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Eliopoulos Gerontological Chapter 25 Hearing and Vision Exam Questions and Answers
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Eliopoulos Gerontological Chapter 25 Hearing and Vision Exam Questions and Answers
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Eliopoulos Gerontological Chapter 25Hearing and Vision Exam Questions and
Answers
The nurse teaches the caregivers to care for the clients' hearing aids. The nurse knows
that the caregiver needs further teaching when the nurse notes the caregiver:
A) Changing the battery after 82 hours of use
B) Purchasing several new batteries when a few remain
C) Removing the battery before turning the aid off
D) Removing the battery when the aid is not being worn - Answers -Ans:
C) Removing the battery before turning the aid off
When changing the battery, turn off the aid first. It is helpful to have several new
batteries available, a battery will last about 80 hours. When the aid is not in use, turn it
off and remove the battery.
The nurse helps the older adult to remove cerumen from the ears. Which of the
following interventions should be included in this plan?
A) Gently irrigate the external auditory canal with warm water.
B) Push the cerumen out with cotton-tipped applicators.
C) Use a hairclip to clean out the ear.
D) Use forceful stream of solution. - Answers -Ans:
A) Gently irrigate the external auditory canal with warm water.
Cerumen removal can be aided by gentle irrigation of the external auditory canal with
warm water or a hydrogen peroxide and water solution. Avoid the use of cotton-tipped
applicators for cerumen removal, because they can push the cerumen back into the ear
canal and cause an impaction. Hairpins or similar devices should never be used. A
forceful stream of solution should not be used during this procedure because it can
cause perforation of the eardrum.
The nurse understands the impact of sensory deficits on older adults. Which of the
following nursing diagnoses are associated with sensory deficits? (Select all that apply.)
A) Constipation
B) Diversional activity deficit
C) Impaired social interactions
D) Risk of injury
, E) Stress overload - Answers -Ans:
B, C, D
B) Diversional activity deficit
C) Impaired social interactions
D) Risk of injury
Visual and hearing loss contribute to diversional activity deficit and impaired social
interactions. The inability to see hazards is a risk factor for possible injury.
The nurse gives a presentation to the members of the senior center about visual
changes in the older adult. Which of the following pieces of information should the nurse
include in the presentation? The most common cause of blindness in people over 65 is:
A)Accidental injury
B)Detached retina
C)Glaucoma
D)Macular degeneration - Answers -Ans:
D)Macular degeneration
The most common cause of blindness in the older adult is macular degeneration. The
most common cause of low vision is cataracts.
The nurse plans care for a client who has had gradual vision loss. Which of the
following should the nurse include in the care plan?
A)Brightly colored throw rugs to lighten up the client's room.
B)Fluorescent overhead lights on at night.
C)A clock that chimes the hour in the client's living room.
D)Radio playing music in the client's room around the clock. - Answers -Ans:
C)A clock that chimes the hour in the client's living room.
Attention must be paid to stimulation of senses during the daylight hours. Music in the
client's room can be used intermittently to block out other noises, but continual use and
continual room lighting interfere with sleep-wake cycles. Bright colors are helpful but
throw rugs are to be avoided as a tripping hazard.
Which of a gerontological nurse's following teaching points about the role of sensory
function in older adults are accurate? (Select all that apply.)
A)"Sensory deficits are a threat not only to quality of life but to safety as well."
B)"A healthy lifestyle can prevent the sensory losses that many people assume to be
inevitable."
C)"Sensory deficits have a negative effect on older adults' social integration and
relationships."
D)"Impaired communication is a common result of sensory losses."
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