A 75-year-old patient with presbycusis is fitted with binaural hearing
aids. Which information will the nurse include when teaching the patient
how to use the hearing aids?
a. Experiment with volume and hearing ability in a quiet environment
initially.
answers
. A patient arrives in the emergency department complaining of eye
itching and pain after sleeping with contact lenses in place. To facilitate
further examination of the eye, fluorescein angiography is ordered. The
nurse will teach the patient to
a. hold a card and fixate on the center dot.
b. report any burning or pain at the IV site.
c. remain still while the cornea is anesthetized.
d. let the examiner know when images shown appear clear. Ans✓✓✓b.
report any burning or pain at the IV site.
Fluorescein angiography involves injecting IV dye. If extravasation
occurs, fluorescein is toxic to the tissues. The patient should be
instructed to report any signs of extravasation such as pain or burning.
The nurse should closely monitor the IV site as well. The cornea is
anesthetized during ultrasonography. Refractometry involves measuring
visual acuity and asking the patient to choose lenses that are the
sharpest; it is a painless test. The Amsler grid test involves using a hand
held card with grid lines. The patient fixates on the center dot and
records any abnormalities of the grid lines
. An 82-year-old patient who is being admitted to the hospital repeatedly
asks the nurse to speak up so that I can hear you. Which action should
the nurse take?
a. Overenunciate while speaking.
b. Speak normally but more slowly.
,c. Increase the volume when speaking.
d. Use more facial expressions when talking. Ans✓✓✓b. Speak
normally but more slowly.
Patient understanding of the nurses speech will be enhanced by speaking
at a normal tone, but more slowly. Increasing the volume,
overenunciating, and exaggerating facial expressions will not improve
the patients ability to comprehend the nurse.
A 42-year-old woman with Mnires disease is admitted with vertigo,
nausea, and vomiting. Which nursing intervention will be included in the
care plan?
a. Dim the lights in the patients room.
b. Encourage increased oral fluid intake.
c. Change the patients position every 2 hours.
d. Keep the head of the bed elevated 30 degrees. Ans✓✓✓a. Dim the
lights in the patients room.
A darkened, quiet room will decrease the symptoms of the acute attack
of Mnires disease. Because the patient will be nauseated during an acute
attack, fluids are administered IV. Position changes will cause vertigo
and nausea. The head of the bed can be positioned for patient comfort.
A 65-year-old patient is being evaluated for glaucoma. Which
information given by the patient has implications for the patients
treatment?
a. I use aspirin when I have a sinus headache.
,b. I have had frequent episodes of conjunctivitis.
c. I take metoprolol (Lopressor) daily for angina.
d. I have not had an eye examination for 10 years. Ans✓✓✓c. I take
metoprolol (Lopressor) daily for angina.
It is important to note whether the patient takes any b-adrenergic
blockers because this classification of medications is also used to treat
glaucoma, and there may be an increase in adverse effects. The use of
aspirin does not increase intraocular pressure and is safe for patients
with glaucoma. Although older patients should have yearly eye
examinations, the treatment for this patient will not be affected by the
10-year gap in eye care. Conjunctivitis does not increase the risk for
glaucoma.
A 72-year-old patient with age-related macular degeneration (AMD) has
just had photodynamic therapy. Which statement by the patient indicates
that the discharge teaching has been effective?
a. I will need to use bright lights to read for at least the next week.
b. I will use drops to keep my pupils dilated until my appointment.
c. I will not use facial lotions near my eyes during the recovery period.
d. I will cover up with long-sleeved shirts and pants for the next 5 days.
Ans✓✓✓d. I will cover up with long-sleeved shirts and pants for the
next 5 days.
The photosensitizing drug used for photodynamic therapy is activated by
exposure to bright light and can cause burns in areas exposed to light for
5 days after the treatment. There are no restrictions on the use of facial
, lotions, medications to keep the pupils dilated would not be appropriate,
and bright lights would increase the risk for damage caused by the
treatment.
A 75-year-old patient who lives alone at home tells the nurse, I am
afraid of losing my independence because my eyes dont work as well
they used to. Which action should the nurse take first?
a. Discuss the increased risk for falls that is associated with impaired
vision.
b. Explain that there are many ways to compensate for decreases in
visual acuity.
c. Suggest ways of improving the patients safety, such as using brighter
lighting.
d. Ask the patient more about what type of vision problems are being
experienced. Ans✓✓✓d. Ask the patient more about what type of
vision problems are being experienced.
The nurses initial action should be further assessment of the patients
concerns and visual problems. The other actions may be appropriate,
depending on what the nurse finds with further assessment.
A 75-year-old patient with presbycusis is fitted with binaural hearing
aids. Which information will the nurse include when teaching the patient
how to use the hearing aids?
a. Experiment with volume and hearing ability in a quiet environment
initially.
