the nurse is teaching a group of older adults basic eye examinations what would the nurse recommend about the frequency for eye examination for most people over 65 years of age
every 1 to 2 years
a client with a family history of glaucoma asks the nurse how to prevent glaucoma what statement by the nurse is appropriate
you should have your intraocular pressure measured once or twice a year
a client presents to the emergency department reporting a foreign body in the eye for what diagnostic testing would the nurse prepare
corneal straining
the nurse enters an examination room to help with an eye assessment the client is directed toward the chart shown below what is the primary health care provider assessing
color vision
the nurse assess a client for factors that place the client at risk for cataracts which factor places the client at the highest risk for cataract development
advanced age
the nurse is teaching about signs and symptoms of cataracts which change would the nurse emphasize as possibly indicating beginiing cataract formation
blurred vision
the nurse is teaching a client about cataract surgery which statement would the nurse include as part of preoperative preparation
you will need to put several types of eyedrops in your eyes before and after surgery
a clients intraocular pressure(IOP) is 28 mmHg what action would the nurse anticipate
teach about drugs of glaucoma
a client had a retinal detachment and has undergone surgical correction what discharge health teaching is most important for the nurse to include
report immediate loss of vision of pain in the affected eye
a client has a foreign body in one eye what action by the nurse is appropriate for the clients care
administering ordered antibiotics
a client who is nearly blind is admitted to the hospital what action by the nurse is most important
orient the client to the room using a focal point
a client is taking timolol eyedrops the nurse assesses the clients pulse at 48 beats/min what action by the nurse is priority
hold the eyedrops and notify the primary health care provider
a client has been prescribed brinzolamide for glaucoma what assessment by the nurse requires communication with the primary health care provider
allergy to sulfonamides
a client is brought to the emergency department after a car crash the client has a large piece of glass in the left eye what action by the nurse takes priority
ensure that the client has a patent airway
a nurse is seeing a clients in the ophthalmology clinic which client would the nurse see first
client who has had cataract surgery and has worsening vision
the nurse teaches assistive personnel about age related changes that affect the eyes ans vision which changes would the nurse include(SATA)
decreased eye muscle tone
development of arcus senilis
decrease in general color perception
increase in point of near vision
the nurse is teaching a group of adults about ways to prevent early cataract formation what health teaching would the nurse include (SATA)
wear eye and head protection when playing sports
wear sunglasses when going outdoors or in ultraviolet light
avoid smoking or participate in a smoking cessastion program
the nurse is teaching a client about preventing intraocular pressure increase after cataract surgery which health teaching would the nurse include (SATA)
avoid blowing your nose
dont bend down from the waist
dont strain to have a bowel movement
avoid having sexual intercourse
dont wear tight shirt or blouse collars
the nurse is teaching a client and family regarding symptoms to report to the primary health care provider after cataract surgery which symptoms would the nurse include in the teaching (SATA)
sharp sudden pain in the surgical eye
green or yellow discharge from the surgical eye
eyelid swelling of the surgical eye
decreased vision in the surgical eye
blindness in the surgical eye
flashes or floaters seen in the surgical eye
the nurse is assessing a client admitted to the emergency department with possible retinal detachment what assessment findings would the nurse expect(SATA)
presence of bright light flashes
decreased visual field in affected eye
feeling like a curtain is over one eye
the nurse is teaching a client about care after surgery to repair a retinal detachment what health teaching would the nurse include(SATA)
report sudden pain in the surgical eye
report if the surgical eye remains dilated
avoid close vision activities in the first week
avoid activities that increase intraocular pressure
report sudden reduced visual acuity
the nurse is teaching a client about postoperative care after a lasik procedure which common complications/adverse effects would occur either immediately or later after this type of surgery(SATA)
halos around lights
blurred vision
infection
dry eyes
a nurse is teaching a client about ear hygiene and health which statement by the client indicates a need for further teaching
a soft cotton swab is alright to clean my ears with
the nurse is teaching new assisitive personnel (AP) about caring for older adults which statement would the nurse include about hearing ability of this client group
remember to face the client when talking with him or her
the clients electronic health record indicates a sensorineural hearing loss what assessment question does the nurse ask to determine the possible cause
have you been exposed to loud noises
a client has external otitis about what comfort measure would the nurse instruct the client
use of a heating pad to the ear
an older adult in the family practice clinic reports a decrease in hearing in one ear for over a week what action by the nurse is most appropriate
assess for cerumen buildup
a client mringotomy what would the nurse include as part of discharge teaching
buy dry shampoo to use for a week
a nurse is teaching a community group about noise induced hearing loss which client who does not use ear protection would the nurse refer to an audiologist as the priority
client who is a tree trimmer and uses a chainsaw 6 to 7 hours a day
a client who has cold symptoms for a week visits the local urgent care center with report of left ear discomfort dizziness and decreased hearing what additional assessment findings would the nurse expect
purulent ear drainage
the nurse is teaching a client about factors that can cause external otitis which of these factors would the nurse emphasize at the highest risk
swimming
the nurse is teaching a community group about preventing hearing loss what instruction is appropriate
always wear a bicycle helmet
a client has severe tinnitus that has not responded to treatment what action by the nurse is appropriate
refer the client to online or local support groups
a client has mastoiditis and is prescribed antibiotics what health teaching by the nurse is most important for this client
immediately report headache or stiff neck
a client with meniere disease is in the hospital when the client has an episode of this disorder what action by the nurse is appropriate
place the client in bed with the upper side rails up
a client is scheduled to have a tumor of the middle ear removed which perioperative health teaching is most important for the nurse to include
expecting hearing loss in the affected ear
the nurse is teaching an older adult how to prevent buildup of ear wax which statement by the nurse is most appropriate
put one drop of mineral oil in each ear once a week at bedtime
the nurse is assessing a clients medication profile to determine for tinnitus which drug classification is most likely to cause this health problem
NSAIDS
a client is scheduled for a tympanoplasty what actions by the nurse is most appropriate
ensure that informed consent is on the health record
a client has a hearing aid what care instructions does the nurse provide the assistive personnel (AP) in the care of this client (SATA)
be careful not to drop the hearing aid when handling
turn the hearing aid off when the client goes to bed
use a toothpick to clean debris from the device
avoid using hair or cosmetic products near the hearing aid
a hospitalized client has a new diagnosis of meniere disease what would the nurse include in health teaching to reduce symptoms for this disorder(SATA)
move the head slowly to prevent worsening of the vertigo
avoid food additives such as monosodium glutamate (MSG)
quit smoking to increase blood flow to the inner ear
avoid caffeinated beverages
avoid standing on chairs step stools or ladders
the nurse is caring for a client after ear surgery what health teaching instructions would the nurse provide for this client to promote healing(SATA)
avoid straining when having a bowel movement
avoid drinking through a straw for 2 to 3 weeks
avoid air travel for 2 to 3 weeks after surgery
avoid crowds and people with infection especially respiratory infection
avoid moving your head quickly jumping or bending over 2 to 3 weeks
blow your nose very gently without blocking either nostril and keep your mouth open
the nurse is teaching a family member who is caring for a client who is hearing impaired what health teaching would the nurse include about communicating with the client (SATA)
make sure that the room is well lighted
speak slowly and clearly
do not shout but you may need to speak loudly
have conversations in a quiet room with minimal noise
get the clients attention before you begin to speak
move closer to the better hearing ear if possible