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.
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The nurse takes into consideration that the Weber test indicated a conductive hearing loss in a patient because the patient reported hearing the tone in which way?
- A. equally in both ears.
- B. as a shrill noise.
- C. louder in his affected ear.
- D. very faintly.
Correct Answer: C
Rationale: A conductive hearing loss can be diagnosed by the Weber test. A person with a conductive loss will hear the noise louder in his affected ear.
Which may contribute to otitis media?
- A. Exposure to cigarette smoke
- B. Allergies
- C. Upper respiratory infections
- D. Swimming
- E. Trauma
- F. Prolonged exposure to loud noise
Correct Answer: A,B,C
Rationale: Otitis media is usually caused by an upper respiratory infection with gram-negative bacteria, such as Proteus, Klebsiella, and Pseudomonas. In addition, allergy, exposure to cigarette smoke, mycoplasma, and several viruses may be factors.
Which condition may cause conductive hearing loss.
- A. Buildup of cerumen
- B. Foreign bodies
- C. Otosclerosis of external auditory canal
- D. Trauma
- E. Exposure to ototoxic drugs
- F. Otitis media with effusion
Correct Answer: A,B,C,F
Rationale: Common causes of conductive hearing loss are buildup of cerumen and otitis media with effusion (escape of effusion). Other conditions that may result in conductive hearing loss are foreign bodies, otosclerosis, and stenosis of the external auditory canal. Sensorineural hearing loss is usually due to trauma, infectious processes, or exposure to ototoxic drugs.
Which action is the first nursing intervention step for the immediate care of a patient with a penetrating wound of the eye?
- A. Assess eye, do not remove object.
- B. Cover both eyes with an eye shield or cup.
- C. Check for the irregularity of the pupil.
- D. Obtain medical attention immediately.
Correct Answer: C
Rationale: The patient should be placed on his back to prevent loss of the aqueous humor, assessment of the eye for the location of the object and whether the pupil is regular, cover the eye to prevent movement, and obtain medical attention immediately.
Which technique does the cataract treatment of phacoemulsification involve?
- A. Drying' the cataract with hypertonic saline
- B. Removing the lens through the anterior capsule
- C. The insertion of a new lens
- D. Breaking the cataract with ultrasound
Correct Answer: D
Rationale: Phacoemulsification uses ultrasound to break up the cataract.
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