Quiz 69: Care of the Eye and Ear
Perry et al.: Clinical Nursing Skills & Techniques, 9th Edition
Instructor Verified Answers Included
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1. The nurse decides that assistive personnel can provide care to a patient with contact lenses when the assistive personnel states:
a. “If I am in a hurry, I will use tap water for rinsing the lenses.”
b. “Gloves aren’t necessary; the eye is a clean organ.”
c. “I will check with the patient to see if the lenses are disposable.”
d. “It is normal for contact lens wearers to have red, teary eyes.”
2. When providing eye care for the comatose patient, the nurse should:
a. place the patient in a prone position for easier access.
b. use a different corner of the washcloth for each eye.
c. wipe each eye from outer to inner canthus.
d. use a sterile medicine cup to instill lubricant.
3. In caring for a patient with contact lenses, the nurse should be aware that:
a. rigid gas-permeable (RGP) lenses are no longer used.
b. soft contact lenses are smaller than the cornea.
c. all lenses must be removed periodically.
d. extended wear lenses can be used for only 6 nights.
4. Which of the following nursing interventions would the nurse perform first after a patient sustained a chemical splash injury to the eye?
a. Assess visual acuity.
b. Flush the eye with large amounts of irrigation fluid.
c. Assess level of pain.
d. Determine whether the pupils are equal, round, reactive to light and accommodation (PERRLA).
5. The nurse caring for a comatose patient determines that he is wearing contact lenses. Which of the following nursing interventions will the nurse use when removing the contact lenses?
a. Put on snug, powdered, clean gloves.
b. Ask the patient to look down to expose the lower eyeball.
c. Use the fingernail to slide the lens off of the cornea.
d. Inspect the eye after the lenses have been removed.
6. When removing a soft contact lens, the nurse finds that it is sticking together. What should the nurse do next?
a. Rub the lens briskly.
b. Soak the lens in saline.
c. Place cleansing solution on the lens.
d. Pry the lens apart with the fingertips.
7. The patient is brought to the emergency department after receiving a chemical burn to his eyes. The doctor orders immediate eye irrigations. Of the following solutions, which would be the most beneficial for this patient?
a. Lactated Ringer’s solution
c. Tap water
d. Dextrose and water
8. When providing care to a patient who has splashed bleach into his eye, the nurse will:
a. remove the patient’s contacts immediately.
b. flush the eye from the outer to the inner canthus.
c. reinsert contacts as soon as irrigation is done.
d. irrigate toward the lower conjunctival sac.
9. The patient is found to have impacted cerumen in his ear canal. The nurse most likely will:
a. instill 1 to 2 drops of mineral oil.
b. instill the irrigation under pressure.
c. occlude the ear canal when irrigating.
d. straighten the ear canal.
10. How should the nurse position the ear when performing ear irrigation for a 2-year-old patient?
a. Instill the irrigating solution quickly and forcefully.
b. Pull the pinna up and back.
c. Direct the fluid toward the anterior aspect of the ear canal.
d. Pull the pinna down and back.
11. How does the nurse assess that a hearing aid is operating correctly?
a. Speaking very softly behind the patient
b. Covering the patient’s unaffected ear and speaking
c. Determining the patient’s response to a normal tone of voice
d. Removing the hearing aid and sending it to be checked by an audiologist
12. The nurse is preparing to clean the patient’s hearing aid. The nurse realizes that she must:
a. make sure the hearing aid volume is turned on before removing the hearing aid.
b. hold the hearing aid over the sink when cleansing.
c. insert a paper clip into the receiver port to cleanse cerumen buildup.
d. make sure the pressure equalization channel is clear.
13. When instructing a patient on correct technique for inserting a hearing aid into the ear, the nurse will include which of the following instructions?
a. Pull the outer ear up and out.
b. Hold the aid with the long portion upright.
c. Fit the aid snugly in the midline of the canal.
d. Turn the aid to the desired sound level before insertion.
14. The elderly patient is instructed to store his hearing aid in a(n):
a. cold place.
b. container that keeps out moisture.
c. easy to reach place.
d. a cup of water.
1. The nurse is preparing to provide eye care for a comatose patient. The nurse realizes that comatose patients do not have natural protective mechanisms to protect the cornea. These protective mechanisms include: (Select all that apply.)
1. The patient is brought into the emergency department after a motor vehicle accident. The patient is unresponsive. The nurse is concerned about whether or not the patient wears contact lenses because contact lenses that are not removed can cause _______________.
2. The substance found in the ear canal that has an antibacterial effect and maintains an acid pH is called ______________.
3. A _____________ is a small, battery-powered, electronic device that amplifies sound.