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Which action should the nurse take when assisting a blind person to walk in an unfamiliar hospital environment?
- A. Discourage the use of the cane.
- B. Advise the patient to walk quickly.
- C. Describe the surroundings.
- D. Encourage the patient to ask for verbal cues.
- E. Place patient hand on nurse's shoulder or elbow.
Correct Answer: C,D,E
Rationale: The patient should be given verbal cues about the environment. Allow the patient to hold the nurse's shoulder or elbow while the nurse walks in front and encourage the use of a cane to let the patient 'examine' the boundaries and obstacles.
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The 62-year-old patient reports a feeling of 'grittiness' in the eye and is having blurred vision. The eyes are reddened and have stringy mucus. Which disorder do these symptoms indicate?
- A. Sjögren syndrome
- B. Early cataracts
- C. Macular degeneration
- D. Retinal detachment
Correct Answer: A
Rationale: The Sjögren syndrome of 'dry eye' is associated with advancing age. There is insufficient production of tears. Excessive use of antihistamines, antidepressants, and decongestants may cause this syndrome to appear.
Which type of hearing loss does a tympanoplasty correct?
- A. Conductive hearing loss
- B. Sensorineural hearing loss
- C. Congenital hearing loss
- D. Functional hearing loss
Correct Answer: A
Rationale: Tympanoplasty can correct a conductive hearing loss.
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 anatomical part is the most interior part of the eye?
- A. Choroid
- B. Cornea
- C. Aqueous humor
- D. Retina
- E. Lens
- F. Iris
Correct Answer: A
Rationale: The cornea is the outermost, followed by the aqueous humor, iris, lens, retina, and the choroid.
Which reminder should the nurse provide to the hearing aid wearer when the nurse hears a whistling hearing aid?
- A. Reinsert the ear mold.
- B. Change the battery.
- C. Recharge the hearing aid.
- D. Wash the ear mold with warm water.
Correct Answer: A
Rationale: The whistling hearing aid is usually caused by a poor fit of the ear mold. Reinsertion of the ear mold usually stops the whistling.