NCLEX-PN 6th Edition Ear & Eye Questions And Answers 2022
The nurse is reinforcing home-care instructions to a client and family regarding care after
... [Show More] cataract removal from the right eye. Which statement made by the client indicates an understanding of the instructions?ANS 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?ANS Stand in front of the client
Which intervention should be implemented for the older client with presbycusis who has a hearing loss?ANS 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.ANS 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?ANS 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?ANS 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?ANS 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?ANS 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?ANS 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?ANS 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?ANS 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?ANS 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?ANS 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?ANS 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?ANS A sensorineural hearing loss that occurs with aging [Show Less]