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Eyes and Ears > Eyes and Ears > Flashcards

Eyes and Ears Flashcards

1
Q 
The patient is to have a laser treatment to cauterize hemorrhaging vessels caused by diabetic retinopathy.  The name of the procedure is:
A.  Enucleation
B.  Scleral buckle
C.  Photocoagualtion
D.  Trabeculoplasty
A

C. Photocoagualtion

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2
Q

The parents of an 11 year old patient want to know more about their child’s conductive hearing loss. The nurse would explain that:
A. sound is delivered through the external and middle ear, but a defect in the inner ear results in distortion of sound
B. sound is inadequately delivered through the external or middle ear to the inner ear
C. there is nonorganic cause, but a functional problem exists
D. the brain’s auditory pathways are damaged

A

B. sound is inadequately delivered through the external or middle ear to the inner ear

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3
Q

The patient has impaired hearing. To facilitate communication, the nurse would:
A. face the patient when speaking
B. overaccentuate words to make the communication more effective
C. shout to allow the patient to hear
D. use one-word answers when speaking

A

A. face the patient when speaking

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4
Q 
The patient tells the nurse he has dizziness,  He states that the doctor used another term.  The medical term is:
A.  tinnitus
B.  labyrinthitis
C.  sensorineural
D.  vertigo
A

D. vertigo

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5
Q 
The patient is diagnosed with an inner ear problem.  The major symptom would be:
A.  echoing
B.  intense pain
C.  vertigo
D.  loss of hearing
A

C. vertigo

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6
Q 
Evaluation of the eye as it adjusts to seeing objects at various distances is called:
A.  PERRLA
B.  refraction
C.  focusing
D.  accomodation
A

D. accomodation

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7
Q 
The patient has tunnel vision,  eye pain, difficulty in adjusting to darkness, halos seen around lights, and failure to detect colors.  These indicate:
A.  primary open-angle glaucoma
B.  cataracts
C.  entropion
D.  detached retina
A

A. primary open-angle glaucoma

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8
Q 
Which of the following would be a safety hazard in the home of a patient who is visually impaired?
A.  Area rug
B.  Room carpeting
C.  Tile floor
D.  Concrete flooring
A

A. Area rug

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9
Q

An older adult falls at home, resulting in a blunt injury of an eyeball. The eye is tearing excessively, and the patient complains of a severe stabbing pain as if “something is in my eye!” First aid measures would include:
A. applying a cool compress three times a day (tid)
B. lightly covering the eye with a sterile gauze pad
C. removing any particles that may be embedded in the eye
D. irrigating the eye with tap water

A

B. lightly covering the eye with a sterile gauze pad

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10
Q

The patient has just had cataract surgery. Important discharge instructions would include: (select all that apply)
A. wearing an eyeshield at night on the operative eye
B. avoiding bending, stooping, coughing, or lifting
C. instilling prescribed eyedrops into the conjunctival sac
D. administering an analgesic every 4 hours on a regular basis.

A

A. wearing an eyeshield at night on the operative eye
B. avoiding bending, stooping, coughing, or lifting
C. instilling prescribed eyedrops into the conjunctival sac

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11
Q

Which assessment finding would indicate a need for possible glaucoma testing?
A. Presence of “floaters”
B. Colored halos around lights
C. Intermittent loss of vision
D, Pruritus and erythema of the conjunctiva

A

B. Colored halos around lights

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12
Q

While communicating with a patient, you notice a possible hearing deficit in one ear. Which nursing intervention would be appropriate?
A. Shout in the affected ear
B. Speak clearly and in a slightly louder voice toward the patient’s face
C. Plug the affected ear and shout in the unaffected ear
D. Speak more softly than usual in the affected ear.

A

B. Speak clearly and in a slightly louder voice toward the patient’s face

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13
Q 
What is the most likely cause of hearing loss in the older adult?
A.  Cerumen buildup
B.  Ossification of the pinna
C.  Low batteries in the hearing aid
D.  Fluid in the ear
A

A. Cerumen buildup

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14
Q

Patients with permanent visual impairment:
A. feel most comfortable with other visually impaired people.
B. may experience the same grieving process that is associated with other losses
C. may feel threatened when others make eye contact during a conversation
D. usually need others to speak loudly so they can communicate appropriately

A

B. may experience the same grieving process that is associated with other losses

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15
Q

A 32 year old construction worker suffered a penetrating wound to the eye. The best intervention for anyone at the scene to take is to:
A. gently remove the object
B. wipe away the blood and tears
C. cover the object with a paper cup and tape
D. do nothing; rush to the hospital

A

C. cover the object with a paper cup and tape

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16
Q 
A 71 year old patient complains of being severely dizzy.  The nurse should encourage the patient to:
A.  avoid sudden movements
B.  avoid noises
C.  increase fluid intake
D.  lie on affected side
A

A. avoid sudden movements

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17
Q

The patient has been blind for the past 10 years. He is hospitalized with heart failure. In the care of a long-term blind individual, it is important to:
A. keep all items at a distance so he won’t bump into them
B. schedule a consultation with an occupational therapist to teach activities of daily living
C. announce when you enter and leave the room
D. initiate a referral to the Department of Health and Human Services

A

C. announce when you enter and leave the room

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18
Q 
The patient has a family history of cataracts.  He asks what symptom would be present if he begins to develop them.  The nurse might respond that the first symptoms of a cataract are usually:
A.  pain in the eyes
B.  blurred vision
C.  loss of peripheral vision
D.  dry eyes
A

B. blurred vision

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19
Q

The patient has had cataract surgery. Discharge teaching would include:
A. lifting light objects is acceptable
B. wearing eyepatches for the first 72 hours
C. bending at the knees and keeping the head straight
D. Bending at the waist is acceptable if done slowly

A

C. bending at the knees and keeping the head straight

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20
Q

The patient is scheduled for a stapedectomy. Appropriate postoperative teaching should include:
A. changing cotton from external ear canal hourly
B. gently blowing both nares simultaneously
C. teaching patient to open mouth when sneezing or coughing
D. limiting activities

A

C. teaching patient to open mouth when sneezing or coughing

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21
Q

A 15 year old hearing-impaired patient is having problems communicating with the staff. Which behavior would improve communication? (select all that apply)
A. Overaccentuating words
B. Facing the patient when speaking
C. Speaking in conversational tones
D. Asking permission to turn off television or radio

A

B. Facing the patient when speaking
C. Speaking in conversational tones
D. Asking permission to turn off television or radio

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22
Q 
A 76 year old patient is partially blind.  His physician has diagnosed primary open-angle glaucoma.  The goal of treatment in glaucoma is to:
A.  decrease aqueous humor
B.  increase aqueous humor
C.  decrease discomfort
D.  restore vision
A

A. decrease aqueous humor

23
Q 
The priority nursing responsibility while caring for a patient with vertigo is:
A.  safety
B.  comfort
C.  hygiene
D.  quiet
A

A. safety

24
Q

While cleaning the garage the patient splashed a chemical in his eyes. The initial priority following the chemical burn is to:
A. transport to a physician immediately
B. cover the eyes with a sterile gauze
C. irrigate with water for 15 minutes or longer
D. irrigate with normal saline for 1 to 5 minutes

A

C. irrigate with water for 15 minutes or longer

25
Q

The patient visits the physician for a routine physical examination that involves testing distance vision. As she faces the Snellen’s chart, the nurse instructs the patient to:
A. use both eyes to read the chart
B. read the chart from left to right
C. cover one eye while testing the other
D. use either eye because they will be the same

A

C. cover one eye while testing the other

26
Q

A 49 year old patient recently was blinded as a result of an automobile accident. This is her initial ambulation to the bathroom. What precautions should the nurse take when ambulating the patient?
A. Precede the patient with patient’s hand on the nurse’s elbow
B. Follow the patient with the patient’s hand on the nurse’s elbow
C. Walk in front of the patient, telling of any obstacles
D. Walk behind the patient with the nurse’s hand on the patient’s shoulder

A

A. Precede the patient with patient’s hand on the nurse’s elbow

27
Q 
The patient comes into the clinic complaining of progressive loss of vision in the center of his visual field.  His physician would probably diagnose this condition as:
A.  macular degeneration
B.  primary open-angle glaucoma
C.  color blindness
D.  retinal degeneration
A

A. macular degeneration

28
Q

After cataract surgery the patient complains of sudden sharp pain in the operative eye. The nurse should immediately:
A. remove the metal eyeshield to relieve pressure
B. call the physician
C. administer an analgesic
D. document complaint of pain on chart

A

B. call the physician

29
Q 
A surgical procedure for the treatment of retinal detachment is:
A.  punctal sac repair
B.  radial keratotomy
C.  vitrectomy
D.  sclera buckling
A

D. sclera buckling

30
Q

The _______ _______ is a surgically implanted hearing device for the profoundly deaf person whose sensorineural hearing loss is either congenital or acquired.

A

cochlear implant

31
Q

The patient is asked to sign a surgical consent for treatment of otosclerosis. Which statement indicates correct understanding of the procedure?
A. “It involves surgical repair of the external ear.”
B. “It means cutting the nerve in my ear.”
C. “It cleans the ear canal of wax.”
D. “It will help me hear sounds again.”

A

D. “It will help me hear sounds again.”

32
Q 
The area of most acute vision in which there is the greatest concentration of rods and cones in the retina is the:
A.  fovea centralis
B.  optic chiasm
C.  optic disk
D.  ora serrata
A

A. fovea centralis

33
Q 
Two drugs used in treating open-angle glaucoma are:
A.  atropine, Sulamyd
B.  Betoptic, pilocarpine
C.  Decadron, Liquifilm
D.  mannitol, Cyclogyl
A

B. Betoptic, pilocarpine

34
Q

The triad of symptoms in Meniere’s disease includes:
A. vertigo, sensorineural hearing loss, tinnitus
B. sensorineural hearing loss, vomiting, nystagmus
C. tinnitus, headache, vision changes
D. headache, vertigo, vomiting

A

A. vertigo, sensorineural hearing loss, tinnitus

35
Q 
The thick, white, opaque connective tissue that is part of the outermost layer of the eyeball is called the:
  A. Conjunctiva
  B.  Cornea
  C.  Sclera
  D.  Retina
A

C. Sclera

36
Q 
The ability of the eye to focus on objects at various distances is called:
  A.  Refraction
  B.  Accommodation
  C.  Constriction
  D.  Convergence
A

B. Accommodation

37
Q

You are caring for a 75-year-old patient who has experienced some sensory deficits. Which of the following might be explained by age-related changes of the sensory system?
A. Decreased sensitivity to glare
B. Inability to hear low frequency sounds
C. Difficulty with red/orange color discrimination
D. Increased difficulty focusing on close objects

A

D. Increased difficulty focusing on close objects

38
Q

You are caring for a patient who has had functional blindness for 10 years. Which of the following statements is true?
A. Pain is not associated with blindness, since the pain receptors have been destroyed.
B. Since this patient has been blind for a number of years, he is in the acceptance phase of his illness.
C. Since his blindness is functional, not total, he is not considered to be legally blind.
D. A comprehensive approach to patient care is essential with blind patients.

A

D. A comprehensive approach to patient care is essential with blind patients.

39
Q 
Which of the following factors have been associated with the formation of cataracts? Select all that apply.
A. Aging
B. Ultraviolet light
C. History of eye surgery
D. Exposure to maternal rubella
E. Smoking
F. Loud music
G. Diabetes mellitus
A 
A. Aging
B. Ultraviolet light
D. Exposure to maternal rubella
E. Smoking
G. Diabetes mellitus
40
Q

You are taking care of a patient with newly diagnosed type 1 diabetes mellitus. She is expressing some fears about long-term complications of the disease. She states, “I know I’ll go blind within 10 years. Why should I bother controlling my blood sugar?” Your best response is based on the knowledge that:
A. After 10 years with diabetes mellitus, most type 1 patients have advanced diabetic retinopathy.
B. Diabetic retinopathy occurs more frequently in patients with long-standing, poorly controlled diabetes mellitus.
C. The initial stage of diabetic retinopathy only lasts for a couple of months.
D. The initial stage consists of vision loss and the presence of “floaters” in the visual field.

A

B. Diabetic retinopathy occurs more frequently in patients with long-standing, poorly controlled diabetes mellitus.

41
Q 
The visual disorder characterized by slow, progressive loss of central and near vision is known as:
A.  Age-related macular degeneration
B.  Diabetic retinopathy
C.  Retinal detachment
D.  Glaucoma
A

A. Age-related macular degeneration

42
Q

You are caring for a patient who has just undergone a corneal transplant (keratoplasty). Appropriate nursing care includes which of the following?
A. Preparing written postoperative instructions for the patient to read over
B. Positioning the patient on the operative side
C. Reporting any severe or progressive pain to the surgeon immediately
D. Teaching the patient to avoid bending, lifting, or straining for 1 week

A

C. Reporting any severe or progressive pain to the surgeon immediately

43
Q 
The type of hearing loss that involves normal sound conduction through the external and middle ear, but distortion in the inner ear, making discrimination difficult, is called a:
 A. Sensorineural hearing loss
 B. Conductive hearing loss
 C. Mixed hearing loss
 D. Functional hearing loss
A

A. Sensorineural hearing loss

44
Q

Appropriate nursing care and patient teaching for the patient with external otitis includes which of the following?
A. Applying cold compresses to the affected ear
B. Continuing antibiotic therapy until symptoms of the infection are relieved
C. Advising patient to rinse ears out each morning in the shower
D. Washing hands before and after changing cotton plugs

A

D. Washing hands before and after changing cotton plugs

45
Q

The process of refraction involves:
A. Changing the size of the pupil with the dilator and constrictor muscles of the iris to regulate the amount of light entering the eye.
B. Moving the eyes medially to allow light rays from an object to hit the same point on both retinas.
C. Changing the curvature of the lens to enable the eye to focus on objects at various distances.
D. Bending light rays as they pass through the colorless structures of the eye which enables light from the environment to focus on the retina

A

D. Bending light rays as they pass through the colorless structures of the eye which enables light from the environment to focus on the retina

46
Q

The process of accomodation involves:
A. Changing the size of the pupil with the dilator and constrictor muscles of the iris to regulate the amount of light entering the eye.
B. Moving the eyes medially to allow light rays from an object to hit the same point on both retinas.
C. Changing the curvature of the lens to enable the eye to focus on objects at various distances.
D. Bending light rays as they pass through the colorless structures of the eye which enables light from the environment to focus on the retina

A

C. Changing the curvature of the lens to enable the eye to focus on objects at various distances.

47
Q

The process of constriction involves:
A. Changing the size of the pupil with the dilator and constrictor muscles of the iris to regulate the amount of light entering the eye.
B. Moving the eyes medially to allow light rays from an object to hit the same point on both retinas.
C. Changing the curvature of the lens to enable the eye to focus on objects at various distances.
D. Bending light rays as they pass through the colorless structures of the eye which enables light from the environment to focus on the retina

A

A. Changing the size of the pupil with the dilator and constrictor muscles of the iris to regulate the amount of light entering the eye.

48
Q

The process of convergence involves:
A. Changing the size of the pupil with the dilator and constrictor muscles of the iris to regulate the amount of light entering the eye.
B. Moving the eyes medially to allow light rays from an object to hit the same point on both retinas.
C. Changing the curvature of the lens to enable the eye to focus on objects at various distances.
D. Bending light rays as they pass through the colorless structures of the eye which enables light from the environment to focus on the retina

A

B. Moving the eyes medially to allow light rays from an object to hit the same point on both retinas.

49
Q 
This structure in the ear resembles a snail's shell and contains the actual organ of hearing.
A.  The tympanic membrane
B.  The malleus
C.  The cochlea
D.  The vestibule
A

C. the cochlea

50
Q 
This eye diagnostic test measures intraocular pressure to detect tumors and glaucoma.
A.  Amsler's grid test
B.  Snellen's test
C.  Refraction
D.  Tonometry
A

D. Tonometry

51
Q 
This eye diagnostic test is a screening test for visual acuity.
A.  Amsler's grid test
B.  Snellen's test
C.  Refraction
D.  Tonometry
A

B. Snellen’s test

52
Q 
This eye diagnostic test measures visral acuity to determine conditions such as myopia, hyperopia or presbyopia.
A.  Amsler's grid test
B.  Snellen's test
C.  Refraction
D.  Tonometry
A

C. Refraction

53
Q

Nystagmus is defined as:
A. involuntary, rhythmic movements of the eyes
B. an abnormal condition characterized by a marked protrusion of the eyeballs
C. rainbow colors seen around lights
D. blurring of vision

A

A. involuntary, rhythmic movements of the eyes

Eyes and Ears (1 decks)

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