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chapter 45 book
exam 7 alterations
| Question | Answer |
|---|---|
| A school nurse is assessing the vision of second-grade students. The nurse is utilizing the Rosenbaum chart. One of the second-graders reads at the level of 20/100. Which of the following conditions would this be considered? | mypoia, nearsightedness |
| A patient comes into the eye clinic for an appointment. The patient is complaining of blurred vision in his right eye. The patient has a past medical history of diabetes, high cholesterol, obesity, and coronary artery disease. What test should be done? | tonometry, test for glaucoma, it diagnoses intraocular pressure |
| A nursing student is studying about physical changes that occur in older adults. Which of the following statements, if made by the nursing student, would demonstrate a good understanding of these changes? | cerumen has a higher keratin content, contributing to increased cerumen in the ear canal |
| A nurse is explaining sound conduction to the parents of an infant who was just diagnosed with Pendred syndrome. Which of the following statements, if made by the parents, would indicate that further teaching was needed? | Sound waves enter the external auditory canal and cause the organ of Corti to vibrate at the same frequency. |
| A 48-year old patient experiencing presbyopia (lens can't focus) reports to the health care facility. While assessing visual acuity, which assessment finding of the eye would the nurse most likely expect? | Patient reads a card with newsprint at arm's length. |
| Which of the following assessment findings would warrant further testing for diabetes mellitus? | Lack of response to light with appropriate response to accommodation |
| The nurse is performing a routine health assessment on a 65-year old African-American patient. Which of the following assessment findings would require further follow-up? | Yellow discoloration of the sclera |
| A 68-year-old patient presents to the health care facility with complaints of increasing sensitivity to glare and difficulty with night vision. To which age-related change of the eye are these complaints attributed? | Lens with increase density, size, and stiffness, leading to cataracts |
| A patient presents to the health care facility with a diagnosis of gout. Which assessment finding would the nurse attribute to this diagnosis? | Tophi on the rim of the ear |
| A nurse is a assessing a patient with experiencing severe ear pain. This subjective data are validated when the nurse assesses the patient's tympanic membrane and finds: | Loss of bony landmarks and a distorted light reflex, resulting in otitis media |
| During an interview, the nurse finds that many questions have to be repeated. Sometimes the patient answers questions inappropriately. While testing the patient's hearing acuity with the Weber test (tuning fork), the nurse would most likely find | Lateralized to the left side. |
| Because of several episodes of falling, a 70-year-old patient presents to the health care facility. While assessing the patient, the nurse also assesses for which of the following possible risk factors due to age-related changes? | Atrophy and degeneration of the organ of Corti and cochlea |
| age related changes in ears | degeneration and atrophy of the inner ear cause patient to fall, weakening and stiffening of muscles and ligaments interfere with speech, hearing and communication, cerumen with higher keratin implies hearing loss, loss of hair cells interferes hearing |
Created by:
bkgrota
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