Medical-Surgical Nursing,Visual and Auditory
Problems;10th Edition Chapter 21:(ANSWERED
100% CORRECT)
MULTIPLE CHOICE
1. The nurse evaluates that wearing bifocals improved the patient’s myopia and presbyopia by
assessing for
a. strength of the eye muscles. c. cloudiness in the eye lenses.
b. both near and distant vision. d. intraocular pressure changes.
ANS: B
The lenses are prescribed to correct the patient’s near and distant vision. The nurse may also
assess for cloudiness of the lenses, increased intraocular pressure, and eye movement, but
these data do not evaluate whether the patient’s bifocals are effective.
DIF: Cognitive Level: Understand (comprehension) REF: 368
TOP: Nursing Process: Evaluation MSC: NCLEX: Physiological Integrity
2. A nurse should instruct a patient with recurrent staphylococcal and seborrheic blepharitis to
a. irrigate the eyes with saline solution.
b. schedule an appointment for eye surgery.
c. use a gentle baby shampoo to clean the eyelids.
d. apply cool compresses to the eyes three times daily.
ANS: C
Baby shampoo is used to soften and remove crusts associated with blepharitis. The other
interventions are not used in treating this disorder.
DIF: Cognitive Level: Apply (application) REF: 371
TOP: Nursing Process: Planning MSC: NCLEX: Physiological Integrity
3. The safest technique for the nurse to use when assisting a blind patient in ambulating to the
bathroom is to
a. have the patient place a hand on the nurse’s shoulder and guide the patient.
b. lead the patient slowly to the bathroom, holding on to the patient by the arm.
c. stay beside the patient and describe any obstacles on the path to the bathroom.
d. walk slightly ahead of the patient, allowing the patient to hold the nurse’s elbow.
ANS: D
When using the sighted-guide technique, the nurse walks slightly in front and to the side of
the patient and has the patient hold the nurse’s elbow. The other techniques are not as safe in
assisting a blind patient.
DIF: Cognitive Level: Apply (application) REF: 369
TOP: Nursing Process: Implementation MSC: NCLEX: Safe and Effective Care Environment
,4. A nurse should include which instructions when teaching a patient with repeated hordeolum
how to prevent further infection?
a. Apply cold compresses.
b. Discard used eye cosmetics.
c. Wash the scalp and eyebrows with an antiseborrheic shampoo.
, d. Be examined for recurrent sexually transmitted infections (STIs).
ANS: B
Hordeolum (styes) are commonly caused by Staphylococcus aureus, which may be present in
cosmetics that the patient is using. Warm compresses are recommended to treat hordeolum.
Antiseborrheic shampoos are recommended for seborrheic blepharitis. Patients with adult
inclusion conjunctivitis, which is caused by Chlamydia trachomatis, should be referred for
STI testing.
DIF: Cognitive Level: Apply (application) REF: 370
TOP: Nursing Process: Implementation MSC: NCLEX: Physiological Integrity
5. The nurse developing a teaching plan for a patient with herpes simplex keratitis should
include which instruction?
a. Wash hands frequently and avoid touching the eyes.
b. Apply antibiotic drops to the eye several times daily.
c. Apply a new occlusive dressing to the affected eye at bedtime.
d. Use corticosteroid ophthalmic ointment to decrease inflammation.
ANS: A
The best way to avoid the spread of infection from one eye to another is to avoid rubbing or
touching the eyes and to use careful hand washing when touching the eyes is unavoidable.
Occlusive dressings are not used for herpes keratitis. Herpes simplex is a virus, and antibiotic
drops will not be prescribed. Topical corticosteroids are immunosuppressive and typically are
not ordered because they can contribute to a longer course of infection and more
complications.
DIF: Cognitive Level: Apply (application) REF: 372
TOP: Nursing Process: Planning MSC: NCLEX: Physiological Integrity
6. Which teaching point should the nurse plan to include when caring for a patient whose vision
is corrected to 20/200?
a. How to access audio books
b. How to use a white cane safely
c. Where Braille instruction is available
d. Where to obtain hand-held magnifiers
ANS: D
Various types of magnifiers can enhance the remaining vision enough to allow the
performance of many tasks and activities of daily living. Audio books, Braille instruction, and
canes usually are reserved for patients with no functional vision.
DIF: Cognitive Level: Apply (application) REF: 369
TOP: Nursing Process: Planning MSC: NCLEX: Physiological Integrity
7. The nurse is developing a plan of care for an adult patient diagnosed with adult inclusion
conjunctivitis (AIC) caused by Chlamydia trachomatis. Which action should be included in
the plan of care?
a. Applying topical corticosteroids to decrease inflammation
b. Discussing the need for sexually transmitted infection testing
c. Educating about the use of antiviral eyedrops to treat the infection
d. Assisting with applying for community visual rehabilitation services
Problems;10th Edition Chapter 21:(ANSWERED
100% CORRECT)
MULTIPLE CHOICE
1. The nurse evaluates that wearing bifocals improved the patient’s myopia and presbyopia by
assessing for
a. strength of the eye muscles. c. cloudiness in the eye lenses.
b. both near and distant vision. d. intraocular pressure changes.
ANS: B
The lenses are prescribed to correct the patient’s near and distant vision. The nurse may also
assess for cloudiness of the lenses, increased intraocular pressure, and eye movement, but
these data do not evaluate whether the patient’s bifocals are effective.
DIF: Cognitive Level: Understand (comprehension) REF: 368
TOP: Nursing Process: Evaluation MSC: NCLEX: Physiological Integrity
2. A nurse should instruct a patient with recurrent staphylococcal and seborrheic blepharitis to
a. irrigate the eyes with saline solution.
b. schedule an appointment for eye surgery.
c. use a gentle baby shampoo to clean the eyelids.
d. apply cool compresses to the eyes three times daily.
ANS: C
Baby shampoo is used to soften and remove crusts associated with blepharitis. The other
interventions are not used in treating this disorder.
DIF: Cognitive Level: Apply (application) REF: 371
TOP: Nursing Process: Planning MSC: NCLEX: Physiological Integrity
3. The safest technique for the nurse to use when assisting a blind patient in ambulating to the
bathroom is to
a. have the patient place a hand on the nurse’s shoulder and guide the patient.
b. lead the patient slowly to the bathroom, holding on to the patient by the arm.
c. stay beside the patient and describe any obstacles on the path to the bathroom.
d. walk slightly ahead of the patient, allowing the patient to hold the nurse’s elbow.
ANS: D
When using the sighted-guide technique, the nurse walks slightly in front and to the side of
the patient and has the patient hold the nurse’s elbow. The other techniques are not as safe in
assisting a blind patient.
DIF: Cognitive Level: Apply (application) REF: 369
TOP: Nursing Process: Implementation MSC: NCLEX: Safe and Effective Care Environment
,4. A nurse should include which instructions when teaching a patient with repeated hordeolum
how to prevent further infection?
a. Apply cold compresses.
b. Discard used eye cosmetics.
c. Wash the scalp and eyebrows with an antiseborrheic shampoo.
, d. Be examined for recurrent sexually transmitted infections (STIs).
ANS: B
Hordeolum (styes) are commonly caused by Staphylococcus aureus, which may be present in
cosmetics that the patient is using. Warm compresses are recommended to treat hordeolum.
Antiseborrheic shampoos are recommended for seborrheic blepharitis. Patients with adult
inclusion conjunctivitis, which is caused by Chlamydia trachomatis, should be referred for
STI testing.
DIF: Cognitive Level: Apply (application) REF: 370
TOP: Nursing Process: Implementation MSC: NCLEX: Physiological Integrity
5. The nurse developing a teaching plan for a patient with herpes simplex keratitis should
include which instruction?
a. Wash hands frequently and avoid touching the eyes.
b. Apply antibiotic drops to the eye several times daily.
c. Apply a new occlusive dressing to the affected eye at bedtime.
d. Use corticosteroid ophthalmic ointment to decrease inflammation.
ANS: A
The best way to avoid the spread of infection from one eye to another is to avoid rubbing or
touching the eyes and to use careful hand washing when touching the eyes is unavoidable.
Occlusive dressings are not used for herpes keratitis. Herpes simplex is a virus, and antibiotic
drops will not be prescribed. Topical corticosteroids are immunosuppressive and typically are
not ordered because they can contribute to a longer course of infection and more
complications.
DIF: Cognitive Level: Apply (application) REF: 372
TOP: Nursing Process: Planning MSC: NCLEX: Physiological Integrity
6. Which teaching point should the nurse plan to include when caring for a patient whose vision
is corrected to 20/200?
a. How to access audio books
b. How to use a white cane safely
c. Where Braille instruction is available
d. Where to obtain hand-held magnifiers
ANS: D
Various types of magnifiers can enhance the remaining vision enough to allow the
performance of many tasks and activities of daily living. Audio books, Braille instruction, and
canes usually are reserved for patients with no functional vision.
DIF: Cognitive Level: Apply (application) REF: 369
TOP: Nursing Process: Planning MSC: NCLEX: Physiological Integrity
7. The nurse is developing a plan of care for an adult patient diagnosed with adult inclusion
conjunctivitis (AIC) caused by Chlamydia trachomatis. Which action should be included in
the plan of care?
a. Applying topical corticosteroids to decrease inflammation
b. Discussing the need for sexually transmitted infection testing
c. Educating about the use of antiviral eyedrops to treat the infection
d. Assisting with applying for community visual rehabilitation services
