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Gerontological Nursing, 4e (Tabloski) Chapter 14 Sensation: Hearing, Vision, Taste, Touch, and Smell $11.39   Add to cart
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Gerontological Nursing, 4e (Tabloski) Chapter 14 Sensation: Hearing, Vision, Taste, Touch, and Smell
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Gerontological Nursing, 4e (Tabloski) Chapter 14 Sensation: Hearing, Vision, Taste, Touch, and Smell

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  • September 12, 2024
  • 17
  • 2024/2025
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  • gerontological nursing 4e tabloski chapter 14 s

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  • Gerontological Nursing, 4e
  • Gerontological Nursing, 4e

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Gerontological Nursing, 4e (Tabloski)
Chapter 14 Sensation: Hearing, Vision, Taste, Touch, and Smell

1) Thernurserisrperformingrarvisionrassessmentronranrolderrpatientrwhorisrhavingrdifficultyrrea
dingrsmallrprint.rWhatrbestrexplainsrthisrfinding?
1. Non-reactivertorlight
2. Weakreyermuscles
3. Lackrofrperipheralrvision
4. Alteredraccommodationr
Answer:r 4
Explanation:r 1.rSensitivityrtorlightrisrcausedrbyranrinabilityrofrtherpupilrtoradaptrtorvaryingrdegr
eesrofrlight.
2. Difficultyrreadingrsmallrprintrisrnotrrelatedrtorweakreyermusclesrbutrarlossrofrpliabilityrinrtherlens.
3. Narrowingrofrtherfieldrofrvisionrdescribesrarchangerinrperipheralrvision,rwhichrisrnotrass
ociatedrwithraccommodation.
4. Accommodationrisrtherabilityrofrtherlensrtorchangershaperandrfocusrimagesrclearly.rThisrlossrofrpl
iabilityrinrtherlensrcontributesrtortherdecreaserinrnearrvision,rwhichrgenerallyroccursraroundrtheragero
fr40.rThisrwouldrberdemonstratedrbyrtherpatient'srdifficultyrreadingrsmallrprint.
PagerRef:r337
CognitiverLevel:r Analyzing
ClientrNeed:r PhysiologicalrIntegrity
ClientrNeedrSub:rReductionrofrRiskrPotentialrNur
s/IntegrConc.:r NursingrProcess:rAssessment
LearningrOutcome:r 1.rExplainrnormalrchangesrassociatedrwithrtheragingrprocessronrtherfiversen
ses:rvision,rhearing,rtaste,rsmell,randrtouch.




1
Copyrightr©r2019rPearsonrEducation,rInc.

,2) Anrolderrpatientrhasrsensitivityrtorlight.rWhatrshouldrthernurserteachrtherpatientrtorhelprwithrthisr
problem?
1. Dimrtherlightsronrsunnyrdays.
2. Placerdarkrpatternedrrugsronrstairs.
3. Usersupplementaryrlampsrnearrwork.
4. Removerlampshadesrtorprovidermorerlight.r
Answer:r 3
Explanation:r 1.rDimmingrtherlightsronrsunnyrdaysrisrincorrectrbecausermorerlightrisrneededrtoreli
minaterdarkrandrshadowyrareas.
2. Placingrdarkrpatternedrrugsronrstairsrisrincorrectrbecausertherpatternsrmayroverwhelmrthereyesrand
robscurerstepsrandrledges.

3. Usingrsupplementaryrlampsrnearrworkrisrcorrectrbecausertherabilityrtoradaptrtorvaryingrdeg
reesrofrlightrdeclinesrwithragerandrthererisrarneedrforrincreasedrlight.
4. Removingrlampshadesrtorprovidermorerlightrisrincorrectrbecauserthisrmayrcauserglarerandrobl
iteraternormalrvisionrforrarperiodrofrtime.
PagerRef:r337
CognitiverLevel:r Applying
ClientrNeed:r PhysiologicalrIntegrity
ClientrNeedrSub:rReductionrofrRiskrPotentialrNurs/Int
egrConc.:r NursingrProcess:rImplementation
LearningrOutcome:r 3.rRecognizernursingrinterventionsrthatrcanrberimplementedrtorassistrtheragi
ngrpatientrwithrsensoryrchanges.

3) Arpatientrisrcomplainingrofrblurredrvisionrafterrbeginningrmedicationrtherapyrofrpropranololr(In
deral)randrtamoxifenr(Nolvadex).rWhatrisrthernurse'srbestrresponse(s)?rSelectrallrthatrapply.
1. "Bothrpropranololrandrtamoxifenrhaverthersidereffectrofrblurredrvisionrandrshouldrberrep
orted."
2. "Schedulingranreyerexaminationrwithranrophthalmologistrwouldrberargoodridea."
3. "Blurredrvisionrisrnotrknownrtorbercausedrbyrpropranololrnorrtamoxifen."
4. "Stoprtakingrbothrmedicationsrsincertherblurredrvisionrmayrresultrinrblindness."
5. "Dailyreyerdropsrwillrmakertherblurredrvisionrgoraway."rA
nswer:r 1
Explanation:r 1.rThersidereffectsrofrpropranololr(Inderal)rincluderblurredrvisionrandrdryreyes.
2. Thersidereffectsrofrbothrthesermedicationsrisrblurredrvision.rAnreyerexaminationrisrnotrindi
catedratrthisrtime.
3. Thersidereffectsrofrbothrofrthesermedicationsrisrblurredrvision.
4. Thersidereffectsrofrbothrthesermedicationsrisrblurredrvisionrandrnotrblindness.
5. Therblurredrvisionrwillrnotrgorawayrwithrdailyreyerdrops.rPa
gerRef:r339
CognitiverLevel:r Analyzing
ClientrNeed:r PhysiologicalrIntegrity
ClientrNeedrSub:r PharmacologicalrandrParenteralrTherapiesrN
urs/IntegrConc.:rrNursingrProcess:rAssessment
LearningrOutcome:r 4.rIdentifyrmedicationsrthatrmayrcauserorraggravatersensoryrdysfunction.




2
Copyrightr©r2019rPearsonrEducation,rInc.

, 4) Anrolderrpatientrwhorhasrbeenrdiagnosedrwithrhearingrlossrasksrthernurserwhatrcausedrthercon
dition.rWhatrisrthernurse'srbestrresponse?rSelectrallrthatrapply.
1. "Hearingrlossroccursrinrallrpatientsrasrtheyrgetrolder."
2. "Sometimesrhearingrlossrisrcausedrbyrnerverdamagerinrtherear."
3. "Ifrearwaxrisrimpacted,ritrmayrcauserconductiverhearingrloss."
4. "Middle-earrinfectionsrmayrberthercauserofrhearingrloss."
5. "Ifryourreardrumrhasrburst,ryourmayrdeveloprhearingrloss."rA
nswer:r 2,r3,r4,r5
Explanation:r 1.rAlthoughrhearingrlossrcanroccurrwithrage,ritrdoesrnotroccurrwithreveryonerwhorage
s.
2. Edemarinrtherinnerrearrmayrleadrtordamagertorthernerves,rcausingrhearingrloss.
3. Impactedrcerumenrisrinrtherexternalrearrandrcausesrconductiverhearingrloss.
4. Otitisrmediarinfectionrisrinrthermiddlerearrandrcausesrconductiverhearingrloss.
5. Tympanicrmembranerperforationrisrbetweenrtherexternalrandrmiddlerearrandrcausesrco
nductiverhearingrloss.
PagerRef:r348
CognitiverLevel:r Analyzing
ClientrNeed:r PhysiologicalrIntegrity
ClientrNeedrSub:rReductionrofrRiskrPotentialrNur
s/IntegrConc.:r NursingrProcess:rAssessment
LearningrOutcome:r 1.rExplainrnormalrchangesrassociatedrwithrtheragingrprocessronrtherfiversen
ses:rvision,rhearing,rtaste,rsmell,randrtouch.

5) Thernurserisrperformingranrotoscoperexaminationronranrolderrpatientrandrassessesrarbulgingrredr
membranerwithrabsentrdistortedrlightrreflex.rWhatrisrthernurse'srpriorityraction?
1. Documentrfindingsrasrnormal.
2. Preparerforrantibioticrtherapy.
3. Irrigaterearrcanal.
4. Applyrpressurerdressing.r
Answer:r 2
Explanation:r 1.rTheserfindingsrarernotrnormalrforranrotoscoperexamination.
2. Otitisrmediarisrcorrectrbecauserinfectedrfluidrinrthermiddlerearrcausesrtherbulgingrredrmembraner
andrtherabsentrdistortedrlightrreflexrisrcausedrbyrtherincreasingrmiddle-
earrpressure.rAntibioticrtherapyrisrexpectedrasrthertreatment.
3. Irrigationrofrthercanalrisrnotrindicatedrforrotitisrmedia.
4. Arpressurerdressingrisrnotrindicated.rP
agerRef:r348
CognitiverLevel:r Analyzing
ClientrNeed:r PhysiologicalrIntegrity
ClientrNeedrSub:rReductionrofrRiskrPotentialrNur
s/IntegrConc.:r NursingrProcess:rAssessment
LearningrOutcome:r 1.rExplainrnormalrchangesrassociatedrwithrtheragingrprocessronrtherfiversen
ses:rvision,rhearing,rtaste,rsmell,randrtouch.




3
Copyrightr©r2019rPearsonrEducation,rInc.

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