Nokea
The nurse is assessing an older-adult patient for the presence of presbyopia. Which of the following equipment will the nurse need to obtain before the examination?
- A. Penlight
- B. Tono-pen
- C. Jaeger chart
- D. Snellen chart
Correct Answer: C
Rationale: Presbyopia is the normal loss of near vision that occurs with age and is assessed using a Jaeger chart. This assessment should begin after 40 years of age. The Snellen chart, penlight, and the Tono-pen are used when assessing for other visual disorders.
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The nurse is preparing to assess the visual acuity for a patient in the outpatient clinic. Which of the following supplies should the nurse obtain to prepare for this assessment?
- A. Penlight
- B. Amsler grid
- C. Snellen chart
- D. Ophthalmoscope
Correct Answer: C
Rationale: The Snellen chart is used to check visual acuity. An ophthalmoscope, penlight, and Amsler grid also may be used during an eye examination, but they are not helpful in assessing visual acuity.
Which of the following actions should the nurse include in the plan of care for a patient who has vestibular disease?
- A. Check Rinne's and Weber's tests.
- B. Face the patient when speaking.
- C. Enunciate clearly when speaking.
- D. Monitor the patient's ability to ambulate safely.
Correct Answer: D
Rationale: Vestibular disease affects balance so the nurse should monitor the patient during activities that require balance. The other actions might be used for patients with hearing disorders.
The nurse is preparing a patient in the eye clinic for refractometry. Which of the following information should the nurse include in patient teaching?
- A. You will need to wear sunglasses for a few hours after the exam.'
- B. The surface of your eye will be numb while the doctor does the exam.'
- C. You should not take any of your eye medicines before the examination.'
- D. The doctor will shine a bright light into your eye during the examination.'
Correct Answer: A
Rationale: The pupil is dilated by using cycloplegic medications during refractometry. This effect will last several hours and cause photophobia. The other teaching would not be appropriate for a patient who was having refractometry.
The nurse is teaching a patient about routine glaucoma testing. Which of the following information should the nurse include in the teaching plan?
- A. The test involves reading a Snellen chart at a distance of 6 m.
- B. Application of a Tono-pen to the surface of the eye will be needed.
- C. The examination includes checking the pupil's reaction to a bright light.
- D. Medications to dilate the pupil will be used before testing for glaucoma.
Correct Answer: B
Rationale: Glaucoma is caused by an increase in intraocular pressure, which would be measured using the Tono-pen. The other techniques are used in testing for other eye disorders.
The nurse is caring for a child who has a perforated eardrum. Which of the following are possible causes?
- A. Persistent otitis media
- B. Mastoiditis
- C. Eustachian tube blockage
- D. Serous otitis media
- E. Acute otitis media
Correct Answer: A,B,E
Rationale: Perforation of the eardrum, central or marginal, can be caused by persistent otitis media, mastoiditis, and acute otitis media. Eustachian tube blockage could be the cause of a retracted eardrum. Serous otitis media presents as hairline fluid level, yellow-amber bubbles above the fluid line.