NCLEX Review About The Aging Eye (11-15)

NCLEX Review About The Aging Eye

11. Which of the following is an effective technique of communicating with a hearing impaired client?

a) speak slowly in a low tone of voice
b) speak slowly in a loud voice
c) speak slowly and try to overemphasize words
d) speak slowly and directly in front of the client

12. Which of the following client statements indicates the need to postpone cataract surgery in the morning?

a) this seasonal allergy should no be a problem
b) the medications instilled into my eyes make my vision blurred
c) I feel nervous with my operation tomorrow
d) I have allergy to certain medications

13. Which of the following is done when performing Weber test?

a) place vibrating tuning fork in front of the opening of the ear
b) place the vibrating tuning fork in the middle of the head
c) place the vibrating tuning fork behind the ear
d) irrigate the ear with cold water and observe movement of the eyes

14. The client has been diagnosed to have Meniere's disease. Which of the following should be included when giving health teachings?

a) limit carbohydrates and proteins in the diet
b) limit salt intake
c) limit fats in the diet
d) drink a lot of fluids

15. The nurse plans care for a client with acute glaucoma who reports severe pain in the eyes and rainbow colors (halos) around lights. Which action should the nurse take first?

a) administer pain medication
b) explain to the client that with reduction in intraocular pressure, pain and other symptoms will subside
c) provide preoperative teachings to the client
d) assess the client's visual status




NCLEX Review About The Aging Eye:
ANSWERS AND RATIONALE

11) D

- speaking slowly allows the client to understand the message. And speaking in fron of the client allows him to read the lip movement of the speaker. Avoid using loud voice pitch. High-pitched voice is more difficult to be understood by hearing-impaired client.

12) A

- seasonal allergy is characterized by sneezing and coughing. These may cause increase in intraocular pressure (IOP) and bleeding after eye surgery.

13) B

- describes weber test, which confirms presence of sensorineural hearing loss like Meniere's disease.

14) B
- meniere's disease is a disorder caused by increased endolymphatic pressure in the inner ear; characterized by vertigo, tinnitus, gradual hearing loss. Low sodium diet is indicated to prevent further accumulation of endolymphatic fluids.

15) A
- pain is the priority problem in a client with glaucoma. Loss of vision in glaucoma is irreversible.


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