MS2 SENSORY- NCLEX QUESTIONS
AND ANSWERS WITH VERIFIED
SOLUTIONS | UPDATED 2025
the nurse us preparing to reinforce a teaching plan for a client who is under going cataract extraction with intraocular implants. what home measures should the nurse include in the plan - ANSWER✔✔-to avoid activates that require bending over -to take acetaminophen for minor eye discomfort -to place an eye shield on the surgical eye at bed time -to contact the surgeon if a decrease in visual acuity occurs
the nurse us assisting with developing a teaching plan for the client with glaucoma.which instruction she the nurse suggest to include in the plan of care - ANSWER✔✔eye medications may need to be administered for the rest if 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 clients records - ANSWER✔✔a sense of a curtain falling across the field of vision
the nurse is assigned to for a client with a detached retina. which finding would indicate that bleeding has occurred as a result of retinal detachment - ANSWER✔✔-vision may be cloudy -complaints of a bust of black spots or floaters
a client arrives in the emergency department after an automobile crash. the clients forehead hit the steering wheel and a hyphema has been diagnosed. which position should the nurse prepare to position the client - ANSWER✔✔on bed rest in a semi-Fowler's position
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a client sustains a contusion of the eyeball after a traumatic injury with a blunt object. the nurse should take which IMMEDIATE action - ANSWER✔✔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 - ANSWER✔✔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 - ANSWER✔✔report the finding to the registered nurse (RN)
the nurse us preparing to administer eardrops to an adult client. the administers the eardrops by which technique - ANSWER✔✔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 - ANSWER✔✔speak in a normal tone
a client arrives at the emergency department with a foreign body in the left ear the has been determined to be an insect. which INITIAL intervention should the nurse anticipate to be prescribed - ANSWER✔✔instillation of mineral oil or diluted alcohol
the nurse notes that the primary care provide has documented a diagnosis of presbycusis on the clients chart. which explanation should the nurse give to the client to explain this condition - ANSWER✔✔a sensorineural hearing loss that occurs with aging
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