NCLEX-PN 6th Edition Ear & Eye_ Complete questions & Answers.
The nurse is reinforcing home-care instructions to a client and family regarding care after cataract removal from the right eye. Which statement made by the client indicates an understanding of the instructions?
I should not sleep on...
nclex pn 6th edition ear amp eye complete questions amp answers the nurse is reinforcing home care instructions to a client and family regarding care after cataract removal from the right eye
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NCLEX-PN 6th Edition Ear & Eye_ Complete questions &
Answers.
The nurse is reinforcing home-care instructions to a client and family regarding
care after cataract removal from the right eye. Which statement made by the
client indicates an understanding of the instructions?
I should not sleep on my right side
The nurse is preparing to communicate with an older client who is hearing
impaired. Which intervention should be implemented initially?
Stand in front of the client
Which intervention should be implemented for the older client with presbycusis
who has a hearing loss?
Use low-pitched tones
The nurse is preparing to reinforce a teaching plan for a client who is undergoing
cataract extraction with intraocular implant. Which home care measures should
the nurse include in the plan? Select all that apply.
To avoid activities that require bending over
To place an eye shield on the surgical eye at bedtime
To contact the surgeon if a decrease in visual acuity occurs
To take acetaminophen (Tylenol) for minor eye discomfort
The nurse is assisting in developing a teaching plan for the client with glaucoma.
Which instruction should the nurse suggest to include in the plan of care?
Eye medications will need to be administered for the rest of your life
The nurse is assigned to care for a client with a detached retina. Which finding
should the nurse expect to be documented in the client's record?
A sense of a curtain falling across the field of vision
The nurse is assigned to care for a client with a diagnosis of detached retina.
Which finding would indicate that bleeding has occurred as a result of retinal
detachment?
Complaints of a burst of black spots or floaters
A client arrives in the emergency department after an automobile crash. The
client's forehead hit the steering wheel, and a hyphema has been diagnosed.
Which position should the nurse prepare to position the client?
On bed rest in a semi-Fowler's position
A client sustains a contusion of the eyeball after a traumatic injury with a blunt
object. The nurse should take which immediate action?
Apply ice to the affected eye
A client sustains a chemical eye injury from a splash of battery acid. The nurse
should prepare the client for which immediate measure?
Irrigating the eye with sterile normal saline
The nurse is caring for a client after enucleation and notes the presence of bright
red drainage on the dressing. The nurse should take which appropriate action?
Report the finding to the registered nurse (RN).
The nurse is preparing to administer eardrops to an adult client. The nurse
administers the eardrops by which technique?
,Pulling the pinna up and back
The nurse is caring for a client who is hearing-impaired and should take which
approach to facilitate communication?
Speak in a normal tone
A client arrives at the emergency department with a foreign body in the left ear
that has been determined to be an insect. Which initial intervention should the
nurse anticipate to be prescribed?
Instillation of mineral oil or diluted alcohol
The nurse notes that the health care provider has documented a diagnosis of
presbycusis on the client's chart. The nurse understands that this condition is
accurately described as which?
A sensorineural hearing loss that occurs with aging
A client with Ménière's disease is experiencing severe vertigo. The nurse
reinforces instructions to the client to do which to assist in controlling the
vertigo?
Avoid sudden head movements.
The nurse is assigned to care for a client hospitalized with Ménière's disease. The
nurse expects that which would most likely be prescribed for the client?
Low-sodium diet
A client is diagnosed with glaucoma. Which data gathered by the nurse indicate a
risk factor associated with glaucoma?
Cardiovascular disease
Betaxolol hydrochloride (Betoptic) eyedrops have been prescribed for the client
with glaucoma. Which nursing action is most appropriate related to monitoring
for the side/adverse effects of this medication?
Monitoring blood pressure
The nurse assists to prepare the client for ear irrigation as prescribed by the
health care provider. Which action should the nurse plan to take?
Warm the irrigating solution to 98° F.
In preparation for cataract surgery, the nurse is to administer cyclopentolate
(Cyclogyl) eyedrops. The nurse administers the eyedrops knowing that the
purpose of this medication is which?
Dilate the pupil of the operative eye.
The nurse is providing instructions to a client who will be self-administering
eyedrops. To minimize the systemic effects that eyedrops can produce, the client
is instructed to perform which?
Occlude the nasolacrimal duct with a finger over the inner canthus for 30 to 60 seconds
after instilling the drops.
The client is receiving an eyedrop and an eye ointment to the right eye. Which
action should the nurse take?
Administer the eyedrop first, followed by the eye ointment
The nurse is caring for a client with glaucoma. Which medication prescribed for
the client should the nurse question?
Atropine sulfate (Isopto Atropine)
The nurse is preparing to administer eyedrops. Which interventions should the
nurse take to administer the drops? Select all that apply
, Wash hands.
Put on gloves.
Place the drop in the conjunctival sac.
Pull the lower lid down against the cheekbone
A client was just admitted to the hospital to rule out a gastrointestinal (GI) bleed.
The client has brought several bottles of medications prescribed by different
specialists. During the admission assessment, the client states, "Lately, I have
been hearing some roaring sounds in my ears, especially when I am alone."
Which medication should the nurse determine to be the cause of the client's
complaint?
Acetylsalicylic acid (aspirin)
Pilocarpine hydrochloride (Isopto Carpine) is prescribed for the client with
glaucoma. Which medication should the nurse plan to have available in the event
of systemic toxicity?
Atropine sulfate
A miotic medication has been prescribed for the client with glaucoma. The client
asks the nurse about the purpose of the medication. The nurse should tell the
client which?
The medication causes the pupil to constrict and will lower the pressure in the eye
The nurse is attempting to communicate with a hearing-impaired client. Which
strategy by the nurse would be least helpful when talking to this client?
Smiling continuously during conversation
The nurse is reviewing the record of a client with mastoiditis. The nurse should
expect to note which documented characteristic regarding the results of the
otoscopic examination?
Red, dull, thick, and immobile tympanic membrane
A client is diagnosed with a disorder involving the inner ear. The nurse caring for
the client understands that which is the most common client complaint
associated with a disorder involving the inner ear?
Tinnitus
The nurse is reviewing the health care record of a client with a diagnosis of
otosclerosis. The nurse should expect to note documentation of which early
symptom of this disorder?
Ringing in the ears
The nurse provides discharge instructions to the client who was hospitalized for
an acute attack of Ménière's disease. Which statement made by the client
indicates a need for further teaching?
It is not necessary to restrict salt in my diet."
The nurse is reinforcing instructions to a client regarding the use of a hearing aid.
Which statement by the client indicates a need for further teaching?
I should turn the hearing aid off after removing it from my ear
Tonometry is performed on the client with a suspected diagnosis of glaucoma.
The nurse reviews the test and determines that the intraocular pressure is normal
if which result is noted?
15 mm Hg
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