Chapter 16: Eye and Ear Disorders


A client comes to the ambulatory clinic seeking care with a complaint of "getting something in my eye." Which of the following actions should the nurse take first?

Provide copious irrigation with normal saline
Get a detailed health history
Evaluate the client's vision
Swab the cornea several times using a cotton-tipped applicator


A client is being admitted to the post-anesthesia recovery area following lens removal and replacement in the left eye for a cataract. The nurse places the client into which of the following most appropriate positions?

On the left side with the head of bed elevated 30 degrees
On the right side with the head of bed elevated 30 degrees
Supine with the head of bed flat
Upright with the head and neck turned to the right


A client who has developed impaired vision because of previously undiagnosed glaucoma asks the nurse if the lost vision will return. Which of the following replies by the nurse is most accurate?

"Vision that is lost will not return, but compliance with therapy can help to maintain current vision."
"It will take at least 2 to 3 months for vision to return to baseline."
"It is difficult to answer that question with accuracy. Some clients experience return of vision, while others do not."
"Vision will return to normal within a week or so if intraocular pressure is reduced quickly."


A client is admitted with a newly diagnosed detached retina. The nurse should place highest priority on doing which of the following?

Limiting visitors and providing clear liquids
Allowing the client to get out of bed but keeping the room darkened
Giving eye drops every hour and allowing bathroom privileges only
Placing the client on bedrest and patching the eyes


The nurse who is planning care for a client who is legally blind should do which of the following as most important to ensure the client's safety?

Leave doors partially closed
Orient the client verbally and physically to the room
Provide radio and television for stimulation
Describe the weather and community events for the client


The nurse is performing the Rinne test on a client with a suspected hearing impairment. The nurse places the base of the tuning fork in which of the following locations?

On the forehead in the midline
On the tip of the nose
On the vertex of the skull
On the mastoid bone


The nurse is providing instructions to a client who has been diagnosed with hearing impairment and has just received a hearing aid. The nurse would include which of the following statements in discussion with the client?

Immerse the hearing aid daily in warm water for 15 minutes to clean it.
Leave the hearing aid on at all times to keep the battery charged.
Avoid use of aerosol sprays near the aid, because particles can clog the receiver.
Adjust the volume control to the maximum setting for efficient use.


A nurse is providing care to a client who just underwent a stapedectomy. The nurse checks the client's medical record, noting that this client had which of the following diagnoses prior to surgery?

Otitis externa
Meniere's disease
Foreign body obstruction of the auditory canal


A 72-year-old client reports to the nurse during a health history that the physician previously diagnosed an age-related loss of hearing. The nurse documents in the medical record that the patient reports which of the following disorders?

Meniere's disease


The nurse would prioritize that which of the following nursing diagnoses has highest priority for a client experiencing an attack of Meniere's disease?

Risk for injury
Risk for disturbed sleep pattern
Sensory perception: auditory
Risk for ineffective individual coping

© 1995-2004 by Prentice-Hall, Inc.
A Pearson Company