1) A client admitted with glaucoma is being treated with miotic (pilocarpine) eye drops. Following administration of the medication, the nurse will note: a) Dilation of the pupils b) Diminished redness of the sclera c) Decreased edema of cornea d) Constriction of the pupils 2) The nurse is developing a teaching plan for the client with glaucoma. Which of the following instructions would the nurse include in the plan of care? a) Avoid overuse of the eyes b) Decrease the amount of salt in the diet c) Eye medications will need to be administered for the client's entire life maintain vision or slow down progression. d) Decrease fluid intake to control the intraocular pressure 3) The nurse notes that the physician has documented a diagnosis of presbycusis on the client's chart. The nurse plans care knowing that the condition is: a) Tinnitus that occurs with aging b) Nystagmus that occurs with aging c) A conductive hearing loss that occurs with aging d) A sensorineural hearing loss that occurs with aging. 4) The nurse is caring for a hearing impaired client. Which of the following approaches will facilitate communication? a) Speak at a normal volume b) Speak loudly c) Speak frequently d) Speak directly into the impaired ear 5) Normal intraocular pressure is a) 2 to 7 mmHg b) 10 to 21 mmHg c) 22 to 30 mmHg d) 31 to 35 mmHg 6) What clinical manifestation would the nurse expect to note in a patient with an early cataract formation? a) Diplopia b) Eye pain c) Floating spots d) Blurred or decreased vision 7) Sensorineural hearing loss results from which of the following conditions? a) Presence of fluid and cerumen in the external canal b) Sclerosis of the bones of the middle ear c) Damage to the cochlear or vestibulocochlear nerve d) Emotional disturbance resulting in a functional hearing loss 8) The client with a hearing aid does not seem to be able to hear the nurse. The nurse should do which of the following first? a) Check the hearing aid's placement b) Irrigate the ear canal c) Cleanse the hearing aid ear mold in normal saline d) Contact the client's audiologist 9) To decrease intraocular pressure following cataract surgery, the nurse should instruct the client to avoid: a) Lying supine b) Coughing c) Deep breathing d) Ambulation 10) To approach a deaf client, the nurse should do which of the following first? a) Knock on the room's door loudly b) Close and open the vertical blind rapidly c) Talk while walking into the room d) Get the client's attention 11) Which is NOT a medication for a client with open-angle glaucoma? a) Pravastatin Gtts b) Pilocarpine Gtts c) Timolol Gtts d) Latanoprost Gtts 12) Which desired effect of therapy should the nurse explain to the client who has primary angle-closure glaucoma? a) Dilating the pupil b) Controlling intraocular pressure c) Resting the eye muscles d) Preventing secondary infection 13) Which clinical indicator is the nurse most likely to identify when exploring the history of a client with open-angle glaucoma? a) Constant blurring and eye watering b) Abrupt attacks of acute pain c) Impairment of peripheral vision d) Sudden, complete loss of vision 14) A 75-year-old client has been taking furosemide regularly for the past 4 months tells the nurse he is having trouble hearing. What would be the best response by the nurse? a) Tell the client that this is normal due to his age. b) Have the client immediately report the hearing loss to the doctor. c) Schedule the client for audiometric testing and a hearing aid in 6 months d) Tell the client the hearing loss is temporary and will go away when his body adjusts to the medication. 15) In order to communicate with a client with sensorineural hearing loss due to presbycusis, the nurse should do which of the following? a) Approach the client from behind b) Use the mouth to exaggerate word pronunciation c) Start talking as soon as you walk into the room d) Turn down background noise from radio or TV before speaking 16) A 68 year old female says she has noticed a decline in her ability to hear. The nurse documents this information on the chart, suspecting the client most likely has what? a) Presbycusis b) Otitis externa c) Otalgia d) Meniere's disease

Week 8 Vision/Hearing

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