WorksheetsNeuro 5
Total questions: 25
Worksheet time: 50mins
A client presents to the clinic complaining, “I have something in my eye.” When questioned, the client admits to a scratching and burning sensation and light sensitivity. The health care provider suspects the client has developed:
Conjunctivitis
Retinal detachment
Acute glaucoma
Corneal edema
Which of the following people are at high risk for developing nonulcerative inflammation of the cornea? Select all that apply.
A welder with inadequate eye protection
A contact lens wearer who is noncompliant with cleaning and sterilizing the lens
A female who uses a tanning bed four to five times/week
A person who touched the fever blister and then rubbed the eye
A ski patrol who works 12 hours/day in bright, sunny mountain tops
During accommodation, pupillary dilation partially compensates for the reduced size of the retinal image by:
Thickening the lens
Contracting the ciliary muscle
Increasing light entering the pupil
Narrowing the palpebral opening
A client develops fever, headache, and burning/itching in the periorbital area. After a few days, a vesicular rash appears around the eyelid margins. The health care provider will likely prescribe:
Topical antimicrobial for infection caused by overuse of contact lens
Oral antibiotics to treat chlamydial infection
Topical mast cell stabilizer to treat allergies
Antiviral medication for herpes zoster ophthalmicus
Which of the following vision deficits is a clinician justified in attributing to the normal aging process?
Conjunctivitis
Presbyopia
Strabismus
Angle-closure glaucoma
A 78-year-old female client has been scheduled for outpatient cataract surgery. While taking a presurgery history, which statement by the client correlates to the surgical procedure?
“One of my eyes has redness and purulent drainage.”
“I had intense eye pain coupled with photosensitivity.”
“I have blurred vision in both my eyes and my visual is distorted.”
“I feel like I have a buildup of pressure in my eyeball.”
Which pregnant female is at risk of having an infant born with congenital cataracts?
A first-time mother over the age of 35
A pregnant mother with baby number 2 on the way who tested positive for human papillomavirus (HPV)
A diabetic mother who regulates her blood glucose levels with insulin
A mother who is 34 weeks' pregnant diagnosed with preeclampsia
Diabetic and hypertensive retinopathy are both characterized by the appearance of:
Macular edema
Cloudy corneas
Microinfarctions
Intraretinal hemorrhages
As part of the community health department, a nurse is educating a group of diabetic clients about prevention of blindness. Which of the following topics should be covered during this class? Select all that apply.
Importance of yearly eye exams
Need to have liver enzymes checked annually
Tight control of blood glucose levels
Keep BP below 130.85 (Am. Heart Assoc. Guidelines)
Never eat dessert when you have eaten pasta for the mea
A client seeks medical care when he wrecks his care because of poor eyesight. At the time of admission, his blood glucose level was 390 mg/dL. The client is diagnosed with diabetes (type 2). The ophthalmologist must perform an urgent intravitreal injection. The nurse explains this to the client by stating the doctor will:
Just put a couple of drops in each of your eyes
Put a needle with syringe into your eyeball and inject some medication to decrease active bleeding.
Remove some of the vitreous from your eye by withdrawing it with a needle/syringe and then strip some of the membranes off your inner eye.
Use a laser to try to seal off any bleeding vessels in your eyeball.
A 60-year-old client's long history of poorly controlled hypertension has culminated in a diagnosis of retinal detachment. What type of retinal detachment is this client most likely to have experienced?
Rhegmatogenous detachment
Exudative retinal detachment
Posterior vitreous detachment
Traction retinal detachment
An elderly woman has been diagnosed with macular degeneration following a visit to an ophthalmologist. Which of the woman's following statements best demonstrates an accurate understanding of her new diagnosis?
“I suppose this goes to show that I should have controlled my blood pressure better.”
“I think this is something that I might have caught from my husband.”
“My friend had this problem and a transplant did wonders for her vision.”
“I suppose that this may be one of the things that happen when you get older.”
A client has been diagnosed with open-angle glaucoma during routine eye exam. The client has been prescribed a topical b-adrenergic antagonist. Client teaching about how this drug works should include which of the following statements? p-adrenergic antagonists:
Cause an early decrease in production of aqueous humor by constricting the vessels supplying the ciliary body.
Lower intraocular pressure by decreasing aqueous humor production
Reduce the secretion of aqueous humor
Exert their effects by increasing the effects of acetylcholine, thereby increase aqueous outflow through contraction of the ciliary muscle and pupillary constriction
Which of the following clients are at risk for developing and acute episode of angle-closure glaucoma? Select all that apply.
A 60-year-old female emotionally devastated after divorcing her husband of 35 years
A soldier ordered to stay in a pitch-black cave to observe enemy militants for an extended period of time
A person with low dietary intake of lutein, omega-3 fatty acids, and zinc
A person with a high grade of myopia
A surgical client who has received many doses of IV atropine to keep heart rate above 50
A client presents to the emergency department complaining of loss of part of his vision. An MRI with contrast reveals multiple aneurysms of the circle of Willis. The client is diagnosed with “bitemporal heteronymous anopia.” For this client, what effect will this have on his vision?
With both eyes open, the client has full binocular visual fields
Bilateral loss of peripheral vision on both sides with a narrow binocular field
Total, irreversible blindness
Loss of a quarter of the visual field in both eyes
During a routine 2-month checkup at the pediatric clinic, a mother expresses concern that her son looks “cross-eyed.” She asks if she need to put patches over his good eye. Assessment reveals full eye movement, and the child uses each eye independently. The health care provider explains that the best treatment for the infant's eye problem is:
A prescription for drops to put in the eyes twice/day
“Pretend like you are going to poke him in the eye so that he will blink more and tighten up some muscles.”
To buy some prescription eye glasses so that lazy eye will get stronger.
To prepare for some surgery to correct this problem early on to correct the eye muscle disorder
In comparison to children with acute otitis media (AOM), those with otitis media with effusion (OME) have:
Systemic infection
Earache and fever
Excess middle ear fluid
Sensorineural hearing los
A new mother brings her infant to the clinic reporting that the child is not sleeping or eating much. Upon assessment, the health care provider notes that the infant's ear canal is reddened with a bulging tympanic membrane. Which other data collected would lead to the diagnosis of acute otitis media (AOM)? Select all that apply.
“Yes, he has been pulling at his ear.”
“We like to throw him up in the air hoping any water in his ear will drain.”
“He's been very irritable and fussy the past couple of days.”
“When I dropped a pan on the floor, he jumped.”
“He jabbers all the time usually.”
A client presents to the ENT clinic with some vague signs/symptoms. Which complaints would lead the health care provider to suspect the client has otosclerosis? Select all that apply.
Inability to hear whispering.
Inability to hear when talking on the telephone.
When chewing food, sounds are much intensified
In a noisy environment has a hard time hearing unless the health care provider speaks directly into the client's ear canal.
The person's own voice sounds unusually loud.
Frustrated by her worsening tinnitus, a 55-year-old female client has sought care. Which of the following teaching points should the clinician provide to the client?
“I know this can be very difficult to live with, but it normally fades over time.”
“I will prescribe some medication that will probably help quite well.”
“This might be a sign of a more serious neurologic problem that we will assess for.”
“Initially, there are some changes in your diet that you should implement.”
One of the causes of conductive hearing loss is:
Sudden loud noise
Ototoxic medication
Auditory nerve damage
Excess middle ear fluid
A female client with rheumatoid arthritis has taken high doses of aspirin for several years to control inflammatory pain. Which of the following statements leads the health care provider to suspect the client has developed ototoxicity?
“I can't go to the movies anymore. It's so noisy, I miss half the words.”
“I've been getting dizzy and light-headed. I seem to have a constant ringing in my ear.”
“I almost got hit by a garbage truck. I didn't hear its backup beeper.”
“When my grandchildren whisper, I can't hear a word they are saying.”
Parents with a profoundly deaf child ask, “How can you test such a young infant for hearing loss?” The health care provider will likely explain which of the following testing procedures? Select all that apply.
Tuning fork
Audioscope
EEG with auditory brain stem–evoked responses (ABRs)
Playing music and slowly increasing the sound until response is elicited
PET scanning
While on a cruise to the Caribbean, a person develops “motion sickness” with associated malaise, and nausea/vomiting. The nurse notes the client's BP is 88/52; pulse is 110; and skin moist with perspiration. The client diagnosis related to the clinical manifestations would most likely be:
Light-headedness
Vertigo
Syncope
Dizzy
Which of the following signs and symptoms is most indicative of Ménière disease?
Rotary vertigo and tinnitus
Nausea and vomiting
Progressive hearing loss and frequent falls
Otalgia and recurrent otitis media
