Which of these assessment findings would the nurse expect to see when examining the eyes?

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Question	Answer
The nurse would identify which decibel loss as a moderately sever hearing impairment?	60dB
Which surgical procedure would the nurse identify as involving an incision in the tympanum to release the increased pressure and exudate from the middle ear?	Myringotomy
The nurse would identify which cranial nerve as being associated with the processing of sound and balance?	VIII
The nurse observes a patient ambulating with a stumbling gait. Which condition would the nurse note to be a possible cause of this paitnet's condition?	Vertigo
A patient is found to have acoustic neuromas. Which diagnostic test would the nurse prepare the patient for to aid in assessment?	Auditory brainstem response
Which tool wound an individual utilize in the physical assessment of the retina and optic nerve?	Ophthalmoscope
When assessing for the presence of allergic conjunctivitis, about which clinical manifestation would the nurse ask the patient?	itching
Which hearing aid would the nurse identify as the most powerful available for use by patients with hearing loss?	Behind the ear
Which auditory disorders would the nurse identify as related to the inner ear?	Presbycusis
The nurse understands that which anatomic area of the ear contributes to benign paroxysmal positional vertigo in patients?	1
Upon request of an ophthalmic checkup, which location would the nurse place the patient when performing a visual acuity assessment using the Snelen chart?	20 feet away
Which reflective error describes the vision of a patient for whom nearby objects are clear but objects at a distance are blurred?	Myopia
The nurse recalls that presbycusis is hearing loss primarily caused by which incidence?	Sensorineural loss
Which assessment finding would the nurse expect to identify in a patient who has ptosis secondary to myasthenia gravis?	Drooping of the upper lid margin in one or both eyes
Which auditory disorder in a patient would the nurse identify as caused by an excessive accumulation of endolymph in the membranous labyrinth?	Meniere's disease
The nurse understands that which structure located in the middle ear may cause a middle-ear infection when it is blocked?	Eustachian tubes
Which treatments, in order of priority, would the nurse identify as being used to manage chronic otitis media that has progressed to chronic tympanic membrane rupture?	- Otic antibiotics - Oral antibiotics -IV antibiotics -Myringoplasty - Mastoidectomy
For the patient diagnosed with proliferative diabetic retinopathy, which surgical procedure to relieve traction on the retina will the nurse provide instructions for and schedule?	Vitrectomy
Which nonverbal aids would the nurse adopt to effectively communicate with a patient with hearing loss?	Refraining from covering the mouth or face with hands
The nurse teaches that which part of the eye becomes inflamed for the patient who developed keratitis?	cornea
Which condition is caused by a refractive error within the eye?	myopia
The nurse would identify which organs of the auditory system as involved in balance? Select all that apply.	Vestibule - semi-circular canals
Which disorder would the nurse identify as causing otitis in older patients with diabetes mellitus?	Osteomyelitis
Which condition involves inflammation of the vitreous cavity of the eye?	Endophthalmitis
Which test would the nurse perform to assess a patient's near and distance visual acuity?	Snellen Chart
Which eye disorder would the nurse associate with the patient scheduled for a penetrating keratoplasty procedure?	corneal scars
The nurse is assessing a patient's ears. Which normal findings would the nurse document? Select all that apply.	- The TM is pearly gray, shiny, and translucent.
Which statement by the nurse is true regarding a patient with conductive hearing loss?	This patient hears better in a noisy environment.
Which description would the nurse use to explain the location of blood accumulating from a hemorrhage within the fundus of a patient's eye?	In the retinal background
The patient with Meniere's disease had decompression of the endolymphatic sac. Which instruction would the nurse include in the discharge teaching for this patient?	Avoid sudden head movements or position changes.
Which component of a visual health history includes assessment of a patient's concern about the effect of vision loss on reading?	Cognitive-perceptual problem
Which condition would the nurse suspect in the older adult patient who states, "I feel like there is sand in my eyes.	Keratoconjunctivitis sicca
Which technique would the nurse use when assessing an adult patient's external ear canal and tympanum.	Gently pull the auricle up and backward to straighten the canal
When observing the tympanic membrane during an otoscopic examination, which would the nurse anticipate documenting if considered normal?	shiny, pearl gray in color and translucent
Which action would be the nurse's priority when noting blood in the anterior chamber of the patient's eye after sustaining an eye injury, as well as redness of the sclera?	Elevate the head of bed to 45 degrees
Which actions would the nurse implement when using the sighted guide technique to assist a patient who is blind?	-Describe the environment to the patient while walking - Help the patient to sit by placing the patient's hand on the seat of the chair - Stand slightly in front and to one side of the patient; provide an elbow for support.
Which is the function of the structure labeled 1 in the image?	Acts as an instrument for sound transmission.
Which interpretation would the nurse associate with the patient's Snellen chart reading of right eye 20/30, left eye 20/40?	Thee patient has a refractory error consistent with myopia
The nurse is interviewing an older patient who has hearing loss. Which strategies would best assist the nurse in communication with this patient?	- Use simple sentences - speak normally and slowly avoid distracting environments.
The nurse provides teaching to a patient with otosclerosis. Which response by the patient indicates the teaching was effective?	The loss of my hearing is because there's a problem with the bones in my middle ear.
When obtaining a health history from a patient reporting decreased visual acuity, which relevant sexuality question would the nurse ask?	"Do you use birth control pills?
A patient is diagnosed with a collapsed ear canal. Which type of complication would the nurse associate with the diagnosis?	Loss of cartilage elasticity
A patient tells a nurse, I take an aspirin every two days because I'm always getting headaches. Which ear abnormality would the nurse expect?	Tinnitus
A patient tells the nurse, "I always need my fan on while I'm sleeping." Which ear abnormality may be indicatied?	Tinnitus
Based on the documentation below, which part of the auditory system was assessed? Auricle- free of lesions; Tragus- non-tender; canal- yellow sticky cerumen present	external ear
Which intervention is important for the nurse to include in the plan of care for a patient experiencing an acute episode of Meniere's disease?	Decreased environmental stimuli
Which condition would the nurse provide additional information for when observing a patient with systemic lupus erythematosus (SLE) frequently rubbing his or her eyes from decreased tear production?	Keratoconjunctivitis sicca
Which extraocular eye disorder would the nurse associate with the patient experiencing inflammation of the cornea and expphthalmos?	Exposure keratitis
A nurse is explaining measures to prevent external otitis to a group of patients. Which interventions would the nurse include in the teaching? Select all that apply?	- Report any itching in the ear - Use earplugs when swimming - keep the ears as dry as possible - avoid putting anything in the ear canal
A patient who underwent ear surgery has sustained trauma and has developed problems related to facial movement and eyelid closure. Which cranial nerve damage would the nurse suspect?	Cranial nerve VII
For which producer will the nurse provide additional information to the patient who states, " They are going to stick a very cold probe into my eye to produce a scar on my torn retina'?	Cryopexy
Which prescription would the nurse question prior to administering to a patient with keratitis caused by the herpes simplex virus (HSV)?	Topical corticosteroids (Aristocort Q)

Which of these assessment findings would the nurse expect to see when examining the eyes?

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