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WorksheetsEyes & Ears
Total questions: 76
Worksheet time: 1hrs 15mins
The client is diagnosed with glaucoma. Which symptom should the nurse expect the client to report?
Loss of peripheral vision
Floating spots in the vision
A yellow haze around everything
A curtain coming across vision
The client is scheduled for right-eye cataract removal surgery in 5 days. Which prep instruction should be discussed with the client?
Administer dilating drops to both eyes for 72 hours prior to surgery.
Prior to surgery do not lift or push any objects heavier than 15 pounds.
Make arrangements for being in the hospital for at least 3 days.
Avoid taking any type of medication which may cause bleeding, such as aspirin.
The client is post op retinal detachment surgery, and gas tamponade was used to flatten the retina. Which intervention should the nurse implement first?
Teach the signs of increased intraocular pressure.
Position the client as prescribed by the surgeon.
Assess the eye for signs or symptoms of complications
Explain the importance of follow-ups visits
The 65 yr old client is diagnosed with macular degeneration. Which statement by the client indicates the client needs more discharge teaching?
"I should use magnification devices as much as possible"
"I will look at my Amsler grid at least twice a week".
"I need to use low-watt light bulbs in my house".
" I am going to contact a low-vision center to evaluate my home".
The nurse who is at a local park sees a young man on the ground who has fallen and has a stick lodged in his eye. Which intervention should the nurse implement at the scene?
Carefully remove the stick from the eye.
Stabilize the stick as best as possible.
Flush the eye with water if available.
Place the young man in a high-Fowler's position
The employee health nurse is teaching a class on "Preventing Eye Injury". Which info. should be discussed in the class?
Read instructions thoroughly before using tools and working with chemicals.
Wear some type of glasses when working around flying fragments.
Always wear a protective helmet with eye shield around dust particles
Pay close attention to the surrounding so eye injuries will be prevented.
The 65 yr old male client who is complaining of blurred vision reports he thinks his glasses need to be cleaned all the time, and he denies any type of eye pain. Which eye disorder should the nurse suspect the client has?
Corneal dystrophy
Conjunctivitis
Diabetic retinopathy
Cataracts
The nurse is administer eyedrops to the client. Which guidelines should the nurse adhere to when instilling the drops into the eye? SATA
Do not touch the tip of the medication container to the eye.
Apply gently pressure on the outer cants of the eye.
Apply sterile gloves prior to instilling eyedrops
Hold the lower lid down and instill drops into the conjunctiva
Gently pat the skin to absorb excess eyedrops on the cheek
The client diagnosed with glaucoma is prescribed a biotic cholinergic medication. Which data indicate the medication has been effective?
No redness or irritation of the eyes
A decrease in intraocular pressure
The pupil reacts briskly to light
The client denies any type of floaters
The client is scheduled for laser-assisted in situ keratomileusis (LASIK) surgery for severe myopia. Which instruction should the nurse discuss prior to the client's discharge from day surgery?
Wear bilateral eye patches for 3 days
Wear corrective lenses until the follow-up visit
Do not read any material for at least one week.
Teach the client how to instill corticosteroid ophthalmic drops.
The client comes to the emergency department after splashing chemicals into the eye. Which intervention should the nurse implement first?
Have the client move the eyes in all directions
Administer a broad-spectrum antibiotic
Irrigate the eyes with normal saline solution
Determine when the client had a tetanus shot.
Which risk factors should the nurse discuss with the client concerning reasons for hearing loss? SATA
Perforation of the tympanic membrane
Chronic exposure to loud noises
Recurrent ear infections
Use of nephrotoxic medications
Multiple piercings in the auricle
The nurse is caring for a client diagnosed with acute otitis media. Which s/s support this medical diagnosis?
Unilateral pain in the ear
Green, foul-smelling drainage
Sensation of congestion in the ear
Reports of hearing loss
The client is diagnosed with Meniere's disease. Which statement indicates the client understands the medical management for this disease?
After intravenous antibiotic therapy, I will be cured".
"I will have to use a hearing aid for the rest of my life".
"I must adhere to a low-sodium diet, 2,000 mg/day".
"I should sleep with the head of my bed elevated".
The client diagnosed with chronic otitis media is scheduled for a mastoidectomy. Which discharge teaching should the nurse discuss with the client?
Instruct the client to blow the nose with the mouth closed
Explain the client will never be able to hear from the ear
Instill ophthalmic drops in both ears and then insert a cotton ball.
Do not allow water to enter the ear for 6 weeks.
The client is complaining of ringing in the ears. Which data are most appropriate for the nurse to document in the client's chart?
Complaints of vertigo
Complaints of otorrhea
Complaints of tinnitus
Complaints of presbycusis
Which statement best describes the scientific rationale for the nurse holding the otoscope with the hand in a pencil-hold position when examining the client's ear?
It is usually the most comfortable position to hold the otoscope
This allows the best visualization of the tympanic membrane
This prevents inserting the otoscope too far into the external ear
It ensures the nurse will not cause pain when examining the ear
The nurse is preparing to administer otic drops into an adult client's right ear. Which intervention should the nurse implement?
Grasp the earlobe and pull back and out when putting drops in the ear
Insert the teardrops without touching the outside of the ear.
Instruct the client to close the mouth and blow prior to instilling drops
Pull the auricle down and back prior to instilling drops
Which ototoxic medication should the nurse administer cautiously?
An oral calcium channel blocker
An intravenous amino glycoside antibiotic
An intravenous glucocorticoid
An oral loop diuretic
Which teaching instruction should the nurse discuss with students who are on the high school swim team when discussing how to prevent external otitis?
Do not wear tight-fitting swim caps
Avoid using silicone ear plugs while swimming
Use a drying agent in the ear after swimming
Insert a bulb syringe into each ear to remove excess water
The client comes to the clinic and is diagnosed with otitis media. Which intervention should the clinic nurse include in the discharge teaching?
Instruct the client not to take any over-the-counter pain medication
Encourage the client to apply cold packs to the affected ear
Tell the client to call the HCP if an abrupt relief of ear pain occurs
Wear a protective ear plug in the affected ear.
The client is scheduled for ear surgery. Which statement indicates the client needs more prep operative teaching concerning the surgery?
"If I have to sneeze or blow my nose, I will do it with my mouth open".
"I may get dizzy after the surgery, so I must be careful when walking".
"I will probably have some hearing loss after surgery, but hearing will return".
"I can shampoo my hair the day after surgery as long as I am careful".
To avoid the side effects of corticosteroids, which medication classification is used as an alternative to treat inflammatory conditions of the eyes?
Miotics
Mydriatics
Cycloplegics
NSAIDs
A client asks the nurse what they can do to improve her vision after having a cataract removed. What is the nurse's best response?
"There is nothing you can do to improve your vision."
"To improve your vision, you need to eat more beta carotene."
"Having an intraocular lens implanted at the time of surgery is the best thing you can do."
"To improve your vision, you need to rest more."
A client with glaucoma is being assessed for new symptoms. Which symptom indicates a high priority need for reassessment of intraocular pressure?
Burning in the eye
Inability to differentiate colors
Increased sensitivity to light
Gradual vision changes
A client has recently had cataract surgery. About which symptom does the nurse instruct the client to notify the health care provider?
Increased tearing
Itching of the eye
Reduction in vision
Swollen eyelid
The nurse is teaching a client about open-angle glaucoma management. Which statement by the client indicates a need for further instruction?
"I must wait 10 to 15 minutes between different eyedrop medications."
"I must press on the inside of my eye to prevent washout."
"It is important to not skip a dose."
"These eyedrops will not cure my glaucoma."
What is the action of miotics in the client with glaucoma?
Decrease the inflammatory process
Enhance aqueous outflow
Increase the production of vitreous humor
Vasoconstrict the blood vessels in the eye
The nurse is performing preoperative teaching for an older adult client who will be having a cataract removed. Which instructions does the nurse include? (Select all that apply.)
"You will need to wear a patch on your eye for several weeks after the surgery."
"Several different types of eyedrops are requested after surgery, and they have to be taken several times a day for up to 4 weeks."
"You will receive a medication to help you relax. Then you will receive some different eyedrops to dilate your pupils and paralyze the lens."
"Bring sunglasses with you on the day of your procedure."
"You might experience a lot of bruising and swelling around the eye."
The nurse is providing discharge instructions to a client with glaucoma. Which activities does the nurse instruct the client to avoid? (Select all that apply.)
Bending over to tie shoes
Sitting with legs elevated
Sleeping on more than two pillows
Blowing the nose frequently
Lifting objects weighing more than 10 pounds
During patient teaching regarding self-administration of ophthalmic drops, with statement by the nurse is correct?
"Hold the eyedrops over the cornea, and squeeze out the drop."
"Apply pressure to the lacrimal duct area for 5 minutes after administration."
"Be sure to place the drop in the conjunctival sac of the lower lid."
"Squeeze your eyelid closed tightly after placing the drop into your eye."
In preparation for cataract surgery, the nurse is to administer prescribed eye drops. The nurse reviews the physicians orders, expecting which type of eye drops to be instilled?
An osmotic diuretic
A miotic agent
A mydriatic medication
A thiazide diuretic
During the early postoperative period, the client who had a cataract extraction complains of nausea and severe eye pain over the operative site. The initial nursing action is to:
Call the physician
Administer the ordered main medication and antiemetic
Reassure the client that this is normal.
Turn the client on his or her operative side
The client is being discharged from the ambulatory care unit following cataract removal. The nurse provides instructions regarding home care. Which of the following, if stated by the client, indicates an understanding of the instructions?
"I will take Aspirin if I have any discomfort."
"I will sleep on the side that I was operated on."
"I will wear my eye shield at night and my glasses during
"I will not lift anything if it weighs more that 10 pounds."
The client with glaucoma asks the nurse is complete vision will return. The most appropriate response is:
"Although some vision as been lost and cannot be restored, further loss may be prevented by adhering to the treatment plan."
"Your vision will return as soon as the medications begin to work."
"Your vision will never return to normal."
"Your vision loss is temporary and will return in about 3-4 weeks."
The nurse is developing a teaching plan for the client with glaucoma. Which of the following instructions would the nurse include in the plan of care?
Decrease fluid intake to control the intraocular pressure
Avoid overuse of the eyes
Decrease the amount of salt in the diet
Eye medications will need to be administered lifelong
The nurse is performing an admission assessment on a client with a diagnosis of detached retina. Which of the following is associated with this eye disorder?
Pain in the affected eye
Total loss of vision
A sense of a curtain falling across the field of vision
A yellow discoloration of the sclera
The nurse is caring for a client with a diagnosis of detached retina. Which assessment sign would indicate that bleeding has occurred as a result of the retinal detachment?
Complaints of a burst of black spots or floaters
A sudden sharp pain in the eye
Total loss of vision
A reddened conjunctiva
The client sustains a contusion of the eyeball following a traumatic injury with a blunt object. Which intervention is initiated immediately?
Notify the physician
Irrigate the eye with cold water
Apply ice to the affected eye
Accompany the client to the emergency room
The client arrives in the emergency room with a penetrating eye injury from wood chips while cutting wood. The nurse assesses the eye and notes a piece of wood protruding from the eye, what is the initial nursing action?
Remove the piece of wood using a sterile eye clamp
Apply an eye patch
Perform visual acuity tests
Irrigate the eye with sterile saline
The client arrives in the emergency room after sustaining a chemical eye injury from a splash of battery acid. The initial nursing action is to:
Begin visual acuity testing
Irrigate the eye with sterile normal saline
Swab the eye with antibiotic ointment
Cover the eye with a pressure patch
The nurse is caring for a client following enucleation. The nurse notes the presence of bright red blood drainage on the dressing. Which nursing action is appropriate?
Notify the physician
Continue to monitor the drainage
Document the finding
Mark the drainage on the dressing and monitor for any increase in bleeding.
When using a Snellen alphabet chart, the nurse records the client's vision as 20/40. Which of the following statements best describes 20/40 vision?
The client has alterations in near vision and is legally blind.
The client can see at 20 feet what the person with normal vision can see at 40 feet.
The client can see at 40 feet what the person with normal vision sees at 20 feet.
The client has a 20% decrease in acuity in one eye, and a 40% decrease in the other eye
Which of the following instruments is used to record intraocular pressure?
Goniometer
Ophthalmoscope
Slit lamp
Tonometer
After the nurse instills atropine drops into both eyes for a client undergoing ophthalmic examination, which of the following instructions would be given to the client?
"Be careful because the blink reflex is paralyzed."
"Avoid wearing your regular glasses when driving."
"Be aware that the pupils may be unusually small."
"Wear dark glasses in bright light because the pupils are dilated.
When developing a teaching session on glaucoma for the community, which of the following statements would the nurse stress?
Glaucoma is easily corrected with eyeglasses
White and Asian individuals are at the highest risk for glaucoma.
Yearly screening for people ages 20-40 years is recommended.
Glaucoma can be painless and vision may be lost before the person is aware of a problem
For a client having an episode of acute narrow-angle glaucoma, a nurse expects to give which of the following medications?
Acetazolamide (Diamox)
Atropine
Furosemide (Lasix)
Urokinase (Abbokinase
Which of the following symptoms would occur in a client with a detached retina?
Flashing lights and floaters
Homonymous hemianopia
Loss of central vision
Ptosis
Male client has just had a cataract operation without a lens implant. In discharge teaching, the nurse will instruct the client's wife to:
Feed him soft foods for several days to prevent facial movement
Keep the eye dressing on for one week
Have her husband remain in bed for 3 days
Allow him to walk upstairs only with assistance
The nurse has notes that the physician has a diagnosis of presbycusis on the client's chart. The nurse plans care knowing the condition is:
A sensorineural hearing loss that occurs with aging
A conductive hearing loss that occurs with aging
Tinnitus that occurs with aging
Nystagmus that occurs with aging
The part of the ear that contains the receptors for hearing is the:
Utricle
Cochlea
Middle ear
Tympanic cavity
Mang Isko, a 68-year-old widower, has been stricken with cataracts about year ago. Which assessment date would the nurse expect when collecting the nursing history from the client?
Blurred vision
Eye pain
Floaters
Eye redness
Ben is diagnosed with a retinal detachment at the inner aspect of the right eye. Into which position would the nurse place the client?
Fowler's position
Supine with a small pillow
Right-side lying
Left-side lying
Nurse Jairuz Roy is carrying out his preoperative teachings for an older client who will have cataract surgery on the right eye. The nurse concludes that the client needs further understanding about the teachings if he says:
"I will sleep on my left side after the surgery."
"I will wipe my nose gently if it is congested after surgery."
"I will call my physician if I have sharp and sudden pain
"I will bend below my waist frequently to increase circulation after surgery."
A clinic nurse is providing instructions to a client with glaucoma regarding the prescribed treatment measures for the disorder. The nurse prepares the instructions based on the primary objective of:
Maintaining intraocular pressure at a reduced level
Producing mydriasis
Increasing the formation of aqueous humor
Promoting dilation of the pupils of the eyes
A client reports to the health care clinic for an eye examination, and a diagnosis of primary open-angle glaucoma is suspected. Which of the following nursing assessment questions will elicit information regarding the initial clinical manifestations associated with this disorder?
do you have any pain in your eyes?
have you had difficulty with peripheral vision?
do bright lights causes a glare?
is your central vision blurred?
A nurse in the outpatient unit is preparing a client who is scheduled for a laser trabeculoplasty for the treatment of primary open-angle glaucoma. Which of the following instructions should the nurse provide to the client?
the procedure takes about 2 hours
activities can be resumed following the procedure immediately
you may return to work 1 to 2 days following the procedure
your vision loss will be restored following the procedure
A nurse provides a list of instructions to a client with glaucoma regarding measures that will prevent an increase in intraocular pressure in the eyes. Which statement by the client indicates a need for further instructions?
I can move objects weighing 20 pounds or more by pushing the object on the floor using my feet
I can tie my shoelaces by bending over slowly
I need to consume a diet high in fiber and bulk
I need to maintain an intake of six to eight glasses of water a day
Essential feature of glaucoma is:
Optic neuropathy
Raised intraocular pressure
Reduced vision
Painful eye
What should the nurse do for a client who just had cataract surgery?
Instruct the client to avoid driving for several weeks.
Teach the client coughing and deep-breathing techniques.
Advise the client to refrain from vigorous brushing of the teeth and hair.
Encourage the client to perform eye exercises to strengthen the ocular musculature.
A nurse is caring for a client who is scheduled for surgery for a detached retina. Which goal of surgery identified by the client indicates that the preoperative teaching was effective?
Promote growth of new retinal cells
Adhere the sclera to the choroid layer
Graft a healthy piece of retina in place
Create a scar that aids in healing retinal holes
A client with glaucoma asks a nurse about future treatment and precautions. What information should the nurse's explanation include?
Avoidance of cholinergics
Surgical replacement of lens
Continuation of therapy for life
Prevention of high blood pressure
Which desired effect of therapy should the nurse explain to the client who has primary angle-closure glaucoma?
Dilating the pupil
Resting the eye muscles
Preventing secondary infection
Controlling intraocular pressure
Which clinical indicator is the nurse most likely to identify when exploring the history of a client with open-angle glaucoma?
Constant blurring
Abrupt attacks of acute pain
Sudden, complete loss of vision
Impairment of peripheral vision
The nurse has conducted discharge teaching for a client who had a fenestration procedure for the treatment of otosclerosis. Which of the following, if stated by the client, would indicate that teaching was effective?
"I can resume my tennis lessons starting next week."
"I should drink liquids through a straw for the next 2-3 weeks."
"It's ok to take a shower and wash my hair."
"I will take stool softeners as prescribed by my doctor."
The nurse is providing care to a client who has been admitted to the hospital for treatment of an infection. The client is visually impaired. Which of the following would be most appropriate for the nurse to do when interacting with the client?
Face the client when speaking directly to him.
Avoid using the terms "see" or "look."
Talk to the client in a loud tone of voice.
Touch the client before identifying himself or herself
After surgery for removal of cataract, a client is being discharged, and the nurse has completed discharge instruction. Which client statement indicates that the outcome of the teaching plan has been met?
"Dots or flashing lights in my vision are to be expected for the first few days."
"I should avoid pulling or pushing any object that weighs more than 15 lbs."
"I need to keep the eye patch on for about a week after surgery."
"I need to wear sunglasses for the first 3 to 4 days even when I'm inside."
A client diagnosed with a cataract comes into the clinic. What assessments should the nurse observe in this client?
A swollen lacrimal caruncle
A burning sensation and the sensation of an object in the eye
Inability to produce sufficient tears
Blurred or cloudy visual image
An aging client is brought to the eye clinic by the son. The son states he has seen his parent holding reading materials at an increasing distance to focus properly. What age-related changes does this indicate?
Cataract
Macular degeneration
Myopia
Presbyopia
A client has noticed recently having clearer vision at a distance than up close. What is the term used to describe this client's visual condition?
astigmatism
hyperopia
myopia
emmetropia
The nurse is caring for a client ordered for multiple eye screening. Following which procedure will the nurse instruct the client on a yellow coloring to the skin and urine as being normal?
Ultrasonography
Retinal Angiography
Retinal Imaging
Retinoscopy
A 52-year-old comes to the clinic for a follow-up examination after being diagnosed with glaucoma. The client states, "I'm hoping that I don't have to use these drops for very long." Which response by the nurse would be most appropriate?
"You'll need to use the drops for the rest of your life to control the glaucoma."
"These drops are just the first step to make sure that your vision doesn't get worse."
"Most clients need to use the drops for only about a few months."
"If the drops don't work, surgery may be needed to cure your condition."
A client is having a routine eye examination. The procedure being performed is done by using an instrument to indent or flatten the surface of the eye. This is known as ________ and it is routinely done to test for ________.
retinoscopy; cataracts
tonometry; intraocular pressure
retinoscopy; detached retina
tonometry; macular degeneration
A client with chronic open-angle glaucoma is now presenting with eye pain and intraocular pressure of 50 mm Hg. An immediate iridotomy is scheduled. Which of the following describes the desired effects of this procedure?
Reverse optic nerve damage
Improve outflow drainage
To relieve pain
Restore vision
What type of medication would the nurse use in combination with mydriatics to dilate the patient's pupil?
NSAIDs
Cycloplegics
Anti-infectives
Corticosteroids
When conducting an eye exam, the nurse practitioner is aware that a diagnostic clinical manifestation of glaucoma is:
The presence of halos around lights.
Pain associated with a purulent discharge.
Diminished acuity.
A significant loss of central vision.
