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What is the correct term for a patient with farsightedness?
Hyperopia
Which is the best evidence that the antibiotic being administering for the treatment of acute otitis media is having a therapeutic effect?
Ear discomfort is relieved
What should the nurse remind the hearing aid wearer to do when the nurse hears a whistling hearing aid?
Reinsert the ear mold
Individuals with which type of hearing loss get the most benefit from the use of hearing aids?
Conductive
What is the term used for ear wax?
Cerumen
What is the clinical term that describes a sensation that the room is spinning?
Vertigo
One of the housekeepers splashes a chemical in their eyes. What should be the first priority?
Irrigate with normal saline solution for 20 minutes.
What is the best advice to relieve discomfort in a client with a stye (hordeolum)?
Apply warm, moist compresses to the area.
What instructions should the nurse provide to the unlicensed assistive personnel when he/she is caring for a patient taking meclizine:
Keep the head of the bed elevated at least 30 degrees
Which intervention is best to help the patient with tinnitus during the night?
Have the patient lie very still
Play soft background music
Keep the room dark and quiet
Turn on the television
Play soft background music
What is the first indication of macular degeneration?
The loss of central vision
When a foreign body becomes embedded in a person’s eye, what is the first action to take before referring the person for medical treatment?
Loosely cover both eyes
What is the process when the lens of the eye changes its curvature to focus on the retina?
Accommodation
Constriction
Refraction
Convergence
Accommodation
A toddler received a prescription for antibiotics to treat acute otitis media however after medicating with the antibiotics and acetaminophen, the toddler is still crying in pain. What intervention should the nurse implement first?
Place a warm compress over the affected ear
What is a subjective noise sensation heard in one or both ears that is usually described as a ringing or tinkling sound?
Tinnitus
A patient tells the nurse that he is legally blind. How would this information impact the nurse’s plan of care for this patient?
The nurse would need to determine how this patient’s visual impairment affects normal functioning
When the patient in the emergency room complains of seeing flashing lights and a curtain down over his right eye, the nurse recognizes this as a symptom of what condition?
Detached retina
A patient who had an enucleation of the right eye has been admitted PACU. What should the nurse include in the plan of care?
Apply a pressure dressing over the right eye socket.
The nurse overhears a nursing student giving advice to a patient to “get a hearing aid.” What is the best response that the nurse could give to the student and the patient?
“Let’s focus on nursing interventions that we can use today; for example face each other and speak clearly.”
“The care, maintenance, and usage of a hearing aid can be complex, so we should first talk about those issues.”
“This is a good suggestion. We will make you an appointment with your health care provider.”
“The type of hearing loss must first be determined because the device won’t work for all types of hearing loss.”
“The type of hearing loss must first be determined because the device won’t work for all types of hearing loss.”
Which instructions will help a patient with Meniere’s disease manage the vertigo?
Avoid sudden movements
What does diabetic retinopathy result from?
Capillaries in retina hemorrhage
A parent asks what is the reason that children are more prone to experiencing middle ear infections?
The eustachian tube is shorter and straighter in a child than in an adult
A pediatric patient is being discharged from the out-patient surgery center after a myringotomy with PE tubes. What discharge instruction is important to give the parent?
Do not allow water to enter the ear with the PE tubes
When instilling prescribed medication into the ear of an adult, which is the correct technique for the nurse to use to straighten the ear canal?
Pull the ear upward and backward
What should the nurse instruct the client about the diet for Meniere’s Disease?
The client should avoid sodium in the diet
What will a person with a defect in the curvature of the eye develop?
Astigmatism
Which medication would the client with acute-angle glaucoma be prescribed?
Miotics
What should the nurse include in the plan of care following a tympanoplasty?
Elevating head of bed with operative side facing upward
How should the normal tympanic membrane appear when visualized through an otoscope?
Pearl pale pink
The nurse is most accurate in stating that the cause of Meniere’s disease is unknown, but that the symptoms are related to which of the following?
Electrolyte imbalance
Excess of fluid
Vitamin deficiency
Genetic defect
Excess of fluid
What is a cataract?
A condition in which there is a crystalline opacity or clouding of the lens.
What is blepharitis?
An inflammation of the lid margins.
What is the most important health teaching the nurse can provide to the client with conjunctivitis?
Do not share towels and washcloths.
When caring for a deaf client, which is the most effective means of communication?
Speak slowly and distinctly, face to face and in a normal tone to the client
Which instruction should be included when teaching a patient with labyrinthitis who is experiencing vertigo?
Lie immobile and hold the head in one position until the vertigo lessens
It is essential that the nurse withhold medication administration and notifies the physician if which drug is ordered for a client with glaucoma?
Atropine sulfate
Which term describes the inability of the eyes to focus in the same direction?
Strabismus
What are the structures in the ear that are responsible for the sense of balance and equilibrium?
Semicircular canals
What part of the ear are where the nerve receptors for hearing located?
Organ of Corti
The nurse counsels the 16-year-old boy that playing his music at high volume can result in impairment in hearing related to:
Damage of the fine hair cells in the organ of Corti
What happens in the client with myopia?
The light rays will focus in front of the retina.
What is the correct way to document a client’s nearsighted condition?
Myopia
If the client provides the following information during an admission assessment, what factor is most likely the cause of his retinal detachment?
The client had a sudden blow to the head
What is the most common correct statement regarding conductive hearing loss?
It is a result of sound waves that do not travel to the inner ear
The structures in the inner ear malfunction resulting in the hearing loss
The eighth cranial nerve is permanently damaged resulting in the hearing loss
Electric conversion of sound is not produced so the person does not hear
It is a result of sound waves that do not travel to the inner ear
If a patient has a disturbance in proprioception, which function will the patient have difficulty performing?
Walking up the stairs
The client’s vision, as tested on the Snellen chart, is documented as BCVA of 20/200. What does this indicate?
A loss of visual acuity.
What is the removal of the full thickness of the cornea followed by a surgical implantation of a cornea from a human donor?
Keratoplasty
When the nurse prepares the client for a myringotomy, what is the best explanation to provide about the procedure?
The procedure should relieve pressure and release purulent exudate
After a stapedectomy, how should the client be instructed to sleep?
Flat with operative side facing up to maintain position of prosthesis and graft
The day after a stapedectomy, the client is discouraged because her hearing is more impaired than it was preoperatively. Which explanation is most accurate regarding the client’s hearing loss?
The hearing loss is temporary until edema and packing in the operative area are gone
What do miotic eye drops do for a patient with glaucoma?
Constrict the pupil and open the canal of Schlemm.
Which sign is most indicative of cataracts?
An opacity at the center of the lens
What is the structure of the ear that permits equalization of air pressure on both sides of the tympanic membrane?
Eustachian tube
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As a result of the chronic progression of the disease, which symptom is the client with untreated glaucoma most likely to report to the nurse
Reduced peripheral vision