The nurse has noted that the physician has a diagnosis of presbycusis on the client’s chart. The nurse plans care knowing the condition is: A. A sensorineural hearing loss that occurs with aging. B. A conductive hearing loss that occurs with aging. C. Tinnitus that occurs with aging. D. Nystagmus that… Read More »
Mang Isko, a 68-year-old widower, has been stricken with cataracts about a year ago. Which assessment data would the nurse expect when collecting the nursing history from the client? A. Blurred vision B. Eye pain C. Floaters D. Eye redness Correct Answer: A. Blurred vision Cataracts lead… Read More »
A client with Meniere’s disease is experiencing severe vertigo. Which instruction would the nurse give to the client to assist in controlling vertigo? A. Increase fluid intake to 3000 ml a day. B. Avoid sudden head movements. C. Lie still and watch the television. D. Increase sodium in the diet. … Read More »
Which intervention would be included in the care plan for the client with an acute exacerbation of Ménière’s disease? A. Instructing the client on the correct way to remove impacted cerumen. B. Speaking slowly and distinctly in a low-pitched, clear voice without yelling C. Providing a safe, quiet, dimly lit environment with… Read More »
The nurse is reviewing the physician’s orders for a client with Meniere’s disease. Which diet will most likely be prescribed? A. Low-cholesterol diet B. Low-sodium diet C. Low-carbohydrate diet D. Low-fat diet Correct Answer: B. Low-sodium diet. Dietary changes such as salt and fluid restrictions that reduce the amount… Read More »
Which assessment data would the nurse expect as the chief complaint from a client who is experiencing an acute exacerbation of Ménière’s disease? A. Vertigo B. Dizziness C. Severe ear pain D. Sudden deafness Correct Answer: A. Vertigo Ménière’s disease is characterized by sudden, severe episodes of… Read More »
A client is diagnosed with a disorder involving the inner ear. Which of the following is the most common client complaint associated with a disorder in this part of the ear? A. Hearing loss B. Pruritus C. Tinnitus D. Burning of the ear Correct Answer: C. Tinnitus. Tinnitus is… Read More »
Nurse Errol is administering 2 drops of medication in OS prior to ophthalmic surgery. Which interventions should he implement? Select all that apply. A. Instructing the client to lookup prior to administering the medication. B. Administering the medication into the right eye. C. Administering the medication into the upper conjunctiva. D. Pulling… Read More »
A nurse would question an order to irrigate the ear canal in which of the following circumstances? A. Ear pain B. Hearing loss C. Otitis externa D. Perforated tympanic membrane Correct Answer: D. Perforated tympanic membrane. Irrigation of the ear canal is contraindicated with perforation of the… Read More »
During eyedrop instillation, which intervention would the nurse perform to prevent systemic adverse effects from drug absorption? A. Applying pressure on the eyelid rim. B. Having the client close his eyes tightly. C. Placing the client in the supine position for a few minutes. D. Applying pressure on the inner canthus.… Read More »