Chapter 22: Nursing Management: Visual and Auditory Problems

Chapter 22: Nursing Management: Visual and Auditory Problems

Complete Chapter Questions With Answers

Sample Questions Are Posted Below

MULTIPLE CHOICE
1. To evaluate the effectiveness of the prescribed bifocals for a patient with myopia and
presbyopia, the nurse in the eye clinic will check the patient for
a. strength of the eye muscles.
b. both near and distant vision.
c. cloudiness in the eye lenses.
d. intraocular pressure changes.
ANS: B
The lenses are prescribed to correct the patient’s near and distant vision. The nurse also
may assess for cloudiness of the lenses, increased intraocular pressure, and eye
movement, but these data will not evaluate whether the patient’s bifocals are effective.
DIF: Cognitive Level: Comprehension REF: 403-404 TOP: Nursing Process:
Evaluation
MSC: NCLEX: Physiological Integrity
2. A patient is seen in the ophthalmology clinic and diagnosed with recurrent staphylococcal
and seborrheic blepharitis. The nurse will plan to teach the patient about
a. saline irrigation of the eyes.
b. surgical removal of the lesion.
c. using baby shampoo to clean the lids.
d. the use of cool compresses to the eyes.
ANS: C
Baby shampoo is used to soften and remove crusts associated with blepharitis. The other
interventions are not used in treating this disorder.
DIF: Cognitive Level: Application REF: 408-409 TOP: Nursing Process:
Planning
MSC: NCLEX: Physiological Integrity
3. Which action should the nurse take when assisting a totally blind patient to walk to the
bathroom?
a. Take the patient by the arm and lead the patient slowly to the bathroom.
b. Have the patient place a hand on the nurse’s shoulder and guide the patient.
c. Stay beside the patient and describe any obstacles on the path to the bathroom.
d. Walk slightly ahead of the patient and allow the patient to hold the nurse’s elbow.
ANS: D
Test Bank 22-2
When using the sighted-guide technique, the nurse walks slightly in front and to the side
of the patient and has the patient hold the nurse’s elbow. The other techniques are not as
safe in assisting a blind patient.
DIF: Cognitive Level: Application REF: 407
TOP: Nursing Process: Implementation MSC: NCLEX: Safe and Effective Care
Environment
4. A patient is seen at a clinic for repeated hordeolum of the eyes during the last 6 months.
To help prevent further infection, the nurse advises the patient to
a. apply cold compresses at the first sign of recurrence.
b. discard all open or used cosmetics used near the eyes.
c. wash the scalp and eyebrows with an antiseborrheic shampoo.
d. be evaluated for the presence of sexually transmitted diseases (STDs).
ANS: B
Hordeolum (styes) are commonly caused by Staphylococcus aureus, which may be
present in cosmetics that the patient is using. Warm compresses are recommended to treat
hordeolum. Antiseborrheic shampoos are recommended for seborrheic blepharitis.
Patients with adult inclusion conjunctivitis, which is caused by Chlamydia trachomatis,
should be referred for STD testing.
DIF: Cognitive Level: Application REF: 408 | 410-411
TOP: Nursing Process: Implementation MSC: NCLEX: Physiological Integrity