NCLEX-PN 6th Edition Ear Eye

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NCLEX-PN 6th Edition Ear & Eye 1.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 2.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 3.Which intervention should be implemented for the older client with

pres- bycusis who has a hearing loss?: Use low-pitched tones

4.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 5.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 6.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 7.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 8.A client arrives in the emergency department after an automobile crash.The client's forehead hit the steering wheel, and a hyphema has been diag- nosed. Which position should the nurse prepare to position the

client?: On bed rest in a semi-Fowler's position

9.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 1 / 4

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the affected eye 10.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 2 / 4

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11.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).

12.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 13.The nurse is caring for a client who is hearing-impaired and should

take which approach to facilitate communication?: Speak in a normal

tone 14.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 15.The nurse notes that the health care provider has documented a diag- nosis 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 16.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.

17.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

18.A client is diagnosed with glaucoma. Which data gathered by the

nurse indicate a risk factor associated with glaucoma?: Cardiovascular

disease 19.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 20.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.

21.In preparation for cataract surgery, the nurse is to administer cyclopento- late (Cyclogyl) eyedrops. The nurse administers the eyedrops knowing that the purpose of this medication is which?: Dilate the pupil of 3 / 4

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the operative eye.

22.The nurse is providing instructions to a client who will be self- administer- ing eyedrops. To minimize the systemic effects that eyedrops can produce,

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