front 1 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 | back 1 every 1 to 2 years |
front 2 a client with a family history of glaucoma asks the nurse how to prevent glaucoma what statement by the nurse is appropriate | back 2 you should have your intraocular pressure measured once or twice a year |
front 3 a client presents to the emergency department reporting a foreign body in the eye for what diagnostic testing would the nurse prepare | back 3 corneal straining |
front 4 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 | back 4 color vision |
front 5 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 | back 5 advanced age |
front 6 the nurse is teaching about signs and symptoms of cataracts which change would the nurse emphasize as possibly indicating beginiing cataract formation | back 6 blurred vision |
front 7 the nurse is teaching a client about cataract surgery which statement would the nurse include as part of preoperative preparation | back 7 you will need to put several types of eyedrops in your eyes before and after surgery |
front 8 a clients intraocular pressure(IOP) is 28 mmHg what action would the nurse anticipate | back 8 teach about drugs of glaucoma |
front 9 a client had a retinal detachment and has undergone surgical correction what discharge health teaching is most important for the nurse to include | back 9 report immediate loss of vision of pain in the affected eye |
front 10 a client has a foreign body in one eye what action by the nurse is appropriate for the clients care | back 10 administering ordered antibiotics |
front 11 a client who is nearly blind is admitted to the hospital what action by the nurse is most important | back 11 orient the client to the room using a focal point |
front 12 a client is taking timolol eyedrops the nurse assesses the clients pulse at 48 beats/min what action by the nurse is priority | back 12 hold the eyedrops and notify the primary health care provider |
front 13 a client has been prescribed brinzolamide for glaucoma what assessment by the nurse requires communication with the primary health care provider | back 13 allergy to sulfonamides |
front 14 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 | back 14 ensure that the client has a patent airway |
front 15 a nurse is seeing a clients in the ophthalmology clinic which client would the nurse see first | back 15 client who has had cataract surgery and has worsening vision |
front 16 the nurse teaches assistive personnel about age related changes that affect the eyes ans vision which changes would the nurse include(SATA) | back 16 decreased eye muscle tone development of arcus senilis decrease in general color perception increase in point of near vision |
front 17 the nurse is teaching a group of adults about ways to prevent early cataract formation what health teaching would the nurse include (SATA) | back 17 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 |
front 18 the nurse is teaching a client about preventing intraocular pressure increase after cataract surgery which health teaching would the nurse include (SATA) | back 18 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 |
front 19 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) | back 19 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 |
front 20 the nurse is assessing a client admitted to the emergency department with possible retinal detachment what assessment findings would the nurse expect(SATA) | back 20 presence of bright light flashes decreased visual field in affected eye feeling like a curtain is over one eye |
front 21 the nurse is teaching a client about care after surgery to repair a retinal detachment what health teaching would the nurse include(SATA) | back 21 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 |
front 22 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) | back 22 halos around lights blurred vision infection dry eyes |
front 23 a nurse is teaching a client about ear hygiene and health which statement by the client indicates a need for further teaching | back 23 a soft cotton swab is alright to clean my ears with |
front 24 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 | back 24 remember to face the client when talking with him or her |
front 25 the clients electronic health record indicates a sensorineural hearing loss what assessment question does the nurse ask to determine the possible cause | back 25 have you been exposed to loud noises |
front 26 a client has external otitis about what comfort measure would the nurse instruct the client | back 26 use of a heating pad to the ear |
front 27 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 | back 27 assess for cerumen buildup |
front 28 a client mringotomy what would the nurse include as part of discharge teaching | back 28 buy dry shampoo to use for a week |
front 29 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 | back 29 client who is a tree trimmer and uses a chainsaw 6 to 7 hours a day |
front 30 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 | back 30 purulent ear drainage |
front 31 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 | back 31 swimming |
front 32 the nurse is teaching a community group about preventing hearing loss what instruction is appropriate | back 32 always wear a bicycle helmet |
front 33 a client has severe tinnitus that has not responded to treatment what action by the nurse is appropriate | back 33 refer the client to online or local support groups |
front 34 a client has mastoiditis and is prescribed antibiotics what health teaching by the nurse is most important for this client | back 34 immediately report headache or stiff neck |
front 35 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 | back 35 place the client in bed with the upper side rails up |
front 36 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 | back 36 expecting hearing loss in the affected ear |
front 37 the nurse is teaching an older adult how to prevent buildup of ear wax which statement by the nurse is most appropriate | back 37 put one drop of mineral oil in each ear once a week at bedtime |
front 38 the nurse is assessing a clients medication profile to determine for tinnitus which drug classification is most likely to cause this health problem | back 38 NSAIDS |
front 39 a client is scheduled for a tympanoplasty what actions by the nurse is most appropriate | back 39 ensure that informed consent is on the health record |
front 40 a client has a hearing aid what care instructions does the nurse provide the assistive personnel (AP) in the care of this client (SATA) | back 40 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 |
front 41 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) | back 41 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 |
front 42 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) | back 42 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 |
front 43 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) | back 43 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 |