Advanced Concepts Quiz Four Review

The results of a Snellen chart are documented as 20/60. The nurse interprets this as:

• the patient can read at a distance of 60 feet what a patient with normal vision can read at 20 feet

• the patient is legally blind

• the patient's vision is considered to be normal

• the patient can read at a distance of 20 feet what a patient with normal vision can read at 60 feet

This eye disorder is characterized by painless, hazy vision & a cloudy/opaque area of the eye lens.

• astigmatism

• cataracts

• glaucoma

• detached retina

Glaucoma is caused by

• changes in the volume of aqueous humor and/or decreased absorption of aqueous humor

• slow degenerative changes whereby the lens becomes opaque

• inflammation of the cornea

• insufficient intraocular pressure to promote drainage via the Schlemm Canal

The nurse is assigned to care for a patient with a detached retina. Which one of the following assessment signs might the nurse see documented in the patient's record?

• pain in the affected eye

• cloudy lens

• a sense of a curtain being lowered over vision

• a yellow discoloration of the sclera

The Amsler Grid is used to assess central vision. It is very helpful in diagnosing which degenerative eye disorder?

• glaucoma

• macular degeneration

• cataracts

• presbycusis

When communicating with people who have a hearing loss it would be helpful to:

• shout

• whisper directly into the patient's good ear

• face the patient and speak clearly at a normal volume and pace

• cup mouth with your hands and speak into the good ear

This hearing disorder is caused by either gradual degeneration of the cochlear hair cells or decreased blood supply to the inner ear. It involves difficulty interpreting speech in a crowd or when there is significant background noise.

• presbyopia

• presbycusis

• tinnitus

• otitis media

This balance disorder due to fluid disturbance is characterized by episodic attacks of tinnitus, hearing loss, & vertigo.

• purulent otitis media

• serous otitis media

• Meniere's disease

• otosclerosis

This device is surgically implanted into the cochlea to provide direct stimulation to the auditory nerve.

• hearing aid

• tympanic device

• mastoid implant

• cochlear implant

Tinnitus involves:

SELECT ALL THAT APPLY

• deafness

• perception of sound when not present

• disruption of auditory conduction

• sounds, humming, or ringing noises