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Sensory Perception - Exam #5 Flashcards | StudBud
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Sensory Perception - Exam #5
Sensory Perception - Exam #5
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1
The nurse is selecting sensory aids for a client with deficits in hearing and sight. Which aid would address both?
Flashing alarm clock with large numbers
Amplified telephone
Adequate room lighting with night lights
Large-print reading material
2
The RN is planning care for an older adult with AMD. What therapies should the RN anticipate for this client?SAP
Eye patches and eye drops
Zinc
Laser surgery
Antioxidants
3
Of the following, which should the RN identify as a modifiable risk factor for macular degeneration?
Caucasian ancestry
62 years of age
Smoking 1 pack cigarettes/day
Family history of AMD
4
Client tells the RN about increasing difficulty seeing the print while reading the newspaper. What tool should be used?
Snellen eye chart
Rosenbaum eye chart
Penlight
Cover-uncover test
5
A client is experiencing visual overstimulation. What can you do to immediately reduce this visual sensory overload?
Sugges the client wear sunglasses that block UVA rays only
Reduce the amount of light in room by lowering shade and turn off light
Encourage the patient to employ relaxation techniques to reduce anxiety
Provide the client with large-print reading materials
6
A client is in the ER with a penetrating eye injury. The object is still in the eye. Which nursing action is priority?
Apply eye ointment
Remove the object
Stabilize the object
Apply anesthetic drops
7
Which assessment finding is consistent with a diagnosis of open-angle glaucoma?
A client loses the ability to see at all during an all-city blackout
A client experiences grad. diminishing vision in both eyes over ext. period
A client has an episode of lost vision during a panic attack
A client loses vision intermittently several times over several hours
8
What is vertigo?
Impaired olfaction
Involuntary rapid eye movement
A feeling of rotation or imbalance
An infection of the vestibular nerve
9
A school nurse is identifying students who may have hearing loss. Which student would the RN be most concerned about?
A child who likes to listen to music on earbuds
A child can't follow communication in the between classes or in the cafeter
A child who gets annoyed when things like tv are too loud
A child who startles easily at loud noises
10
Class of drugs decreases production of aqueous humor in the eye
and
increases drainage of aqueous humor via uveloscleral
Beta-adrenergic blockers
Prostaglandin analogs
Alpha2-adrenergic agonists
Cholinergic agonists
11
Which assessment finding supports the RN's conclusion that a client is at risk for cataracts?
Smoker
Age 75 years
Moderate alcohol use
Hypertension
12
Which nursing action is most appropriate when communicating with a client who has a hearing deficit?
Varying the volume of voice which is easier to understand
Using shorter phrases, which tends to be easier than long ones
Drawing out the articulation of words with extra emphasis for understanding
Writing ideas or pantomiming as appropriate in order for them to understand
13
Client w/ peripheral neuropathy c/o leg aches and inability to get comfortable. Which nursing dx would be a prioroity?
Anxiety
Chronic pain
Ineffective Coping
Ineffective Peripheral Tissue Perfusion
14
Client is ordered an ophthalmic beta-adrenergic blocking agent. Which statement should be included in the teaching?
Drug only needs to be taken when eye pain is experienced
Systemic absorption may occur, resulting in hypotension, bradycardia & SOB
Drug reduces pressure in the eye by relaxing the muscles in the eye
Drug reduces intraocular pressure by decreasing the prod. of fluid in eye
15
The RN is conducting a prenatal assessment on a client. Which indicates a risk of sensory impairment of the unborn child
Immunity to varicella
Lack of immunity to rubella
Brief case of mod. conjunctivitis
History of otitis media
16
RN is teaching a client occasionally exposed to loud explosions on the job. What indicates client understands pot. risk
"Hearing loss from exposure to loud noises has genetic component"
"Damage to the ear from loud noises can cause permanent loss"
"If my hearing is damaged on the job, I can have sx to fix it"
"Hearing loss attributed to loud noise is reversible in young people"
17
Glaucoma patient needs teaching about her new RX for eye drops. Which side effects should the RN teach the patient? SAP
Blurred vision
Intermittent loss of eyesight
Clouding of the eyes
Change in eye color
18
What are the two components of the sensory process?
Reception and perception
Stimulus and receptor
Visual and auditory
Kinesthesia and sterognosis
19
What is conductive hearing loss?
Damage to the hairs of the organ of Corti
Disruption of sound from the external aud. meatus to inner ear
Degeneration of the cells of the chochla
Decrease/distortion of the inner ear to receive/interpret aud. stimuli
20
Which client should the nurse identify as having greatest risk for hearing loss?
Teacher who works at a large high school
Adolescent wh occasionally listens to loud music on headphones
Lawyer who enjoys snowmobiling once a year
Construction worker who typically works in urban centers
21
Of the following assessment findings, which suggests a retinal detachment for client with a recent blow to the head?
Hyphema
Eye pain and redness
Subconjunctival hemorrhage
Floaters in the visual field
22
Client taking Timolol to manage glaucoma. Which assessment finding supports an adverse effect r/t systemic absorption?
Eye pain
Urinary frequency
Blurred vision
Heart rate of 57
23
RN is planning teaching for newly dx'd client with glaucoma. What should be included in the teaching? SAP
Attend follow-up appointments with MD
Self-administer prescribed eye meds properly
Avoid OTC meds unless discussed with MD
Manage eye pain with OTC analgesics
24
Which of the following statements re idiopathic neuropathy is true?
Idiopathic neuropathy is caused by disease or illness
Idiopathic neuropathy is caused by nutritional deficits
Idiopathic neuropathy is hereditary in nature
Idiopathic neuropathy has no known cause
25
RN is caring for client with a corneal abrasion. Which collab intervention should the RN anticipate in the client's care
Bedrest and an eye shield
Surgery
Applying antibiotic ointment and an eye sheild
Flushing the eye with normal saline
26
The RN is providing teaching on hearing tests for adults. Which info should be included?
Screenings are recommended for adults with DM every other year
Adults need hearing test q 10 years to 50 then q 3 years
Schedule an annual hearing test to age 50 then q 6 months
If comorbidities, hearing tests should be q 1-3 years for 55-64
27
Which diagnostic test should the RN use to assess hearing in an infant?
Otoacoustic emissions test
Rinne test
Whisper test
Weber test
28
What characterizes individuals with achromatopsia?
The perceive only shades of gray and no colors
The perceive only primary colors of red, blue and yellow
They perceive some colors as indistinguishable from other colors
They perceive only secondary colors of purple, orange and green
29
Older patient tells RN they read better when material is held to the L or R. What should the RN suspect this client has?
Exudative macular degeneration
Nonexudative macular degeneration
Cataract
Detached retina
30
RN is teaching group of parents of school-age children that focuses on eye safety. What should be included?
All children should wear goggles when playing outside at all times
Sunglasses need only be worn during summer months
Supervise young children when lighting fireworks
Keep sharp objects out of the reach of young children
31
A patient with DMII c/o occasional coldness/numbness in both hands/feet. Complaints are suggestive of what condition?
Hereditary peripheral neuropathy
Polyneuropathy
Idiopathic peripheral neuropathy
Mononeuropathy
32
What does it mean to say that a corneal abrasion causes a disruption of the superficial epithelium of the cornea?
Such injuries are typically painless
The surface of the cornea sustains penetrating trauma
The integrity of the superficial epithelium is disturbed
The superficial epithelium is completely removed
33
What is characteristic of conductive hearing loss?
For loss of hearing to primarily involve the middle frequencies
For loss of hearing to primarily involve the lower frequencies
For loss of hearing to primarily involve the upper frequencies
For loss of hearing to be the same at all frequencies
34
RN suspects a hearing disorder in an older client but the they deny it. Which action by the RN to assess is appropriate?
Observe the client's interaction with family
Use an otoscope to visualize the inner ear
Schedule a Weber and Rinne Test
Confront the client with the suspicion
35
What best describes photophobia?
Reactive to light
Need for light
Aversion to light
Fear of light
36
Which of the following best describes tinnitus?
Auditory perception without external auditory stimuli
Auditory perception from visual stimuli
Ringing sound accompanying perception of high-freq tones
Lack of auditory perception of external auditory stimuli
37
Which statement re risk factors for peripheral neuropathy is accurate?
Risk for PN is proportional to height for both men and women
Height is a risk factor for women but not men
Extremely short people are at the highest level of risk for developing
Height is a risk factor for men but not women
38
Where does perception, or the awareness and interpretation of stimuli take place?
The impulses
The peripheral nervous system
The nerve receptors
The brain
39
Which statement is true?
Pathophysiology of an eye injury depends on the nature of the injury
Eye injuries almost always happen at home
Eye injuries are uncommon with advances in safety and risk prevention
Construction workers have decreased risk of eye injury d/t protective gear
40
Which of the following clients is most likely require assistance with properly taking meds for macular degeneration?
72 year old with dementia and arthritis, no HTN
52 year old, GERD, HTN
72 year old, no dementia, arthritis or HTN
47 year old, no comorbidities
41
Which client is most at risk for eye injuries?
Cleaning employee that wears protective eyewear when working w/ chemicals
A baseball player who wears nothing over his eyes
A firefighter who wears all safety gear on calls
Construction worker who ears OSHA required eyewear at all times
42
The RN is teaching a client that has been diagnosed with diabetic neuropathy. What should the nurse include in this?
Set the water heater at 145 degrees F
Avoid hand/foot massages
Use a mirror to inspect feet daily
Increase medication for pain as needed
