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