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Lewis Chapter 20: Assessment of Visual and Auditory Systems Exam Practice Questions and Answers $12.49   Add to cart

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Lewis Chapter 20: Assessment of Visual and Auditory Systems Exam Practice Questions and Answers

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  • Lewis Medical-Surgical Nursing
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  • Lewis Medical-Surgical Nursing

Lewis Chapter 20: Assessment of Visual and Auditory Systems Exam Practice Questions and Answers The nurse is providing health promotion teaching to a group of *older adults*. Which information will the nurse include when teaching about routine *glaucoma testing*? a. A Tono-Pen will be applied ...

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  • October 23, 2024
  • 28
  • 2024/2025
  • Exam (elaborations)
  • Questions & answers
  • Lewis Medical-Surgical Nursing
  • Lewis Medical-Surgical Nursing
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Lewis Chapter 20: Assessment of Visual
and Auditory Systems Exam Practice
Questions and Answers

The nurse is providing health promotion teaching to a group of *older adults*. Which information will

the nurse include when teaching about routine *glaucoma testing*?


a. A Tono-Pen will be applied to the surface of the eye.


b. The test involves reading a Snellen chart from 20 feet.


c. Medications will be used to dilate the pupils for the test.


d. The examination involves checking the pupil's reaction to light. - Ans:✔✔-a. A Tono-Pen will be applied

to the surface of the eye




Glaucoma is caused by an *increase in intraocular pressure*, which would be measured using the *Tono-

Pen*. The other techniques are used in testing for other eye disorders.




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FIRST PUBLISH OCTOBER 2024




The nurse is performing an eye examination on a *76-yr-old* patient. The nurse should refer the patient

for a more extensive assessment based on which finding?


a. The patient's sclerae are light yellow.


b. The patient reports persistent photophobia.


c. The pupil recovers slowly after responding to a bright light.


d. There is a whitish gray ring encircling the periphery of the iris. - Ans:✔✔-b. The patient reports

persistent photophobia.




*Photophobia* is *not a normally occurring change* with aging and would require further assessment.

The other assessment data are common gerontologic differences in assessment and would not be

unusual in a 76-yr-old patien


The nurse performing an eye examination will document normal findings for accommodation when


a. shining a light into the patient's eye causes pupil constriction in the opposite eye.


b. a blink reaction follows touching the patient's pupil with a piece of sterile cotton.


c. covering one eye for 1 minute and noting pupil constriction as the cover is


removed.


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, ©GRACEAMELIA 2024/2025 ACADEMIC YEAR. ALL RIGHTS RESERVED

FIRST PUBLISH OCTOBER 2024




d. the pupils constrict while fixating on an object being moved toward the patient's


eyes. - Ans:✔✔-d. the pupils constrict while fixating on an object being moved toward the patient's


eyes.


Which assessment finding alerts the nurse to provide patient teaching about *cataract development*?


a. History of hyperthyroidism


b. Unequal pupil size and shape


c. Blurred vision and light sensitivity


d. Loss of peripheral vision in both eyes - Ans:✔✔-c. Blurred vision and light sensitivity




Classic signs of cataracts include blurred vision and light sensitivity. Thyroid problems are a major cause

of exophthalmos. Unequal pupil is not indicative of cataracts. Loss of peripheral vision is a sign of

glaucoma.


Assessment of a patient's visual acuity reveals that the left eye can see at 20 feet what a person with

normal vision can see at 50 feet and the right eye can see at 20 feet what a person with normal vision

can see at 40 feet. The nurse records which finding?


a. OS 20/50; OD 20/40

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