1. The nurse is teaching a patient about contact lens care. Which instructions

will the nurse include in the teaching session?

a. Use tap water to clean soft lenses.

b. Wash and rinse lens storage case daily.

c. Reuse storage solution for up to a week.

d. Keep the lenses is a cool dry place when not being used.

ANS: B

Thoroughly wash and rinse lens storage case on a daily basis. Clean periodically

with soap or liquid detergent, rinse thoroughly with warm water, and air-dry. Do

not use tap water to clean soft lenses. Lenses should be kept moist or wet when not

worn. Use fresh solution daily when storing and disinfecting lenses.

2. The patient reports to the nurse about a perceived decrease in hearing. When

the nurse examines the patient’s ear, a large amount of cerumen buildup at the

entrance to the ear canal is observed. Which action will the nurse take next?

a. Teach the patient how to use cotton-tipped applicators.

b. Tell the patient to use a bobby pin to extract earwax.

c. Apply gentle, downward retraction of the ear canal.

d. Instill hot water into the ear canal to melt the wax.

ANS: C

When cerumen is visible, gentle, downward retraction at the entrance to the ear

canal causes the wax to loosen and slip out. Instruct the patient never to use sharp

objects such as bobby pins or paper clips to remove earwax. Use of such objects

can traumatize the ear canal and ruptures the tympanic membrane. Avoid the use of

cotton- tipped applicators as well because they cause earwax to become impacted

within the canal. Instilling cold or hot water causes nausea or vomiting.

3. The patient is being fitted with a hearing aid. In teaching the patient how to

care for the hearing aid, which instructions will the nurse provide?

a. Change the battery every day or as needed.

b. Adjust the volume for a talking distance of 1 yard.

c. Wear the hearing aid 24 hours per day except when sleeping.