VN1105-Chapter 52: Care of the Patient with a Sensory Disorder-Nursing test bank-complete

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Chapter 52: Care of the Patient with a Sensory Disorder Cooper and Gosnell: Foundations and Adult Health Nursing, 7th Edition MULTIPLE CHOICE 1. The nurse is aware that the patient has 20/40 visio... n. This means that the patient can see at 20 feet what the normal eye can see at feet. a. 100 b. 200 c. 300 d. 400 ANS: B The Snellen Eye Chart tests visual acuity. A vision evaluation of 20/40 means that the patient can see at 20 feet what the person with normal vision can see at 200 feet. PTS: 1 DIF: Cognitive Level: Application REF: Page 1850 OBJ:7TOP:Snellen evaluation KEY: Nursing Process Step: Assessment MSC: NCLEX: Physiological Integrity 2. The patient tells the nurse that he is legally blind. How would this information impact the nurse’s plan of care for this patient? a. The patient would be considered totally blind. b. This patient probably has some light perception, but no usable vision. c. This patient has some usable vision, which enables function at an acceptable level. d. The nurse would need to determine how this patient’s visual impairment affects normal functioning. ANS: D “Legal blindness” refers to individuals with a maximum visual acuity of 20/200 with corrective eyewear and/or visual field sight capacity reduced by 20 degrees. Categories have been established to help determine the exact extent of the vision loss and what assistive measures are appropriate for the individual. The nurse will need more information as to the exact extent of the vision loss for this patient. PTS: 1 DIF: Cognitive Level: Analysis REF: Page 1851 OBJ:N/ATOP:Legal blindness KEY: Nursing Process Step: Planning MSC: NCLEX: Physiological Integrity 3. One of the housekeepers splashes a chemical in the eyes. What should be the first priority? a. Transport to a physician immediately b. Cover the eyes with a sterile gauze c. Irrigate with H2O for 5 minutes d. Irrigate with normal saline solution for 20 minutes ANS: D Burns are medically treated with a prolonged, 15- to 20-minute or longer normal saline flush immediately after burn exposure. PTS: 1 DIF: Cognitive Level: Analysis REF: Page 1871 OBJ:11TOP:Chemical burn of eye KEY:Nursing Process Step: Implementation MSC: NCLEX: Physiological Integrity 4. What does a tympanoplasty correct? a. Conductive hearing loss b. Sensorineural hearing loss c. Congenital hearing loss d. Functional hearing loss ANS: A Tympanoplasty can correct a conductive hearing loss. PTS: 1 DIF: Cognitive Level: Knowledge REF: Page 1889 OBJ:17TOP:Tympanoplasty KEY:Nursing Process Step: Implementation MSC: NCLEX: Physiological Integrity 5. The 62-year-old home health patient who is recovering from eye surgery complains of a feeling of “grittiness” in the eye and is having blurred vision. The eyes are reddened and have stringy mucus. What do these com- plaints indicate? CONTINUED............... [Show More]

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