Nokea
For which reason will the nurse encourage a group of teenagers to protect their eyes with dark sunglasses while using a UV lamp?
- A. The lamp can cause cataracts.
- B. The lamp can cause presbycusis.
- C. The lamp can cause keratitis.
- D. The lamp can cause ectropion.
Correct Answer: A
Rationale: The proteins in the lens of the eye are vulnerable to UV light and can develop cataracts.
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Which finding is a sign of acute angle closure glaucoma (AACG)?
- A. Large fixed pupil
- B. Nystagmus
- C. Bluish color in sclera
- D. Drooping eyelid
Correct Answer: A
Rationale: Signs of AACG would be eye pain, large fixed pupil with reddened sclera, decreased vision, nausea, and vomiting.
Which factor must the nurse consider when assessing readiness to learn when teaching health promotion practices for the visually and hearing impaired?
- A. Cultural beliefs
- B. Values
- C. Habits
- D. Income
- E. Occupation
Correct Answer: A,B,C
Rationale: The nurse must consider the patient's culture, beliefs, values, and habits, as well as the special needs of the older adult.
The nurse is aware that the patient has 20/40 vision. This means that the patient can see at 20 feet what the normal eye can see at which distance?
- A. 10 feet
- B. 20 feet
- C. 30 feet
- D. 40 feet
Correct Answer: D
Rationale: The Snellen Eye Chart tests visual acuity. A vision evaluation of 20/40 means that the patient can see at 20 feet what the person with normal vision can see at 40 feet.
The surgical incision into the eardrum with either a knife or a heated wire loop to relieve pressure in the middle ear is a(n) ___
Correct Answer: myringotomy
Rationale: The opening of the eardrum with a specialized knife or a heated wire loop to relieve pressure in the middle ear is a myringotomy.
Four hours after a stapedectomy, the patient complains that hearing has not improved at all. Knowledge of which fact will the nurse use to shape a response?
- A. A large percentage of stapedectomies are not successful.
- B. It will take at least 10 days for the graft to heal.
- C. Hearing will not return until edema subsides.
- D. Hearing will improve after irrigation of the ear.
Correct Answer: C
Rationale: Hearing improvement will not be noted until edema subsides and the packing is removed.