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The nurse would identify which decibel loss as a moderately sever hearing impairment?
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Which surgical procedure would the nurse identify as involving an incision in the tympanum to release the increased pressure and exudate from the middle ear?
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Week 2 EAQs
| Question | Answer |
|---|---|
| The nurse would identify which decibel loss as a moderately sever hearing impairment? | 60dB |
| Which surgical procedure would the nurse identify as involving an incision in the tympanum to release the increased pressure and exudate from the middle ear? | Myringotomy |
| The nurse would identify which cranial nerve as being associated with the processing of sound and balance? | VIII |
| The nurse observes a patient ambulating with a stumbling gait. Which condition would the nurse note to be a possible cause of this paitnet's condition? | Vertigo |
| A patient is found to have acoustic neuromas. Which diagnostic test would the nurse prepare the patient for to aid in assessment? | Auditory brainstem response |
| Which tool wound an individual utilize in the physical assessment of the retina and optic nerve? | Ophthalmoscope |
| When assessing for the presence of allergic conjunctivitis, about which clinical manifestation would the nurse ask the patient? | itching |
| Which hearing aid would the nurse identify as the most powerful available for use by patients with hearing loss? | Behind the ear |
| Which auditory disorders would the nurse identify as related to the inner ear? | Presbycusis |
| The nurse understands that which anatomic area of the ear contributes to benign paroxysmal positional vertigo in patients? | 1 |
| Upon request of an ophthalmic checkup, which location would the nurse place the patient when performing a visual acuity assessment using the Snelen chart? | 20 feet away |
| Which reflective error describes the vision of a patient for whom nearby objects are clear but objects at a distance are blurred? | Myopia |
| The nurse recalls that presbycusis is hearing loss primarily caused by which incidence? | Sensorineural loss |
| Which assessment finding would the nurse expect to identify in a patient who has ptosis secondary to myasthenia gravis? | Drooping of the upper lid margin in one or both eyes |
| Which auditory disorder in a patient would the nurse identify as caused by an excessive accumulation of endolymph in the membranous labyrinth? | Meniere's disease |
| The nurse understands that which structure located in the middle ear may cause a middle-ear infection when it is blocked? | Eustachian tubes |
| Which treatments, in order of priority, would the nurse identify as being used to manage chronic otitis media that has progressed to chronic tympanic membrane rupture? | - Otic antibiotics - Oral antibiotics -IV antibiotics -Myringoplasty - Mastoidectomy |
| For the patient diagnosed with proliferative diabetic retinopathy, which surgical procedure to relieve traction on the retina will the nurse provide instructions for and schedule? | Vitrectomy |
| Which nonverbal aids would the nurse adopt to effectively communicate with a patient with hearing loss? | Refraining from covering the mouth or face with hands |
| The nurse teaches that which part of the eye becomes inflamed for the patient who developed keratitis? | cornea |
| Which condition is caused by a refractive error within the eye? | myopia |
| The nurse would identify which organs of the auditory system as involved in balance? Select all that apply. | Vestibule - semi-circular canals |
| Which disorder would the nurse identify as causing otitis in older patients with diabetes mellitus? | Osteomyelitis |
| Which condition involves inflammation of the vitreous cavity of the eye? | Endophthalmitis |
| Which test would the nurse perform to assess a patient's near and distance visual acuity? | Snellen Chart |
| Which eye disorder would the nurse associate with the patient scheduled for a penetrating keratoplasty procedure? | corneal scars |
| The nurse is assessing a patient's ears. Which normal findings would the nurse document? Select all that apply. | - The TM is pearly gray, shiny, and translucent. |
| Which statement by the nurse is true regarding a patient with conductive hearing loss? | This patient hears better in a noisy environment. |
| Which description would the nurse use to explain the location of blood accumulating from a hemorrhage within the fundus of a patient's eye? | In the retinal background |
| The patient with Meniere's disease had decompression of the endolymphatic sac. Which instruction would the nurse include in the discharge teaching for this patient? | Avoid sudden head movements or position changes. |
| Which component of a visual health history includes assessment of a patient's concern about the effect of vision loss on reading? | Cognitive-perceptual problem |
| Which condition would the nurse suspect in the older adult patient who states, "I feel like there is sand in my eyes. | Keratoconjunctivitis sicca |
| Which technique would the nurse use when assessing an adult patient's external ear canal and tympanum. | Gently pull the auricle up and backward to straighten the canal |
| When observing the tympanic membrane during an otoscopic examination, which would the nurse anticipate documenting if considered normal? | shiny, pearl gray in color and translucent |
| Which action would be the nurse's priority when noting blood in the anterior chamber of the patient's eye after sustaining an eye injury, as well as redness of the sclera? | Elevate the head of bed to 45 degrees |
| Which actions would the nurse implement when using the sighted guide technique to assist a patient who is blind? | -Describe the environment to the patient while walking - Help the patient to sit by placing the patient's hand on the seat of the chair - Stand slightly in front and to one side of the patient; provide an elbow for support. |
| Which is the function of the structure labeled 1 in the image? | Acts as an instrument for sound transmission. |
| Which interpretation would the nurse associate with the patient's Snellen chart reading of right eye 20/30, left eye 20/40? | Thee patient has a refractory error consistent with myopia |
| The nurse is interviewing an older patient who has hearing loss. Which strategies would best assist the nurse in communication with this patient? | - Use simple sentences - speak normally and slowly avoid distracting environments. |
| The nurse provides teaching to a patient with otosclerosis. Which response by the patient indicates the teaching was effective? | The loss of my hearing is because there's a problem with the bones in my middle ear. |
| When obtaining a health history from a patient reporting decreased visual acuity, which relevant sexuality question would the nurse ask? | "Do you use birth control pills? |
| A patient is diagnosed with a collapsed ear canal. Which type of complication would the nurse associate with the diagnosis? | Loss of cartilage elasticity |
| A patient tells a nurse, I take an aspirin every two days because I'm always getting headaches. Which ear abnormality would the nurse expect? | Tinnitus |
| A patient tells the nurse, "I always need my fan on while I'm sleeping." Which ear abnormality may be indicatied? | Tinnitus |
| Based on the documentation below, which part of the auditory system was assessed? Auricle- free of lesions; Tragus- non-tender; canal- yellow sticky cerumen present | external ear |
| Which intervention is important for the nurse to include in the plan of care for a patient experiencing an acute episode of Meniere's disease? | Decreased environmental stimuli |
| Which condition would the nurse provide additional information for when observing a patient with systemic lupus erythematosus (SLE) frequently rubbing his or her eyes from decreased tear production? | Keratoconjunctivitis sicca |
| Which extraocular eye disorder would the nurse associate with the patient experiencing inflammation of the cornea and expphthalmos? | Exposure keratitis |
| A nurse is explaining measures to prevent external otitis to a group of patients. Which interventions would the nurse include in the teaching? Select all that apply? | - Report any itching in the ear - Use earplugs when swimming - keep the ears as dry as possible - avoid putting anything in the ear canal |
| A patient who underwent ear surgery has sustained trauma and has developed problems related to facial movement and eyelid closure. Which cranial nerve damage would the nurse suspect? | Cranial nerve VII |
| For which producer will the nurse provide additional information to the patient who states, " They are going to stick a very cold probe into my eye to produce a scar on my torn retina'? | Cryopexy |
| Which prescription would the nurse question prior to administering to a patient with keratitis caused by the herpes simplex virus (HSV)? | Topical corticosteroids (Aristocort Q) |
Created by:
Brandi Sizemore
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