The nurse is identifying interventions for a patient with a hearing deficit. What should be included in this patient's plan of care?
Select all that apply.
1. Speak face-to-face, but do not overarticulate your words.
2. Offer alternative methods of communication, such as paper and pencil.
3. Use facial and hand gestures while talking.
4. Speak loudly and in a higher pitch for easier understanding of words.
5. Restate in exactly the same words if not understood the first time.
Question 2Following myringotomy for acute otitis media, the patient should be instructed by the nurse on what aspect of home management?
1. Avoid sudden changes in barometric pressure.
2. Ear irrigations should be placed on the wall of the external canal.
3. Sterile, cotton-tipped swabs can be used to clean the ear drainage.
4. Swimming is restricted for approximately two weeks.
Question 3The nurse is planning care for a patient with severe symptoms of tinnitus, vertigo, sensorineural hearing deficit, nausea, and vomiting. What issue should the nurse identify as a priority for this patient?
1. anticipating future attacks
2. ensuring adequate nutritional intake
3. problems with interpersonal relationships
4. difficulty sleeping
Question 4Following a severe corneal ulcer, the patient had keratoplasty (corneal transplant). What information should be included in the nursing plan of care?
Select all that apply.
1. Wear an eye shield the first 24 hours and then at night until several weeks postoperatively as directed by healthcare provider.
2. Avoid lifting, sneezing, coughing, or bending over at the waist.
3. Report any change noted, such as increased pain, drainage, bleeding, floaters, and cloudiness.
4. Administer all eyedrops and ointments in a sterile manner.
5. Administer mydriatics during the postoperative period.
Question 5A patient who has been blind since birth is admitted to the hospital. Which actions should the nurse take when caring for this patient?
Select all that apply.
1. Orient the patient verbally and physically to the layout of the room.
2. Leave the room door partially open.
3. Place signs to remind staff not to move equipment.
4. Ensure the television is on at all times.
5. Tell the patient you will leave the light on 24 hours a day.
Question 6The nurse is instructing a patient who has a hearing and balance disorder. What should be included in these instructions?
Select all that apply.
1. Change positions slowly.
2. Turn the whole body, rather than just the head.
3. Stand very still with the onset of vertigo.
4. Increase pace of ambulation.
5. Avoid reclining while taking antivertigo medication.
Question 7An older patient often responds incorrectly to questions or during general conversation. The nurse realizes that this patient should be assessed for what health problem?
1. hearing disorder
2. history of strokes
3. level of education
4. cognitive impairment
Question 8A patient who is a single parent of two young children has recently lost vision in one eye following a car accident. Which problems that are common to people with sudden blindness should the nurse address as being high priority with this patient?
1. grieving
2. change in family functioning
3. possible change in self-esteem
4. potential for injury
5. fear of future trauma
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