What is the definition of Myopia? Difficulty seeing Far objects Betaxolol or metipranolol are often the first drug class to be used to treat glaucoma. In which category are these medication? Beta-blockers Which is the first step in the Rinne testing process to assess hearing? the examiner's hand Which membrane covers the anterior sclera of the eye? Tap the tuning fork on Bulbar Conjunctiva Glaucoma patients should avoid which products because they increase intraocular pressure? Herbal Medications Which part in the eye supplies nourishment to the macula? Choroid Which cranial nerve is associated with ototoxicity VIII In serous otitis media, where does sterile fluid accumulate? Tympanic membrane Which change in the ear of the older adult may lead to hearing loss? cochlea Atrophy of the A hearing loss that results from interference with transmission of sound waves from the middle to inner ear is referred to by which term? Conductive In addition to bacteria, viruses, or fungi, which is a possible source of keratitis? Contact Chemical Which does the nurse recognize as one of the most common causes of obstruction in the external ear canal? Impacted cerumen In the laser in situ keratomileusis (LASIK) procedure, the laser is used to reshape which eye structure? Cornea Which term is also known as sensorineural hearing loss? Nerve deafness Which type of otitis media is characterized by the accumulation of sterile fluid behind the tympanic membrane? Serous Which information does the nurse provide a patient experiencing presbycusis? associated with aging? Presbycusis is Which term is defined as continuous ringing in both ears? Tinnitus What is the contributing factor to the degrees of hearing loss in patients with presbycusis? Location and changes in the cochlea Which prescription does the nurse anticipate for the patient with allergies associated with acute otitis media? Antihistamines Which patient is at the greatest risk for impacted cerumen? Older adult in a long-term care facility Which information does the nurse provide the patient on how to administer the prescription for externa otitis media given by wick "Place the prescription on the gauze." Eardrops in children pulling pinna down and back Eardrops in adult Pulling the pinna up and back When assessing a patient, the nurse notices which physical change in the eye associated with hyperthyroidism? Exophthalmos What does the nurse expect to note during an eye examination in a patient with liver dysfunction? Icterus Which sign or symptom is associated with retinal detachment? Sees flashes of light The nurse is reviewing the laboratory test results on a culture taken from a patient's hordeolum and expects the results to be which organism? Staphylococcus Aureus hordeolum stye Which drug would the nurse to expect the healthcare provider to order for open-angle glaucoma, to increase the outflow of aqueous humor? Carbachol Which side effects are related to glaucoma drugs? Headache, Blurred vision The nurse would suspect that the patient is experiencing which disorder, when the patient begins complaining of seeing flashes of light and states "It seems as if a curtain came down over my eyes?" Retinal detachment A person with a hearing impairment can have which device installed to alert them of doorbells, telephones, or alarm clocks? Flashing Lights Which statement regarding older adult vision is accurate? Some older people report floaters moving across the vision field. A patient frequently asks the nurse to repeat questions during a teaching session. What would be the action of the nurse? Speak slowly in lower tones. Otalgia pain in the ear Which components are in all hearing aids? -Battery -Receiver -Amplifier -Microphone In the discharge instructions for a patient with a corneal transplant, the nurse would include which symptom that signals a corneal graft rejection? The appearance of blood vessels in the cornea Which response does the nurse provide the patient concerning what caused the patient's cholesteatoma? "This can be caused by multiple ear infections." List in order the correct steps to properly remove and clean an eye prosthesis. 1. Wash Hands thoroughly 2. Gently depress and pull down on the lower lid 3. Allow the prosthesis to slip out over the lower lid. 4. Wash the prosthesis with normal saline or water. 5.Place the prosthesis in a container with normal saline or water. A patient is complaining of an extremely dry right eye, but the left eye is normal. The nurse suspects a problem with which structure of the right eye? Lacrimal ducts An audiologist is not a medical doctor. Which places the patient with an acute attack of Meniere disease at risk for dehydration? Vomiting Which co-existing condition in young women would cause otosclerosis to progress at a faster rate? Pregnancy The nurse is participating in a care conference for a resident that has recently been diagnosed with open-angle glaucoma. Which drug therapy or treatment would the nurse plan for? Drug therapy consisting of beta-blocking agents Which is a common sign/symptom after stapedectomy surgery? Vertigo A patient states, "a piece of dust has scratched my eye." The nurse would prepare for which type of examination? Corneal staining The LPN is administering ear drops to an adult patient. What is the first step in the process? Roll the bottle between the nurse's palms to warm the drops to body temperature. The nurse is caring for a patient with a middle ear infection. Which is the first sign of a complication? Mastoid Swelling. Which data collection technique would the nurse use to determine the presence of external otitis? Inspection of the external auditory canal After an eye injury, the nurse would monitor the patient for which symptom of retinal detachment? Flashes of light Place in order the required steps in removing an ocular prosthesis. 1. Wash hands meticulously 2. Gently press in and pull down the lower eyelid. 3. Allow the prosthesis to slip out over lower lid. 4.Wash prosthesis under running water. Which information noted in the assessment of a patient would indicate possible cataracts? Ghost images or spots A patient has dried and impacted cerumen. Which treatment would be included in the plan of care? Ear drops Which position would the nurse place the patient after a graft on the tympanic membrane? On the unaffected side. The LPN is preparing to irrigate the patient's ear. What is the first step in the process? the solution to body temperature. Warm A patient had a mastoidectomy and needs to be reminded to avoid any activity that would create pressure on which part of the ear? Tympanic Membrane A patient with a hearing aid asks the nurse to repeat questions multiple times. Which is the correct nursing intervention? Check the hearing aid's placement. What information would the nurse use in planning care for a patient with presbycusis? Sensorineural hearing loss occurs with aging. Which information does the nurse provide the patient receiving latanoprost eye drops for the treatment of glaucoma? Permanent darkening of the eyes Which time frame does the nurse provide a patient who underwent an enucleation about when the patient will be fitted for a permanent prosthesis? 1 month If a patient describes symptoms of photophobia, the nurse would recommend which intervention? Wearing darkened sunglasses The nurse is aware that which dietary modification is utilized for Meniere disease? sodium Low- Which is the best method for the nurse to instruct the patient to remove cerumen from the ear canals? Irrigating the ear canal with warm solution A patient that swims regularly has external otitis. Which intervention would the nurse encourage? Use ear plugs while swimming. Which information concerning aging changes in the middle ear would the nurse include in a teaching plan? The eardrum thickens Which symptom does the patient recognize is the common finding of otitis externa? Increased pain when the auricle is pulled back. Which statement made by the client indicates that further teaching is required regarding a myringotomy? "A stapes prosthesis will replace the damaged one." The nurse needs to irrigate the right ear of patient. Which step in the technique is correct? Select a syringe tip that is smaller than the canal. When providing information to parents about possible causes of conjunctivitis, the nurse would include information about which of the following? Select all that apply -Viruses -Bacteria -Herpes -Adenoviruses The nurse documents that a patient's Weber test is normal. The patient reports which result after the vibrating tuning fork is placed on the midline of the skull? Sound is equal in both ears. Which action by the patient that is self-administering ear drops indicates the need for additional teaching? The patient pulls the auricle down and back during administration. How can the nurse encourage a visually impaired patient's independence with their dinner plate? Informing the patient that the carrots are at 9 o'clock. A patient comes into the emergency department with gray, round, raised areas (follicles) seen on the conjunctiva with redness and watery discharge. The nurse suspects herpes simplex virus-1. Which medication would the nurse expect the health care provider to order? Idoxuridine A patient is scheduled to undergo electronystagmography. What is the licensed practical nurse's first step in initiating this test? Ensuring that the patient has withheld alcohol and caffeine for 24-48 hours. Which procedure does the nurse anticipate will be included for the patient with cholesteatoma? Cyst removal Which responses does the nurse provide the patient about what occurs when the pressure in the ear increases after a stapedectomy? "Pressure can cause the graft to separate." Improved hearing after oral glycerol is given, suggests Meniere's Disease. A glycerol test involves audiometry testing before and after giving the patient oral glycerol (a diuretic that draws fluid from the inner ear) Upon eye examination, the nurse notes that the patient has good peripheral vision, sees better in dim light, and that the lens is cloudy in the center. These symptoms are associated with which eye condition? Central Cataracts What does the nurse anticipate occurring for the patient who suddenly moves while experiencing vertigo? Vomiting A patient has had a caloric test that confirms that the patient has vestibular disease. The nurse expects which response to the test? Decreased or absent response Which symptom does the nurse inform the patient will often proceed a vertigo attack? "You may feel fullness and pressure in your ear" Which result of a caloric test indicates the patient has Meniere disease? Attack of vertigo If a caloric test or electronystagmography is done, the patient with Meniere disease has a severe attack of Vertigo Which statement indicates patient understanding of dietary changes for Meniere disease to decrease the length of time between the attacks? "I will decrease the amount of sodium in my diet" Which abnormal physical assessment finding does the nurse recognize as increasing the risk for ototoxicity in a patient prescribed an analgesic. Decreased Urine Output The LPN is instructing a patient who is to undergo pure tone audiometry tests. Which is the initial step in the process? Placing earphones on the patient and introducing tones. A patient with retinal detachment in the back of the eye undergoes cryotherapy and scleral buckling. After the surgical procedure, the healthcare provider injects normal saline into the vitreous humor. How would the nurse position the patient? Supine Which statement made by the patient indicates the patient is experiencing ototoxicity? having trouble keeping my balance" "I am A patient is scheduled for a fluorscein angiography. Which step is the initial step in the testing process? Administer medication to dilate the pupil. Which laboratory assessment finding does the nurse anticipate for a patient with mastoiditis? Elevated White Blood Cell Count What does the nurse need to be concerned about for the patient with meniere disease who has experienced prolonged vomiting? Hypokalemia
