Chapter 13: Care of the Patient with a Sensory Disorder

Chapter 13: Care of the Patient with a Sensory Disorder

Complete Chapter Questions With Answers

Sample Questions Are Posted Below

MULTIPLE CHOICE

1. The nurse is aware that the patient has 20/40 vision. This means that the patient can see at 20 feet what the normal eye can see at _______ feet.

ANS:  B

The Snellen Eye Chart tests visual acuity. A vision evaluation of 20/40 means that the patient can see at 20 feet what the person with normal vision can see at 40 feet.

DIF:    Cognitive Level: Application           REF:   Page 625        OBJ:   7

TOP:   Snellen evaluation                           KEY:  Nursing Process Step: I Assessment

MSC:  NCLEX: Physiological Integrity

2. The patient tells the nurse that he is legally blind. How would this information impact the nurse’s plan of care for this patient?

ANS:  D

“Legal blindness” refers to individuals with a maximum visual acuity of 20/200 with corrective eyewear and/or visual field sight capacity reduced by 20 degrees. Categories have been established to help determine the exact extent of the vision loss and what assistive measures are appropriate for the individual. The nurse will need more information as to the exact extent of the vision loss for this patient.

DIF:    Cognitive Level: Analysis                REF:   Page 626        OBJ:   N/A

TOP:   Legal blindness                               KEY:  Nursing Process Step: Planning

MSC:  NCLEX: Physiological Integrity

3. One of the housekeepers splashes a chemical in the eyes. What should be the first priority?

ANS:  D

Burns are medically treated with a prolonged, 15- to 20-minute or longer normal saline flush immediately after burn exposure.

DIF:    Cognitive Level: Analysis                REF:   Page 646        OBJ:   11

TOP:   Chemical burn of eye                      KEY:  Nursing Process Step: Implementation

MSC:  NCLEX: Physiological Integrity

4. What does a tympanoplasty correct?

ANS:  A

Tympanoplasty can correct a conductive hearing loss.

DIF:    Cognitive Level: Knowledge            REF:   Page 664        OBJ:   17

TOP:   Tympanoplasty                               KEY:  Nursing Process Step: Implementation

MSC:  NCLEX: Physiological Integrity

5. The 62-year-old home health patient who is recovering from eye surgery complains of a feeling of “grittiness” in the eye and is having blurred vision. The eyes are reddened and have stringy mucus. What do these complaints indicate?

ANS:  A

The Sjögren syndrome of “dry eye” frequently appears after eye surgery. There is insufficient production of tears. Excessive use of antihistamines, antidepressants, and decongestants may cause this syndrome to appear.

DIF:    Cognitive Level: Application           REF:   Page 633        OBJ:   8

TOP:   Sjögren syndrome                           KEY:  Nursing Process Step: Assessment

MSC:   NCLEX: Physiological Integrity