NUR 222 Chapter 19: Disorders of Visual Function
NPRO 1100
It is important to differentiate between the kinds of hearing loss so they can be
appropriately treated. What is used to test between conductive and
sensorineural hearing loss?
Tuning fork RINNE TEST
A college junior calls his mother, a nurse, complaining of, "not being able to
see." When questioned further, he describes, "A gray curtain just went down my
right visual field. I don't know what to do." The nurse should recognize this
symptom as which of the following conditions and have their teenager go to the
emergency department immediately.
Retinal detachment.
The nurse takes a patient's blood pressure in the primary care provider's office.
The last three times the patient has been in the office it has been high. What
structure in the eye is this adverse effect of hypertension most likely to affect?
Retina
A patient's chart documents the finding of cholesteatoma. The
nurse interprets this to mean that the patient has which of the
following? Cystlike mass in the middle ear
NUR 222 Chapter 19: Disorders of Visual Function
NPRO 1100
,NUR 222 Chapter 19: Disorders of Visual Function
NPRO 1100
Causes of eyelid weakness include neurologic causes. There can be damage to
the cranial nerves that innervate the eyelids, or there can be damage to the
central nuclei of the cranial nerves. Where are the central nuclei of cranial nerve
(CN) III (oculomotor nerve) and CN VII (facial nerve)?
Midbrain and caudal pons
The nurse is teaching a teenaged client strategies to avoid recurrent ear
infections. The nurse understands that further teaching is required when the
client states which of the following?
"I will dry the inside of my ears thoroughly with cotton-tipped applicators after
swimming."
A 2-year-old child who has had otitis media (OM) for 4 months and been treated
with several courses of antibiotics now appears to have some hearing loss. The
nurse anticipates that the most appropriate treatment for the child would be:
Tympanostomy tube insertion
Which of the following nursing interventions is the highest priority intervention
for a nurse caring for a 26-year-old client diagnosed with benign paroxysmal
positional vertigo implement? Inside your head spinning
NUR 222 Chapter 19: Disorders of Visual Function
NPRO 1100
,NUR 222 Chapter 19: Disorders of Visual Function
NPRO 1100
Fall precautions
The nurse understands that autonomic manifestations of vertigo may include
which of the following? Select all that apply.
• Tachycardia
• Hypotension
A patient has shingles. What is the best time frame for the initiation of oral and
intravenous antiviral drugs after the appearance of a rash to reduce the incidence
of ocular complication?
3 days
The nurse is caring for a client who has been diagnosed with presbycusis. The
nurse understands that with this disorder, the client experiences which of the
following?
Difficulty hearing high-pitched frequencies
The nurse is assessing a patient's risk for sensorineural hearing
loss. Which of the following places the patient at greatest risk?
NUR 222 Chapter 19: Disorders of Visual Function
NPRO 1100
, NUR 222 Chapter 19: Disorders of Visual Function
NPRO 1100
Chronic noise exposure
A 69-year-old patient comes to the clinic for a routine checkup. Upon
examination the nurse practitioner informs the patient that she has cataracts.
The patient then tells the nurse that she already knew that and her physician told
her that she could use bifocals and that would take care of the problem. What
would be the best response by the nurse practitioner?
"Surgery is the only effective
treatment for cataracts."
Correct
The nurse is caring for a client whose hearing is impaired due to impacted
earwax. The nurse understands that the associated deafness is due to which of
the following?
Conduction disorder
The ophthalmologist is performing a client's annual eye exam and notes an
increase in intraocular pressure. The condition most likely is the result of:
NUR 222 Chapter 19: Disorders of Visual Function
NPRO 1100
NPRO 1100
It is important to differentiate between the kinds of hearing loss so they can be
appropriately treated. What is used to test between conductive and
sensorineural hearing loss?
Tuning fork RINNE TEST
A college junior calls his mother, a nurse, complaining of, "not being able to
see." When questioned further, he describes, "A gray curtain just went down my
right visual field. I don't know what to do." The nurse should recognize this
symptom as which of the following conditions and have their teenager go to the
emergency department immediately.
Retinal detachment.
The nurse takes a patient's blood pressure in the primary care provider's office.
The last three times the patient has been in the office it has been high. What
structure in the eye is this adverse effect of hypertension most likely to affect?
Retina
A patient's chart documents the finding of cholesteatoma. The
nurse interprets this to mean that the patient has which of the
following? Cystlike mass in the middle ear
NUR 222 Chapter 19: Disorders of Visual Function
NPRO 1100
,NUR 222 Chapter 19: Disorders of Visual Function
NPRO 1100
Causes of eyelid weakness include neurologic causes. There can be damage to
the cranial nerves that innervate the eyelids, or there can be damage to the
central nuclei of the cranial nerves. Where are the central nuclei of cranial nerve
(CN) III (oculomotor nerve) and CN VII (facial nerve)?
Midbrain and caudal pons
The nurse is teaching a teenaged client strategies to avoid recurrent ear
infections. The nurse understands that further teaching is required when the
client states which of the following?
"I will dry the inside of my ears thoroughly with cotton-tipped applicators after
swimming."
A 2-year-old child who has had otitis media (OM) for 4 months and been treated
with several courses of antibiotics now appears to have some hearing loss. The
nurse anticipates that the most appropriate treatment for the child would be:
Tympanostomy tube insertion
Which of the following nursing interventions is the highest priority intervention
for a nurse caring for a 26-year-old client diagnosed with benign paroxysmal
positional vertigo implement? Inside your head spinning
NUR 222 Chapter 19: Disorders of Visual Function
NPRO 1100
,NUR 222 Chapter 19: Disorders of Visual Function
NPRO 1100
Fall precautions
The nurse understands that autonomic manifestations of vertigo may include
which of the following? Select all that apply.
• Tachycardia
• Hypotension
A patient has shingles. What is the best time frame for the initiation of oral and
intravenous antiviral drugs after the appearance of a rash to reduce the incidence
of ocular complication?
3 days
The nurse is caring for a client who has been diagnosed with presbycusis. The
nurse understands that with this disorder, the client experiences which of the
following?
Difficulty hearing high-pitched frequencies
The nurse is assessing a patient's risk for sensorineural hearing
loss. Which of the following places the patient at greatest risk?
NUR 222 Chapter 19: Disorders of Visual Function
NPRO 1100
, NUR 222 Chapter 19: Disorders of Visual Function
NPRO 1100
Chronic noise exposure
A 69-year-old patient comes to the clinic for a routine checkup. Upon
examination the nurse practitioner informs the patient that she has cataracts.
The patient then tells the nurse that she already knew that and her physician told
her that she could use bifocals and that would take care of the problem. What
would be the best response by the nurse practitioner?
"Surgery is the only effective
treatment for cataracts."
Correct
The nurse is caring for a client whose hearing is impaired due to impacted
earwax. The nurse understands that the associated deafness is due to which of
the following?
Conduction disorder
The ophthalmologist is performing a client's annual eye exam and notes an
increase in intraocular pressure. The condition most likely is the result of:
NUR 222 Chapter 19: Disorders of Visual Function
NPRO 1100
