Sensory Perception Flashcards
A nurse is caring for a client who had a stroke and has aphasia. Which of the following interventions should the nurse use to promote communication with this client? (Select all that apply.)
A. Speak at a higher volume to the client.
B. Make sure only one person speaks at a time.
C. Avoid discouraging the client by indicating that they cannot be understood.
D. Allow plenty of time for the client to respond.
E. Use brief sentences with simple words.
B. CORRECT: Make sure only one person speaks at a time because trying to understand more than one voice at a time is challenging.
D. CORRECT: Allowing ample time for the client to respond helps enhance communication. Rushing ahead to the next
question would be demeaning and could cause frustration.
E. CORRECT: Use brief sentences with simple words because these are easier for the client to understand.
A nurse is caring for a client who had an amphetamine toxicity and has sensory overload. Which of the following interventions should the nurse implement?
A. Immediately complete a thorough assessment.
B. Encourage visitors to distract the client.
C. Provide a private room, and limit stimulation.
D. Speak at a higher volume to the client
C. CORRECT: Provide the client with a private room to decrease stimulation.
A nurse is caring for a client who reports difficulty hearing. Which of the following assessment findings indicate a sensorineural hearing loss in the left ear? (Select all that apply.)
A. Weber test showing lateralization to the right ear
B. Light reflex at 10 o’clock in the left ear
C. Indications of obstruction in the left ear canal
D. Rinne test showing less time for air and bone conduction
E. Rinne test showing air conduction less than bone conduction in the left ear
A. CORRECT: With sensorineural hearing loss, the Weber test demonstrates lateralization to the unaffected ear.
D. CORRECT: With sensorineural hearing loss in the left ear, length of time is decreased for both air and bone conduction.
A nurse is caring for a client who has several risk factors for hearing loss. Which of the following medications the client currently takes should alert the nurse to a further risk for ototoxicity? (Select all that apply.)
A. Furosemide
B. Ibuprofen
C. Cimetidine
D. Simvastatin
E. Amiodarone
A. CORRECT: Furosemide, a loop diuretic, can cause hearing loss as well as blurred vision.
B. CORRECT: Ibuprofen, a nonsteroidal anti‑inflammatory agent, can cause hearing loss as well as vision loss.
A nurse is reviewing instructions with a client who has a hearing loss and has just started wearing hearing aids. Which of the following statements should the nurse identify as an indication that the client understands the instructions?
A. “I use a damp cloth to clean the outside part of my hearing aids.”
B. “I clean the ear molds of my hearing aids with rubbing alcohol.”
C. “I keep the volume of my hearing aids turned up so I can hear better.”
D. “I take the batteries out of my hearing aids when I take them off at night.”
D. CORRECT: To conserve battery power, the client should turn off the hearing aids and remove the batteries when not in use.
A nurse is caring for a client who has diabetes mellitus and reports a gradual loss of peripheral vision. The nurse should recognize this as a manifestation of which of the following diseases?
A. Cataracts
B. Open‑angle glaucoma
C. Macular degeneration
D. Angle‑closure glaucoma
B. CORRECT: This is a manifestation of open‑angle glaucoma. A gradual loss of peripheral vision is a manifestation associated with this diagnosis.
A nurse is providing postoperative teaching to a client following cataract surgery. Which of the following statements should the nurse include in the teaching?
A. “You can resume playing golf in 2 days.”
B. “You need to tilt your head back when washing your hair.”
C. “You can get water in your eyes in 1 day.”
D. “You need to limit your housekeeping activities.”
D. CORRECT: Instruct the client to limit housekeeping activities following cataract surgery. This activity could cause a rise in IOP or injury to the eye.
A nurse is caring for a male older adult client who has a new diagnosis of glaucoma. Which of the following should the nurse recognize as risk factors associated with this disease? (Select all that apply.)
A. Sex
B. Genetic predisposition
C. Hypertension
D. Age
E. Diabetes mellitus
B. CORRECT: Genetic predisposition is a risk
factor associated with glaucoma.
C. CORRECT: Hypertension is a risk factor
associated with glaucoma.
D. CORRECT: Age is a risk factor associated with glaucoma.
E. CORRECT: Diabetes mellitus is a risk factor
associated with glaucoma.
A nurse is caring for a client who has a new diagnosis of cataracts. Which of the following manifestations should the nurse expect? (Select all that apply.)
A. Eye pain
B. Floating spots
C. Blurred vision
D. White pupils
E. Bilateral red reflexes
C. CORRECT: Blurred vision is a manifestation associated with cataracts.
D. CORRECT: White pupils are a manifestation associated with cataracts.
A nurse is providing teaching for a client who has a new diagnosis of dry macular degeneration. Which of the following instructions should the nurse include in the teaching?
A. Increase intake of deep yellow and orange vegetables.
B. Administer eye drops twice daily.
C. Avoid bending at the waist.
D. Wear an eye patch at night.
A. CORRECT: Instruct the client to increase dietary intake of carotenoids and antioxidants to slow the progression of the macular degeneration.
Define delerium
A syndrome that has a rapid onset and causes a disturbance in mental ability resulting in confused thinking and reduced awareness of the environment.
Define cataract
Clouding of the lens of the eye that causes the client’s eye to be blurry, hazy, or less colorful.
What is the leading cause of blindness in adults?
Diabetic retinopathy
Define presbycusis
Loss of hearing that occurs due to aging
Define otitis media
Inflammation in or the accumulation of fluid in the middle ear and can result on conductive hearing loss
