Sensory Alterations Discussion Questions
5. A 74-year-old patient who has returned to the nursing home
following surgical removal of bilateral cataracts reports feeling a little uncertain about walking by herself. Which of
the following approaches do you use to assist her with
1. Walk one-half step behind and slightly to her side.
2. Have her grasp your arm just above the elbow and walk at a
comfortable pace, warning her when you approach obstacles.
3. Allow her to stand alone in unfamiliar areas to encourage
4. If she requires assistance, place your hand around her waist.
6. Because hearing impairment is one of the most common disabilities among children, a health promotion intervention is to
teach parents and children to:
1. Avoid activities in which there may be crowds.
2. Delay childhood immunizations until hearing can be
3. Prophylactically administer antibiotics to reduce the incidence of infections.
4. Take precautions when involved in activities associated
with high-intensity noises.
7. The nurse is conducting discharge teaching for a patient with
diminished tactile sensation. Which of the following statements by the patient would indicate that additional teaching
1. “I am at risk for injury from temperature extremes.”
2. “I may be able to dress more easily with zippers or pullover
3. “A home care referral may help me achieve a maximum
degree of independence.”
4. “I have right-sided partial paralysis and reduced sensation,
so I should dress the left side of my body first.”
8. The nurse completes an assessment of a 67-year-old female
patient who comes to the clinic for the first time. During the
examination the patient’s temperature is 99.6° F (37.6° C),
heart rate 80 beats/min, respiratory rate 18 breaths/min, and
blood pressure 142/84 mm Hg. She is not attentive as the
nurse asks questions. At one point, she shouts answers to questions about her diet. However, as the nurse speaks, the patient
consistently smiles and nods in agreement. The nurse’s assessment indicates:
1. A visual deficit.
2. Patient is normal.
3. A hearing deficit.
4. Sensory overload
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