2160 Ch. 49 Sensory Alterations
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2160 Ch. 49 Sensory Alterations

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Questions and Answers

Which nursing actions ensure effective communication with an elderly patient with presbycusis? (Select all that apply)

  • Using complex medical jargon
  • Avoiding eating while communicating with the patient (correct)
  • Sitting at the same level while communicating with the patient (correct)
  • Speaking slowly and articulating sentences clearly (correct)
  • What indicates that additional teaching is needed for a patient with diminished tactile sensation?

    I have right-sided partial paralysis and reduced sensation, so I should dress the left side of my body first.

    What are the symptoms of dry eyes? (Select all that apply)

  • Burning (correct)
  • Reduced Vision (correct)
  • Blurred Vision
  • Itching (correct)
  • In which condition does alteration of tactile sensation occur due to pressure on the median nerve?

    <p>Carpal tunnel syndrome</p> Signup and view all the answers

    Which visual deficit is likely in a patient with blurred vision, loss of central vision, and distortion of vertical lines?

    <p>Macular degeneration</p> Signup and view all the answers

    What precautions should family members take to help a patient with visual impairment perform normal activities? (Select all that apply)

    <p>Remove clutter from the floor</p> Signup and view all the answers

    From which type of aphasia is a patient suffering if they have an inability to understand language or communicate orally?

    <p>Global aphasia</p> Signup and view all the answers

    What advice should a nurse provide a patient wearing corrective contact lenses to prevent eye infections? (Select all that apply)

    <p>Prevent contamination of the lens storage cases</p> Signup and view all the answers

    Which items might increase an elderly patient's risk of injury and should be changed? (Select all that apply)

    <p>Loose area rugs</p> Signup and view all the answers

    What is the anticipated diagnosis for a patient who can see objects at a distance but has difficulty seeing objects that are close?

    <p>Presbyopia</p> Signup and view all the answers

    Which assessment findings indicate that a patient with knee pain is having difficulty seeing? (Select all that apply)

    <p>Accidental falls</p> Signup and view all the answers

    What measures should a nurse take to make a patient experiencing sensory overload comfortable? (Select all that apply)

    <p>Control excessive stimuli</p> Signup and view all the answers

    What nursing interventions should be performed when a parent expresses that their 5-year-old child does not react to noxious odors? (Select all that apply)

    <p>Assess the ability of the child to identify several nonirritating odors</p> Signup and view all the answers

    What nursing interventions are helpful in preventing hearing impairment in the fetus during a routine checkup of pregnant women? (Select all that apply)

    <p>Testing for syphilis in the women</p> Signup and view all the answers

    Which medicine may cause irritation of the optic nerve?

    <p>Chloramphenicol</p> Signup and view all the answers

    What are the priority interventions for a nurse assessing a patient with eye trauma? (Select all that apply)

    <p>Assessing the extent of the eye injury before handling</p> Signup and view all the answers

    Study Notes

    Effective Communication in Elderly with Hearing Loss

    • Speak slowly and articulate clearly to aid understanding.
    • Avoid eating while communicating to ensure clear speech and attention.
    • Sit at the same eye level to foster engagement and improve communication.

    Understanding Diminished Tactile Sensation

    • A patient with right-sided paralysis should dress the unaffected side last to avoid injury, indicating a need for additional teaching.

    Symptoms of Dry Eyes

    • Itching sensation in the eyes.
    • Burning feeling, leading to discomfort.
    • Reduced vision can occur alongside these symptoms.

    Tactile Sensation Alteration

    • Carpal tunnel syndrome causes alteration in tactile sensation due to median nerve pressure.

    Visual Deficits Indicators

    • Blurred vision, loss of central vision, and vertical line distortion suggest macular degeneration.

    Safety Precautions for Visually Impaired Patients

    • Remove clutter from walking areas to minimize falls.
    • Ensure proper maintenance of flooring to prevent trip hazards.
    • Use low-pile carpeting to reduce obstacles.

    Types of Aphasia

    • Global aphasia results in an inability to understand language or communicate verbally.

    Preventing Eye Infections with Contact Lenses

    • Use proper disinfecting solutions for contact lenses.
    • Avoid swimming while wearing contact lenses.
    • Ensure lens storage cases are kept free from contamination.

    Home Hazards for Elderly with Sensory Alterations

    • Replace uneven or cracked walkways that may cause trips.
    • Remove loose rugs that can lead to falls.
    • Secure extension and phone cords away from main walking paths.

    Common Aging Vision Issues

    • Presbyopia is characterized by difficulty seeing close objects clearly.

    Indicators of Visual Impairment

    • Squinting can indicate difficulty in seeing.
    • Frequent accidental falls suggest vision problems.
    • Overreaching for objects indicates lack of depth perception.

    Managing Sensory Overload in ICU Patients

    • Provide constant reorientation to help patients feel secure.
    • Control excessive environmental stimuli to ease anxiety and restlessness.

    Assessing Sensory Response in Children

    • Evaluate a child's ability to identify nonirritating odors as a gauge of sensory response.
    • Inform parents that assessing children under 7 can be challenging.

    Preventing Fetal Hearing Impairment

    • Conduct syphilis testing during routine checkups for pregnant women.
    • Screen for rubella to prevent related complications.
    • Avoid the use of ototoxic medications during pregnancy.

    Medication Impact on Optical Health

    • Chloramphenicol has potential side effects that can irritate the optic nerve.

    Eye Trauma Assessment Priorities

    • Place essential items like the call light and water within reach to prevent falls and ensure care.

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    Description

    Test your knowledge on sensory alterations and effective communication strategies for elderly patients. This quiz covers essential nursing actions and health promotion tips, ensuring that both understanding and care are prioritized. Prepare to enhance your nursing practice with valuable insights.

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