NCLEX-PN 6th Edition Ear Eye

NCLEX-PN 6th Edition Ear & Eye

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? answer - 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? answer - Stand in front of the client

Which intervention should be implemented for the older client with presbycusis who has a hearing loss? answer - 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. answer - 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? answer - 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? answer - 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?answer - 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? answer - 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? 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

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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 is preparing to administer eardrops to an adult client. The nurse 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 that 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 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? answer - 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? answer - 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? answer - Low-sodium diet

A client is diagnosed with glaucoma. Which data gathered by the nurse indicate a risk factor associated with glaucoma? answer - 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? answer - 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? answer - 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? answer - 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? answer - Occlude the nasolacrimal duct with a finger over the inner canthus for 30 to 60 seconds after instilling the drops.

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The client is receiving an eyedrop and an eye ointment to the right eye. Which action should the nurse take? answer - 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? answer - 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 answer - 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? answer - 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? answer - 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?answer - 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? answer - 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? answer - 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? answer - 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? answer - Ringing in the ears

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