Term
The glands that secrete tears are the
A) lacrimal glands
B) nasolacrimal glands
C) choroid glands
D) ciliary glands |
|
Definition
A
PG 201: Exocrine glands include sweat glands, mammary glands, mucous membranes, salivary glands, and lacrimal (tear) glands. |
|
|
Term
The amount of light that enters the eye is regulated by the
A) iris
B) cornea
C) pupil
D) retina |
|
Definition
C
PG 214: he pupil is the black center opening within the eye that regulates the amount of light that enters the eye |
|
|
Term
The fluid found between the cornea and the lens of the eye is the
A) aqueous humor
B) serous fluid
C) lacrimal fluid
D) vitreous humor |
|
Definition
A
PG 213: The ciliary body also secretes aqueous humor (5 to 6 mL/d), which flows through the anterior chamber of the eye in the space between the cornea and the lens. |
|
|
Term
The cones in the retina are concerned with the
A) perception of black and white
B) ability to see in the dark
C) ability to distinguish shapes
D) perception of color |
|
Definition
D
PG 214: The cones are concentrated in the retina's center and function in daylight and in bright light (photopic vision). They receive color and add to visual acuity (visual sharpness) but require a significant amount of light. |
|
|
Term
Which cranial nerve functions in hearing?
A) Abducens
B) Vestibulocochlear
C) Oculomotor
D) Trigeminal |
|
Definition
B
PG 218: The stimuli from the nerve endings in the organ of Corti are sent to the vestibulocochlear nerve (cranial nerve VIII) and then to the temporal lobe in the cerebral cortex, where the sounds are interpreted. |
|
|
Term
Which of the following separates the middle and inner ear?
A) Auditory canal
B) Tynmpanic membrane
C) Oval window
D) Cochlea |
|
Definition
C
PG 215: The stapes transmit vibrations to the fluid-filled inner ear at the oval window, which separates the middle ear from the inner ear |
|
|
Term
All of the following are structures of the middle ear except
A) the stapes
B) the malleus
C) the cochlea
D) the incus |
|
Definition
C) the cochlea
PG 215: The three sections of the inner ear are the cochlea, vestibule, and semicircular canals |
|
|
Term
The structures in the ear that are responsible for our sense of balance are the
A) semicircular canals
B) stapes
C) mastoid cells
D) cochlea |
|
Definition
A
PG 216: If you look at the semicircular canals ... The sensory receptors for equilibrium (balance) while the body is moving are located in these canals. |
|
|
Term
When the light rays focus in front of the retina, this is known as
A) myopia
B) presbyopia
C) astigmatism
D) cataract |
|
Definition
A
PG 217: In nearsightedness (myopia), the light rays are focused in front of the retina (the focal length of the rays is too short). |
|
|
Term
As we age, the lens of the eye becomes less elastic and makes close vision difficult. This is known as
A) myopia
B) presbyopia
C) hyperopia
D) presbycusis |
|
Definition
B
PG 220: Presbyopia - The lens of the eye becomes less elastic with aging and often is not able to accommodate well enough to see close objects. |
|
|
Term
The ability of a person to determine whether an arm is raised upward without looking is called
A) a reflex
B) proprioception
C) referred pressure
D) a tactile response |
|
Definition
B
PG 220: Location or position of the body (proprioception) depends on proprioceptors and the semicircular canals of the inner ear. |
|
|
Term
Which of the following is not an age-related change of the senosry system?
A) Decreased peripheral vision and depth perception
B) Increased risk of vertigy, dizziness, and tinnitus
C) Decreased sense of smell and taste sensation
D) Increased tear formation and fluid circulation in the eye |
|
Definition
D
PG 220: The slowing of all body secretions may affect the lacrimal glands and may lead to extraordinarily dry eyes. |
|
|
Term
An infant's eustachian tube is shorter, wider, and positioned at a different angle than an adult's. This puts the infant at risk for which of the following conditions?
A) Chronic sinusitis
B) Decreased taste sensations
C) Ear infections
D) Pneumonia |
|
Definition
C
PG 216: In infants and in children, the eustachian tube is shorter, wider, and positioned at a different angle than in adults. This difference predisposes children to inner ear infections because it is easier for pathogens to migrate into the ear. |
|
|
Term
Where are the sweet taste buds primarily located?
A) Back of tongue
B) Left side of tongue
C) Right side of tongue
D) Tip of tongue |
|
Definition
D
PG 219: Bitter tastes are sensed at the back, sour on both sides, salty on the sides and the tip, and sweet at the tip (apex). |
|
|
Term
You are taking care of a client with presbycusis. Which of the following teaching interventions is most appropriate?
A) Use red, yellow, and black colors for all written information
B) Install smoke detectors and check them at least yearly
C) Encourage the use of hand rails or a walker
D) Use a special volume control on your home telephone. |
|
Definition
D
PG 220: Many older people experience a degenerative loss of hearing, called presbycusis, ... (PG 221) Person may benefit from “helper” dog or special telephone volume controls. |
|
|
Term
the part of the eye that forms the white of the eye is the
A) conjunctiva
B) sclera
C) retina
D) choroid layer |
|
Definition
B
PG 213: The tough protective outer layer of the eyeball is the sclera (also known as the “white” of the eye). |
|
|
Term
The retina of the eye
A) contains the receptors for vision
B) is made of connective tissue
C) both A and B
D) both A and B, and forms the oculomotor nerve |
|
Definition
A
PG 214: It contains the receptors of the optic nerve.
http://www.maculasurgery.com/Glossary.htm: Retina Anatomical layered, light-sensitive nerve tissue lining the interior of the eye allowing the transmission of electrical impulses to the brain interpreted as vision. |
|
|
Term
The part of the eye that light waves pass through first is the
A) cornea
B) conjunctiva
C) lens
D) retina |
|
Definition
A
PG 217: Light enters the eye through the cornea ... |
|
|
Term
The fovea of the eye
A) is the area of best color vision
B) absorbs aqueous humor
C) is the site of teh optic nerve
D) all of the above |
|
Definition
|
|
Term
The part of the eye that keeps dust out of the eye is the
A) eyelashes
B) cornea
C) sclera
D) conjunctiva |
|
Definition
|
|
Term
| The part of the eye that produces tears is the A) cornea B) lacrimal gland C) conjunctiva D) nasolacrimal duct |
|
Definition
|
|
Term
Tears contain _______ to inhibit the growth of bacteria on the front of the eye.
A) serous fluid
B) aqueous humor
C) vitreozyme
D) lysozyme |
|
Definition
|
|
Term
The part of the eye that helps keep the retina in place is the
A) vitreous humor
B) sclera
C) aqueous humor
D) lens |
|
Definition
|
|
Term
The receptors in the retina that detect color are the
A) optic discs
B) cones
C) rods
D) ganglion neurons |
|
Definition
|
|
Term
The receptors in the retina that detect the presence of light are the
A) cones
B) ganglion neurons
C) rods
D) foveas |
|
Definition
|
|
Term
The cranial nerve pair for vision is the
A) oculomotor
B) abducens
C) optic
D) trochlear |
|
Definition
|
|
Term
The cranial nerve pairs that are sensory for taste are the
A) facial and trigeminal
B) hypoglossal
C) glossopharyngeal and hypoglossal
D) facial and glossopharyngeal |
|
Definition
|
|
Term
Which cranial nerve pair is NOT paired with its correct function?
A) Oculomotor - moves the eyeball
B) trochlear - moves the eyeball
C) vagus - decreases peristalsis in the intestines
D) facial - motor to facial muscles |
|
Definition
|
|
Term
Which cranial nerve pair is NOT paired with its correct function?
A) acoustic - hearing
B) accessory - movement of shoulder muscles
C) abducens -movement of the eyeball
D) vagus - sense of taste |
|
Definition
|
|
Term
| Mneumonic to remember sensory/motor/both functioning of cranial nerves |
|
Definition
| Some Say Marry Money But My Brother Says Big Brains Matter More. |
|
|
Term
| A client with pupils of unequal size is suffering from |
|
Definition
|
|
Term
| The client whose eyes move involuntarily is suffering from |
|
Definition
|
|
Term
| When one pupil is exposed to direct light, the other also constricts. This is known as |
|
Definition
|
|
Term
|
Definition
| focusing from far to near. |
|
|
Term
| Light collected through the lenses is focused on _____ in the retina of the eyeball. |
|
Definition
|
|
Term
| protective covers for the front of the eyeball |
|
Definition
|
|
Term
| The eyelids are lined with a thin transparent membrane called |
|
Definition
|
|
Term
| located within the bony socket at the upper, outer corner of the eyeball |
|
Definition
|
|
Term
| The cranial nerves that innervate The six extrinsic muscles that move the eyeball are the |
|
Definition
oculomotor (III),
trochlear (IV), and
abducens (VI). |
|
|
Term
| The outer layer of the wall of the eyeball is the |
|
Definition
|
|
Term
| The middle layer of the wall of the eyeball is the |
|
Definition
|
|
Term
| The inner layer of the wall of the eyeball is the |
|
Definition
|
|
Term
| In front of the lens is the circular |
|
Definition
|
|
Term
| The retina lines the posterior two-thirds of the eyeball and contains the ______, the receptors for vision. |
|
Definition
|
|
Term
| ______ detect the different wavelengths of light as colors. |
|
Definition
|
|
Term
|
Definition
|
|
Term
| Nerve cells responsible for vision are called |
|
Definition
|
|
Term
| The optic disc may also be called the |
|
Definition
|
|
Term
| This semisolid substance helps keep the retina in place. |
|
Definition
|
|
Term
| The tissue fluid of the eyeball that nourishes the lens and cornea |
|
Definition
|
|
Term
| Aqueous humor is formed by capillaries in the ciliary body, flows anteriorly through the pupil, and is reabsorbed by the |
|
Definition
|
|
Term
| Receptors contain a light-absorbing molecule called |
|
Definition
|
|
Term
| The most common changes in the aging eye are those in the |
|
Definition
|
|
Term
|
Definition
|
|
Term
|
Definition
|
|
Term
|
Definition
|
|
Term
| The examiner tests peripheral vision, which is the ability of the eye to see objects peripherally while the eye is fixed or kept in one position. This is also known as testing visual fields by |
|
Definition
|
|
Term
| involuntary, cyclical, rapid movement of the eyes in response to vertical, horizontal, or rotary movement |
|
Definition
|
|
Term
A penlight is shone toward the pupil from a lateral position, and the movement of the pupil is observed. The pupil should quickly constrict. The
size of the pupil is noted when it constricts. This is known as |
|
Definition
|
|
Term
| The constriction of one eye while shining the penlight into the other eye is known as |
|
Definition
|
|
Term
| Accomodation is the combination of |
|
Definition
| convergence and constriction |
|
|
Term
| An opaque whitening of the outer rim of the cornea is known as |
|
Definition
|
|
Term
| The device used to estimate intraocular pressure is called |
|
Definition
|
|
Term
| Fluorescein angiography: nursing alert |
|
Definition
|
|
Term
| Electroretinography involves the use of |
|
Definition
| contact lenses with elecrodes |
|
|
Term
| corneal damage and night blindness are usually caused by |
|
Definition
|
|
Term
|
Definition
| deliver isotonic solutions for eye irrigation |
|
|
Term
| Foods that reduce advanced age-related macular degeneration (ARMD) |
|
Definition
spinach, broccoli, and eggs
(high-dose vitamins C and E, beta carotene, and zinc) |
|
|
Term
| In regards to vision, women who take vitamin C supliments tend to have a reduced risk of |
|
Definition
|
|
Term
| Eye patches should be applied so that they |
|
Definition
| help keep the eyelid closed. |
|
|
Term
| A patient with an eye patch should not get involved in activites that |
|
Definition
would cause the eyes to move a lot.
(ie, TV, reading) |
|
|
Term
| The receptors for the senses of hearing and equilibrium are located |
|
Definition
|
|
Term
| The outer ear consists of |
|
Definition
| the auricle (pinna) and ear canal. |
|
|
Term
| The incus, malleus and stapes are part of the |
|
Definition
|
|
Term
| The outer and middle ear are separated by |
|
Definition
| the tympanic membrane (eardrum). |
|
|
Term
| The bones that conduct sound in the ear are |
|
Definition
| the malleus, incus, and stapes. |
|
|
Term
| sound signals are sent to the brain through the |
|
Definition
| 8th (acoustic) cranial nerve. |
|
|
Term
| The middle and innr ear are divided by the |
|
Definition
|
|
Term
| air pressure within the ear is balanced by means of the |
|
Definition
|
|
Term
| The canal of Schlemm is located at |
|
Definition
| the junction of the iris and the cornea |
|
|
Term
| The refractive structures of the eye are, in order, |
|
Definition
| cornea, aqueous humor, lens, vitreous humor |
|
|
Term
| The part of the ear primarily responsible for balance |
|
Definition
|
|
Term
|
Definition
|
|
Term
|
Definition
| light rays focusing in front of the retina, instead of on it. |
|
|
Term
|
Definition
| Awareness of location of body parts in relation to the brain. |
|
|
Term
| Mariner's disease is generally a |
|
Definition
|
|
Term
| A patient presenting with vertigo, tinnitis and hearing loss likely has |
|
Definition
|
|
Term
| The signature triad of symptoms of Ménière’s disease are |
|
Definition
| vertigo, tinnitis, and hearing loss. |
|
|
Term
| The primary nursing diagnosis for the client with Ménière’s disease would be |
|
Definition
|
|
Term
| Discharge teaching for the patient with Ménière’s disease would include |
|
Definition
|
|
Term
Place the items in correct order.
Use all items.
In what order does a beam of light pass through the refractive structures in the eye?
aqueous humor
cornea
lens
vitreous humor |
|
Definition
cornea,
aqueous humor,
lens,
vitreous humor |
|
|
Term
Which of the following methods can be used to assess visual fields?
a. Inspection with an ophthalmoscope
b. Fluorescein angiography
c. Testing vision with Snellen’s chart
d. Comparing the patient’s visual fields with your own |
|
Definition
d. Comparing the patient’s visual fields with your own |
|
|
Term
Which of the following patient behaviors would the nurse expect to find in a patient’s history who has a hearing loss?
a. Turns volume lower on the television
b. Is irritable or sensitive in interpersonal relations
c. Answers questions appropriately
d. Complains of people talking too loudly |
|
Definition
b. Is irritable or sensitive in interpersonal relations |
|
|
Term
The nurse is collecting data during a patient’s clinic visit. Which question will best collect data about a patient’s preventative ear health?
a. “What symptoms are you having?”
b. “Tell me about your ear pain.”
c. “When was your last hearing evaluation?”
d. “What medications do you take?” |
|
Definition
| c. “When was your last hearing evaluation?” |
|
|
Term
Which of the following is the most important nursing intervention during Romberg’s test?
a. Ensure patient safety.
b. Whisper softly into each ear.
c. Ensure a quiet environment.
d. Remove all cerumen from ear canal. |
|
Definition
a. Ensure patient safety. |
|
|
Term
Which of the following patient statements indicates that the patient understands ear care teaching?
a. “I should insert a cotton swab into my ear canal for cleaning.”
b. “I should not get my external ear wet during bathing.” c. “I should block one nostril when blowing my nose.”
d. “Aspirin can be toxic to the ears.” |
|
Definition
d. “Aspirin can be toxic to the ears.” |
|
|
Term
Multiple response item. Select all that apply.
The nurse prepares to provide an eye irrigation to a patient with a methicillin-resistant S. aureus (MRSA) infection. Contact precautions are ordered. Which of the following protective items will the nurse need while performing this procedure?
a. Gloves
b. Gown
c. Goggles
d. Mask
e. Shoe protectors |
|
Definition
a. Gloves
b. Gown
c. Goggles |
|
|
Term
A patient is taking aspirin. Which of the following findings would indicate to the nurse that the patient is experiencing a toxic effect related to the medication?
a. Halos around lights
b. Decreased night vision
c. Tinnitus
d. Vertigo |
|
Definition
|
|
Term
A patient is diagnosed with otosclerosis and asks the nurse what this disease is. Which of the following is the most appropriate response by the nurse?
a. “Infection of the external ear most commonly caused by moisture or contamination.”
b. “Hardening of the stapes due to new bone growth.”
c. “Inflammation of the inner ear caused by pathogens.”
d. “Tumor of the eighth cranial nerve.” |
|
Definition
b. “Hardening of the stapes due to new bone growth.” |
|
|
Term
A patient is diagnosed with a refractive error and asks the nurse what this means. What would be the appropriate explanation by the nurse?
a. “You will lose your vision and become blind.”
b. “You will need corrective lenses in order to see clearly.”
c. “The pressure in your eyes is higher than normal.”
d. “ Your vision is 20/20.” |
|
Definition
b. “You will need corrective lenses in order to see clearly.” |
|
|
Term
A patient comes to the health clinic for a suspected ear infection. Which of the following data collection findings does the nurse expect with an external ear infection?
a. Pain
b. Fullness in ears
c. Fever
d. Dizziness |
|
Definition
|
|
Term
A patient has been prepped for an internal eye examination. Anesthetic drops as well as a mydriatric drug have been administered. Which of the following should the patient be taught for eye safety?
a. “Wear sunglasses outdoors.”
b. “Rub your eye hourly to increase blood circulation.”
c. “You may reapply contact lenses when eye exam is completed.”
d. “Flush your eye with water to remove the eye drops.” |
|
Definition
a. “Wear sunglasses outdoors.” |
|
|
Term
A nurse is working on a postoperative unit for eye surgery. In planning interventions for an eye surgery patient, the nurse understands that which of the following patients needs specific positioning orders postoperatively to prevent complications?
a. 19-year-old after removal of congenital cataract
b. 30-year-old woman after scleral buckling
c. 52-year-old man after trabeculectomy
d. 82-year-old man after corneal transplant |
|
Definition
b. 30-year-old woman after scleral buckling |
|
|
Term
Multiple response item. Select all that apply.
Which of the following medications should the nurse question before giving to prevent serious eye complications for a patient who has a history of acute angleclosure glaucoma?
a. Morphine
b. Cefazolin (Kefzol)
c. Atropine
d. Ranitidine (Zantac)
e. Hydroxyzine (Vistaril)
f. Warfarin (Coumadin) |
|
Definition
c. Atropine
e. Hydroxyzine (Vistaril) |
|
|
Term
Which of the following medications can cause hearing loss?
a. Furosemide (Lasix)
b. Acetaminophen (Tylenol)
c. Warfarin (Coumadin)
d. Penicillin (Pen-Vee K) |
|
Definition
|
|
Term
Which of the following symptoms would the nurse expect to be in the patient’s history who has macular degeneration?
a. Loss of peripheral vision
b. Sudden darkness
c. Dull ache in the eyes
d. Loss of central vision |
|
Definition
d. Loss of central vision |
|
|
Term
The nurse is contributing to the plan of care for a patient with Ménière’s disease. Which of the following is the primary goal for a patient with Ménière’s disease that the nurse should recommend be included in the plan of care?
a. Prevent dehydration
b. Decrease pain
c. Prevent injury
d. Preserve hearing |
|
Definition
|
|
Term
The nurse is caring for a patient with presbycusis. Which of the following techniques would be most important for the nurse to use to increase communication with this patient?
a. Talk in a very loud voice.
b. Lower voice pitch.
c. Do not smile or chew gum when talking to the patient.
d. Allow extra time for patient to respond. |
|
Definition
|
|
Term
A patient with acute angle-closure glaucoma reports use of the following medications. Using which of these medications indicates to the nurse that further instruction is needed.
a. Acetaminophen
b. Cefazolin (Kefzol)
c. Ranitidine(Zantac)
d. Diphenhydramine(Benadryl) |
|
Definition
d. Diphenhydramine(Benadryl) |
|
|
Term
| Drug treatments for macular degeneration |
|
Definition
|
|
Term
| Drug treatments for cataracts |
|
Definition
|
|
Term
| Drug treatments for glaucoma |
|
Definition
Cholinergics (Carboptic, Pilocar)
Myotics (Isopto, Pilocar)
Diuretics (Diamox)
Adronergic agonists (Dipivefrin Proprine)
Beta blockers (Timoptic) |
|
|
Term
| Class of drops that dilate the pupil |
|
Definition
|
|
Term
| Class of drops that constrict the pupil |
|
Definition
|
|
Term
| Sudden visual loss accompanied by bright flashes of light wound indicate |
|
Definition
|
|
Term
|
Definition
an involuntary, cyclical, rapid movement of the eyes in response to vertical, horizontal, or rotary movement.
|
|
|
Term
| an involuntary, cyclical, rapid movement of the eyes in response to vertical, horizontal, or rotary movement |
|
Definition
|
|
