1) A nurse is collecting data from a client who has open-angle glaucoma which of the following findings should the nurse expect?
A. Loss of peripheral vision
B. Headache
C. Halos around lights
D. Discomfort in the eyes
2) A nurse is collecting data from a client who has a possible cataract. Which of the following manifestations should the nurse expect the client to report?
A. Decreased color perception
B. Loss of peripheral vision
C. Bright flashes of light
D. Eyestrain
3) A nurse is attempting to obtain information from a child who is hearing impaired. Which of the following actions should the nurse take?
A. Talk directly into the child's impaired ear
B. Stand above the child's eye level when speaking
C. Speak loudly to the child
D. Speak slowly while facing the child
4) A nurse on a medical-surgical unit is assisting with the admission of a client who has vision loss. Which of the following actions is the nurses priority?
A. Instruct the client to use the call light when preparing to ambulate
B. Remove clutter from the client's room
C. Encourage the client to feel the walls with her hands
D. Describe the environment to the client
5) A nurse's contributing to the plan of care for a client who has labyrinthitis. Which of the following interventions should the nurse include in the plan?
A. Limit fluid intake
B. Monitor client's cardinal fields of vision
C. Encourage ambulation
D. Ensure the room is brightly lit
Answers:
1. A
2. A
3. D
4. D
5. B
Are these answers correct?
See later posts.
Yes, the answers are correct. Here's an explanation for each question:
1) A nurse collecting data from a client who has open-angle glaucoma should expect the finding of loss of peripheral vision. Glaucoma is a condition that damages the optic nerve, and in open-angle glaucoma, it usually starts with loss of peripheral vision.
2) A nurse collecting data from a client who has a possible cataract should expect the client to report decreased color perception. Cataract is a condition where the lens of the eye becomes cloudy, and this cloudiness can affect the perception of colors.
3) When attempting to obtain information from a hearing-impaired child, the nurse should take the action of speaking slowly while facing the child. This allows the child to see the nurse's face and lip movements, which can help with understanding.
4) The priority action for a nurse assisting with the admission of a client who has vision loss is to describe the environment to the client. This is important to help the client orient themselves in the new environment and ensure their safety.
5) When contributing to the plan of care for a client who has labyrinthitis (an inner ear condition causing dizziness and balance problems), the nurse should include the intervention of monitoring the client's cardinal fields of vision. This helps assess for any abnormal eye movements that may indicate ongoing dizziness or imbalance.
Overall, your answers are correct. Well done!
Yes, the answers provided are correct:
1) A. Loss of peripheral vision is a common finding in open-angle glaucoma.
2) A. Decreased color perception is a common manifestation of cataracts.
3) D. Speaking slowly while facing the child is the appropriate action to communicate with a hearing-impaired child.
4) D. Describing the environment to the client is the priority action when assisting a client with vision loss.
5) B. Monitoring the client's cardinal fields of vision is an important intervention for labyrinthitis.