Deck 19: Care of the Eye and Ear
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Deck 19: Care of the Eye and Ear
1
The patient is brought into the emergency department after a motor vehicle accident.The patient is unresponsive.The nurse is concerned about whether or not the patient wears contact lenses because contact lenses that are not removed can cause _______________.
corneal injury
It is extremely important to determine whether patients wear contact lenses,particularly when patients are admitted to hospitals or agencies in an unresponsive or confused state.If a seriously ill patient is wearing contact lenses,and this fact goes undetected,severe corneal injury can result.
It is extremely important to determine whether patients wear contact lenses,particularly when patients are admitted to hospitals or agencies in an unresponsive or confused state.If a seriously ill patient is wearing contact lenses,and this fact goes undetected,severe corneal injury can result.
2
When providing eye care for the comatose patient,the nurse should:
A)place the patient in a prone position for easier access.
B)use a different corner of the washcloth for each eye.
C)wipe each eye from outer to inner canthus.
D)use a sterile medicine cup to instill lubricant.
A)place the patient in a prone position for easier access.
B)use a different corner of the washcloth for each eye.
C)wipe each eye from outer to inner canthus.
D)use a sterile medicine cup to instill lubricant.
use a different corner of the washcloth for each eye.
3
The patient is brought to the emergency department after receiving a chemical burn to his eyes.The doctor orders immediate eye irrigations.Of the following solutions,which would be the most beneficial for this patient?
A)Lactated Ringer's solution
B)Albumin
C)Tap water
D)Dextrose and water
A)Lactated Ringer's solution
B)Albumin
C)Tap water
D)Dextrose and water
Lactated Ringer's solution
4
Which of the following nursing interventions would the nurse perform first after a patient sustained a chemical splash injury to the eye?
A)Assess visual acuity.
B)Flush the eye with large amounts of irrigation fluid.
C)Assess level of pain.
D)Determine whether the pupils are equal,round,reactive to light and accommodation (PERRLA).
A)Assess visual acuity.
B)Flush the eye with large amounts of irrigation fluid.
C)Assess level of pain.
D)Determine whether the pupils are equal,round,reactive to light and accommodation (PERRLA).
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5
When instructing a patient on correct technique for inserting a hearing aid into the ear,the nurse will include which of the following instructions?
A)Pull the outer ear up and out.
B)Hold the aid with the long portion upright.
C)Fit the aid snugly in the midline of the canal.
D)Turn the aid to the desired sound level before insertion.
A)Pull the outer ear up and out.
B)Hold the aid with the long portion upright.
C)Fit the aid snugly in the midline of the canal.
D)Turn the aid to the desired sound level before insertion.
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6
The patient is found to have impacted cerumen in his ear canal.The nurse most likely will:
A)instill 1 to 2 drops of mineral oil.
B)instill the irrigation under pressure.
C)occlude the ear canal when irrigating.
D)straighten the ear canal.
A)instill 1 to 2 drops of mineral oil.
B)instill the irrigation under pressure.
C)occlude the ear canal when irrigating.
D)straighten the ear canal.
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7
When removing a soft contact lens,the nurse finds that it is sticking together.What should the nurse do next?
A)Rub the lens briskly.
B)Soak the lens in saline.
C)Place cleansing solution on the lens.
D)Pry the lens apart with the fingertips.
A)Rub the lens briskly.
B)Soak the lens in saline.
C)Place cleansing solution on the lens.
D)Pry the lens apart with the fingertips.
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8
The nurse caring for a comatose patient determines that he is wearing contact lenses.Which of the following nursing interventions will the nurse use when removing the contact lenses?
A)Put on snug,powdered,clean gloves.
B)Ask the patient to look down to expose the lower eyeball.
C)Use the fingernail to slide the lens off of the cornea.
D)Inspect the eye after the lenses have been removed.
A)Put on snug,powdered,clean gloves.
B)Ask the patient to look down to expose the lower eyeball.
C)Use the fingernail to slide the lens off of the cornea.
D)Inspect the eye after the lenses have been removed.
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9
A _____________ is a small,battery-powered,electronic device that amplifies sound.
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10
The nurse is preparing to clean the patient's hearing aid.The nurse realizes that she must:
A)make sure the hearing aid volume is turned on before removing the hearing aid.
B)hold the hearing aid over the sink when cleansing.
C)insert a paper clip into the receiver port to cleanse cerumen buildup.
D)make sure the pressure equalization channel is clear.
A)make sure the hearing aid volume is turned on before removing the hearing aid.
B)hold the hearing aid over the sink when cleansing.
C)insert a paper clip into the receiver port to cleanse cerumen buildup.
D)make sure the pressure equalization channel is clear.
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11
The elderly patient is instructed to store his hearing aid in a(n):
A)cold place.
B)container that keeps out moisture.
C)easy to reach place.
D)a cup of water.
A)cold place.
B)container that keeps out moisture.
C)easy to reach place.
D)a cup of water.
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12
The substance found in the ear canal that has an antibacterial effect and maintains an acid pH is called ______________.
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13
How should the nurse position the ear when performing ear irrigation for a 2-year-old patient?
A)Instill the irrigating solution quickly and forcefully.
B)Pull the pinna up and back.
C)Direct the fluid toward the anterior aspect of the ear canal.
D)Pull the pinna down and back.
A)Instill the irrigating solution quickly and forcefully.
B)Pull the pinna up and back.
C)Direct the fluid toward the anterior aspect of the ear canal.
D)Pull the pinna down and back.
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14
How does the nurse assess that a hearing aid is operating correctly?
A)Speaking very softly behind the patient
B)Covering the patient's unaffected ear and speaking
C)Determining the patient's response to a normal tone of voice
D)Removing the hearing aid and sending it to be checked by an audiologist
A)Speaking very softly behind the patient
B)Covering the patient's unaffected ear and speaking
C)Determining the patient's response to a normal tone of voice
D)Removing the hearing aid and sending it to be checked by an audiologist
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15
The nurse decides that assistive personnel can provide care to a patient with contact lenses when the assistive personnel states:
A)"If I am in a hurry,I will use tap water for rinsing the lenses."
B)"Gloves aren't necessary;the eye is a clean organ."
C)"I will check with the patient to see if the lenses are disposable."
D)"It is normal for contact lens wearers to have red,teary eyes."
A)"If I am in a hurry,I will use tap water for rinsing the lenses."
B)"Gloves aren't necessary;the eye is a clean organ."
C)"I will check with the patient to see if the lenses are disposable."
D)"It is normal for contact lens wearers to have red,teary eyes."
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16
When providing care to a patient who has splashed bleach into his eye,the nurse will:
A)remove the patient's contacts immediately.
B)flush the eye from the outer to the inner canthus.
C)reinsert contacts as soon as irrigation is done.
D)irrigate toward the lower conjunctival sac.
A)remove the patient's contacts immediately.
B)flush the eye from the outer to the inner canthus.
C)reinsert contacts as soon as irrigation is done.
D)irrigate toward the lower conjunctival sac.
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17
The nurse is preparing to provide eye care for a comatose patient.The nurse realizes that comatose patients do not have natural protective mechanisms to protect the cornea.These protective mechanisms include: (Select all that apply. )
A)blinking.
B)squinting.
C)lubrication.
D)dilation.
A)blinking.
B)squinting.
C)lubrication.
D)dilation.
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18
In caring for a patient with contact lenses,the nurse should be aware that:
A)rigid gas-permeable (RGP)lenses are no longer used.
B)soft contact lenses are smaller than the cornea.
C)all lenses must be removed periodically.
D)extended wear lenses can be used for only 6 nights.
A)rigid gas-permeable (RGP)lenses are no longer used.
B)soft contact lenses are smaller than the cornea.
C)all lenses must be removed periodically.
D)extended wear lenses can be used for only 6 nights.
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