RN Pedia Auditory & Visual Practice Questions

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Questions and Answers

According to Nurse Amelia, what is the medical term for a sterile chronic granulomatous inflammation of the meibomian gland?

Chalazion (correct)

Uveitis

Hordeolum

Keratoconjunctivitis

Among the following, which sign or symptom is Mr. Mitchell least likely to experience if he were to develop a retinal detachment, according to Nurse Bella?

Seeing flashes of light

Noticing floating spots before the eyes

Feeling pain in the eye (correct)

Experiencing progressive narrowing of vision in one area

According to Nurse Ethan, what typically causes the obstruction to the flow of aqueous humor in acute glaucoma?

Constriction of the pupil

Narrowing of the canal of Schlemm

Displacement of the iris (correct)

Thickening of the trabecular meshwork

According to Nurse Lucas, which of the following drugs should NOT typically be given to a patient with glaucoma?

Atropine SO4 Signup and view all the answers

According to Nurse Rebecca, which of the following is NOT a recommended nursing intervention following a cataract extraction?

Instructing the client to limit their fluid intake Signup and view all the answers

According to Nurse Hanna, which of the following is NOT a suggested nursing intervention after a scleral buckling procedure?

Positioning the client so that the area of detachment is dependent Signup and view all the answers

According to Nurse Leah, what is the term for the eye disorder characterized by a decrease in the effective powers of accommodation?

Presbyopia Signup and view all the answers

Based on Nurse Julia's advice, how should Mr. Thompson modify his diet in managing Meniere's disease?

By reducing his salt consumption Signup and view all the answers

According to Nurse Oliver, which of the following communication techniques is NOT appropriate when interacting with a client with hearing impairment?

Using a high-pitched voice during conversations Signup and view all the answers

According to Nurse Gabriella, what is the most distinctive symptom of Meniere's Disease?

The sensation of spinning, or vertigo Signup and view all the answers

According to Nurse Isabella, which of the following symptoms should cause Mr. Johnson to immediately notify his doctor?

Experiencing pain in the eye Signup and view all the answers

According to Nurse Vincent, which of the following is NOT a recommended nursing intervention following ear surgery?

Positioning the patient on the side of the operation Signup and view all the answers

Which of the following identifies the accurate procedure for testing visual acuity with a Snellen's chart?

The right eye is tested followed by the left eye, and then both eyes are tested. Signup and view all the answers

What results would you expect to note if a physician has documented a diagnosis of legal blindness?

20/200 vision Signup and view all the answers

If a client's vision is tested with a Snellen's chart and the results are documented as 20/60, this means that:

The client can read at a distance of 60 feet what a client with normal vision can read at 20 feet. Signup and view all the answers

What is considered normal intraocular pressure?

10-21 mmHg Signup and view all the answers

Which nursing diagnosis is more appropriate for a client scheduled for cataract surgery?

Disturbed sensory perception Signup and view all the answers

What clinical manifestation would the nurse expect to note in the early stages of cataract formation?

Blurred vision Signup and view all the answers

Which type of eye drops is the nurse to administer in preparation for cataract surgery?

A mydriatic medication Signup and view all the answers

During the early postoperative period, the initial nursing action for a client who had cataract extraction and reports nausea and eye pain should be to:

Call the physician Signup and view all the answers

Which statement by the client indicates understanding of home care instructions following cataract removal?

I will wear my eye shield at night and my glasses during the day. Signup and view all the answers

What is the most appropriate response to a client with glaucoma asking if complete vision will return?

Although some vision has been lost and cannot be restored, further loss may be prevented by adhering to the treatment plan. Signup and view all the answers

Which instruction would the nurse include in the teaching plan for a client with glaucoma?

Eye medications will need to be administered lifelong. Signup and view all the answers

What condition is associated with detached retina?

A sense of a curtain falling across the field of vision Signup and view all the answers

Which assessment sign may indicate bleeding due to retinal detachment?

Complaints of a burst of black spots or floaters. Signup and view all the answers

What is the immediate intervention for a client with a contusion of the eyeball?

Apply ice to the affected eye. Signup and view all the answers

What is the initial nursing action for a patient with a penetrating eye injury?

Perform visual acuity tests. Signup and view all the answers

What is the initial nursing action after a chemical eye injury from battery acid?

Irrigate the eye with sterile normal saline. Signup and view all the answers

What action should be taken if bright red blood drainage is noted on a dressing following enucleation?

Notify the physician. Signup and view all the answers

What does a visual acuity of 20/40 signify?

The client can see at 20 feet what a person with normal vision can see at 40 feet. Signup and view all the answers

Which of the following instruments is used to record intraocular pressure?

Tonometer Signup and view all the answers

What instruction should a nurse give after instilling atropine drops for an ophthalmic examination?

Wear dark glasses in bright light because the pupils are dilated. Signup and view all the answers

What must the nurse verify when preparing a client for eye surgery?

Verifying the client has been NPO since midnight, or at least 8 hours before surgery. Signup and view all the answers

What does aphakia refer to following cataract surgery?

Absence of the crystalline lens Signup and view all the answers

What statement about glaucoma should the nurse stress when educating the community?

Glaucoma can be painless and vision may be lost before the person is aware of a problem. Signup and view all the answers

Which medication would you expect to give a client experiencing acute narrow-angle glaucoma?

Acetazolamide (Diamox) Signup and view all the answers

What symptom would occur in a client with a detached retina?

Flashing lights and floaters Signup and view all the answers

What instruction should the nurse give to a male client after cataract surgery without a lens implant?

Allow him to walk upstairs only with assistance. Signup and view all the answers

What condition does not typically manifest as a painful red eye?

The progression of open angle glaucoma. Signup and view all the answers

Which drugs promote the outflow of aqueous humor in managing glaucoma?

The combination of pilocarpine and epinephrine. Signup and view all the answers

Which medication minimizes intraocular pressure by decreasing the production of aqueous humor?

Dorzolamide Signup and view all the answers

Which class of drugs is typically the first-line treatment for open-angle glaucoma?

Prostaglandins Signup and view all the answers

How should dorzolamide be categorized?

As a topically applied carbonic anhydrase inhibitor. Signup and view all the answers

Which statement about pilocarpine is correct?

Pilocarpine can be utilized in managing both open-angle and closed-angle glaucoma. Signup and view all the answers

Which drug has well-established neuroprotective properties for glaucoma management?

Brimonidine Signup and view all the answers

Which class of drugs enhances the uveoscleral outflow of aqueous humor?

Prostaglandins Signup and view all the answers

What is the fundamental feature of glaucoma?

Increased intraocular pressure. Signup and view all the answers

Which combination of medications should be avoided as an adjunctive treatment?

Pilocarpine and betaxolol. Signup and view all the answers

What condition is described as the opacity of the crystalline lens?

Cataracts Signup and view all the answers

What type of lens is used to correct hyperopia?

Convex lens Signup and view all the answers

What type of lens is primarily used to correct hyperopia (farsightedness)?

Convex lens Signup and view all the answers

A sterile chronic granulomatous inflammation of the meibomian gland is:

Chalazion Signup and view all the answers

What statement by the client recovering from cataract surgery indicates a need for additional teaching?

I'll just do some laundry this afternoon instead of going to work. Signup and view all the answers

Pterygium is caused primarily by:

Exposure to dust Signup and view all the answers

Which of the following statements is true regarding the visual changes associated with cataracts?

The loss of vision is experienced as a painless, gradual blurring. Signup and view all the answers

A client who had cataract surgery should call their MD if they experience which situation?

Eye Pain Signup and view all the answers

Which discharge instruction should be included for a client after cataract surgery?

Avoid straining during bowel movements or bending at the waist. Signup and view all the answers

What is the primary reason for performing iridectomy after cataract extraction?

To prevent secondary glaucoma Signup and view all the answers

What is the primary problem associated with cataract?

Blurring of vision Signup and view all the answers

After cataract surgery, when should a patient ideally refrain from vigorous activities?

For at least 2 weeks Signup and view all the answers

What type of medication is typically used to facilitate cataract removal?

Mydriatics Signup and view all the answers

Which of the following is considered a primary educative role of the nurse?

Educator Signup and view all the answers

Which instruction should be included in discharge teaching for the client with cataract surgery?

The eye shield should be worn at night. Signup and view all the answers

Which of the following nursing interventions is appropriate after cataract extraction?

Instruct the client to limit fluid intake. Signup and view all the answers

Which of the following terms refers to the decrease in lens flexibility that occurs with age?

Presbyopia Signup and view all the answers

Which of the following is NOT an appropriate nursing intervention for a blind person?

When assisting the client during ambulation, the nurse stays beside the client. Signup and view all the answers

Which of the following tests assesses visual acuity?

Snellen's Test Signup and view all the answers

What should a nurse do to assess hearing using a voice test?

Whisper a statement and ask the client to repeat it. Signup and view all the answers

What does a sound lateralizing to the client's left ear with the Weber test indicate?

A sensorineural or conductive loss Signup and view all the answers

What approach will facilitate communication with a hearing-impaired client?

Speak in a normal tone Signup and view all the answers

Which instruction is most appropriate for a patient after a fenestration procedure for otosclerosis?

I will take stool softeners as prescribed by my doctor. Signup and view all the answers

What intervention would the nurse anticipate to be prescribed initially for a client with a foreign body in the ear?

Instillation of diluted alcohol Signup and view all the answers

What condition does presbycusis refer to?

A sensorineural hearing loss that occurs with aging Signup and view all the answers

What instruction would help manage severe vertigo for a client with Meniere's disease?

Avoid sudden head movements Signup and view all the answers

What diet will most likely be prescribed for a client with Meniere's disease?

Low-sodium diet Signup and view all the answers

What is the most common complaint associated with disorders of the inner ear?

Tinnitus Signup and view all the answers

In which circumstance would a nurse question an order to irrigate the ear canal?

Perforated tympanic membrane Signup and view all the answers

What is essential when instilling Cortisporin suspension in the ear?

Verifying the proper client and route Signup and view all the answers

Which instruction about vertigo should a nurse give a client with Meniere's disease?

Get up slowly, turning the entire body Signup and view all the answers

What part of the ear contains the receptors for hearing?

Cochlea Signup and view all the answers

Where are the ear bones that transmit vibrations located?

Middle ear Signup and view all the answers

Which nerve may be damaged, leading to nerve deafness?

Cochlear nerve Signup and view all the answers

What is a potential outcome of a labyrinthectomy performed to treat Meniere's syndrome?

Permanent irreversible deafness Signup and view all the answers

What statement is true regarding otosclerosis-related hearing loss?

Hearing aids usually restore some hearing Signup and view all the answers

What does tinnitus refer to?

Subjective symptom Signup and view all the answers

What is the primary function of the middle ear containing the ossicles?

Amplify the energy of sound waves entering the ear Signup and view all the answers

What is the primary reason for performing an iridectomy after cataract extraction according to Nurse Jacob?

To avoid the potential occurrence of secondary glaucoma. Signup and view all the answers

What environmental exposure primarily leads to the development of pterygium?

Frequent exposure to intense sunlight. Signup and view all the answers

What is the primary difficulty experienced by those diagnosed with cataracts according to Nurse Jackson?

The blurring of their vision. Signup and view all the answers

What is the surgical procedure involving the complete removal of the eyeball called?

Enucleation Signup and view all the answers

What statement accurately describes glaucoma according to Nurse Owen?

Glaucoma is characterized by irreversible blindness. Signup and view all the answers

How is otosclerosis typically characterized according to Nurse Harper?

By a transformation of normal bones into spongy and highly vascularized bones, leading to the fixation of the stapes. Signup and view all the answers

Study Notes

Visual Acuity Testing

The Snellen's chart test procedure involves testing the right eye, then the left eye, followed by both eyes together.
A diagnosis of legal blindness occurs at a level of 20/200 vision.
Vision documented as 20/60 indicates the client can read at 20 feet what a person with normal vision can read at 60 feet.

Glaucoma and Tonometry

Normal intraocular pressure ranges from 10-21 mmHg.
Eye medications for glaucoma typically need to be administered for life.
Acetazolamide (Diamox) is used for acute narrow-angle glaucoma, reducing aqueous humor production.

Symptoms and Conditions

Early cataract formation is primarily indicated by blurred vision.
A sense of a curtain falling across the field of vision is associated with retinal detachment.
Symptoms of a detached retina may include flashing lights and floaters.

Postoperative Care

Following cataract extraction, the initial nursing action for nausea and severe eye pain is to notify the physician.
Discharge instructions post-cataract surgery should include wearing eye shields at night and glasses during the day.

Glaucoma Education

Glaucoma can be painless and vision loss may be unnoticed until significant damage occurs.
Medications such as pilocarpine can be used for both open-angle and closed-angle glaucoma.

Managing Eye Injuries

In cases of a penetrating eye injury, the initial action is to perform visual acuity tests.
For a chemical eye injury, irrigation with sterile normal saline is the first step.

Cataract Surgery Insights

Aphakia refers to the absence of the crystalline lens after cataract surgery.
Teaching emphasizes that cataracts lead to painless, gradual vision blurring. Sudden vision loss typically indicates other issues.

Risk Factors and Visual Changes

Risk factors for glaucoma include family history, cardiovascular diseases, and hypothyroidism.
Notable visual changes in cataracts manifest as gradual blurring without pain.

Medication Classes and Effects

Prostaglandins are recognized for enhancing uveoscleral outflow and are the first-line treatment for open-angle glaucoma.
Topically applied carbonic anhydrase inhibitors, such as dorzolamide, help decrease the production of aqueous humor.

Key Patient Instruction

Clients recovering from cataract surgery should avoid strenuous activities to prevent complications.
Patients should be advised to report any significant pain post-surgery as it may indicate complications.### Cataract Surgery and Postoperative Care
Iridectomy Purpose: Primary reason for an iridectomy after cataract extraction is to prevent secondary glaucoma.
Visual Changes: Patients with cataracts typically experience painless, gradual blurring of vision; symptoms are not sudden or painful.
Cataract Symptoms: Blurring of vision is the main problem associated with cataracts; peripheral vision loss and presence of floaters are not primary complaints.
Postoperative Activity: Effective teaching confirms the patient should ask for help (e.g., picking up items) to avoid straining.
Post-Surgery Instructions: The nurse should advise patients to refrain from vigorous tooth and hair brushing, and to avoid driving for two weeks post-surgery.
Surgical Procedure: Mydriatics are used to facilitate cataract removal during surgery.
Patient Education: Nurses play an educator role when teaching patients about medication and post-op care, including the need for an eye shield at night.

Visual and Hearing Assessment Techniques

Visual Acuity Test: The Snellen test is utilized to assess visual acuity.
Hearing Assessment: The proper way to perform a voice test is to stand at a distance and whisper to ensure accuracy in hearing.
Weber Test Interpretation: Lateralization to one ear during the Weber test may indicate a sensorineural or conductive hearing loss in the opposite ear.
Communication with Hearing Impaired: Encouraging normal tone when speaking is most effective for facilitating communication with hearing-impaired individuals.

General Health Interventions

Managing Meniere's Disease: Patients should avoid sudden head movements to mitigate severe vertigo associated with this condition. A low-sodium diet is commonly recommended.
Nursing Care for Blind Patients: Encouraging autonomy and orienting patients to their environment are important nursing interventions. It is important not to stay beside them when assisting in ambulation.
Otosclerosis: Characterized by the transformation of normal bones into spongy bones, leading to stapes fixation and hearing loss.

Post-Surgical and Audiology Considerations

Cataract Extraction Care: Clients should avoid bending, stooping, or lifting post-operation; limiting fluid intake is not advised.
Interventions for Hearing Loss: Techniques like verifying client identity prior to medication administration and warming ear drops can prevent complications.
Medication Management: Atropine sulfate should be avoided in patients with glaucoma due to its potential to worsen the condition.

Additional Conditions and Symptoms

Common Ear Disorders: Tinnitus is a frequent complaint associated with inner ear issues; hearing loss is a primary symptom of several ear disorders.
Retinal Detachment Signs: Common symptoms include seeing flashes of light and floaters, but pain in the eye is not typical.
Chalazion: A sterile chronic granulomatous inflammation of the meibomian gland is referred to as a chalazion.

This concise summary encapsulates key points from the study cards regarding cataract procedures, visual and auditory assessments, nursing interventions, and specific eye and ear conditions.### Eye Disorder and Accommodation

Presbyopia is the eye disorder that results in decreased accommodation powers, affecting the ability to focus on close objects.

Meniere's Disease Management

Dietary modifications are essential in managing Meniere's disease, particularly reducing salt intake to help control symptoms and frequency of episodes.

Communication Techniques for Hearing Impairment

Effective communication with hearing-impaired patients should include clear verbal communication combined with hand gestures.
Using a high-pitched voice is inappropriate and can hinder communication.

Key Symptoms of Meniere's Disease

The most distinctive symptom of Meniere's disease is vertigo, characterized by episodes of sensation of spinning.

Post-Cataract Surgery Symptoms

After cataract removal, immediate medical attention is warranted if a patient experiences pain in the eye, indicating potential complications.

Ear Surgery Recovery Recommendations

It is not recommended to position the patient on the side of the operation post-ear surgery, as it could hinder recovery.

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Description

This quiz focuses on auditory and visual acuity testing methods commonly encountered in nursing practice. It includes questions on procedures for testing visual acuity, such as using a Snellen's chart, specifically designed for RN Pedia students. Enhance your understanding and prepare for clinical situations with these flashcards.