Elderly and Ethics
Communication tool used to ensure conveying of pertinent information of patient
What is SBAR?
Bedside tests (2) used to assess cranial nerve VIII.
What are Weber and Rinne?
A test used to determine visual acuity/distance sight
What is the Snellen eye chart?
Frequently asking for instructions to be repeated, speaking loudly, turning head to noise or leaning to gain clarity are all signs of _________.
What is hearing problem/loss?
Unregulated cell growth
Mild pink tissue, slight swelling, and scant serous or serosanguinous drainage are ________ findings for an incision or biopsy.
What is expected?
Respect the right of others to make own decisions
Autonomy
Visual function and movement are controlled by these cranial nerves.
What are III (Oculomotor), IV (Trochlear), and VI (Abducens)?
________ Pocket Vision Screener used to test near vision
What is Rosenbaum?
Hearing loss due to physical obstruction such as cerumen (ear wax).
ABCDE of lesions
What are asymmetry, border, color, diameter (>6mm), evolving?
Things a client can do to manage migraines.
What is hydration, nutrition, sleep schedule, manage stress, migraine journal (freq, intensity, trigger, assoc symptoms), and menstrual tracking?
Health difference that is closely linked with social, economic, or environmental disadvantages (2words)
What are health disparities?
4 Cranial nerves that are evaluated during an eye exam.
What are II (optic), III (Oculomotor), IV (Trochlear), and VI (Abducens)?
Condition caused by increased pressure to the optic nerve
What is glaucoma?
Actions that increase that pressure- bending toward the floor, lifting objects, sneezing/coughing/vomiting
Disorder that affects the inner ear causing vertigo, tinnitus, and sensorineural hearing loss.
What is Meniere's?
A bacterial skin disorder affecting the dermis and subcutaneous tissue due to reduced blood supply.
What is necrotizing cellulitis?
Treatment for impetigo.
What is mupirocin?
Impetigo presents with honey crusted lesions, esp face.
Clients over ____ are more likely to have ________ immune response.
What is over 65, immune response?
Hearing loss due to trauma or damage to the cochlea, CN VIII, or the brain.
What is sensorineural hearing loss?
Most common age-related eye disorder causing loss of central vision.
What is macular degeneration?
yellowy drusen bodies!
Factors that cause tinnitus.
What is infection, trauma, family history of hearing loss, etc?
Moisture-associated skin breakdown under skin folds can lead to a _________ infection.
What is fungal?
To prevent sunburns, avoid the hottest part of the day (between ____ and _____), wear wide brimmed hats, wear sunscreen (at least ___ SPF), and try to stay in shady areas.
What is 10-4; 15?
Result of sclerotic changes to blood vessels and heart wall in elderly
What is hypertension?
A nurse caring for a client with eye drops is careful to avoid _________ while instilling the medication. Afterwards, the nurse applies gentle pressure to _________.
What is patient's eye or other contaminating surfaces; inner corner of the eye/lacrimal duct?
A nurse caring for a client complaining of tinnitus should include ___________ in patient education.
What is keeping a diary?
A client with a diagnosis of psoriasis presents with silvery flaking scales. What could be included in patient education regarding activities to avoid or to be encouraged?
What are to avoid stress, warm showers, moisturize, take medications (corticosteroids) as prescribed (wash hands after applying), and seek emotional support?
Infection that effects one eye initially but can spread to both.
What is bacterial conjunctivitis?
A nurse is caring for an elderly client with reduced baroreflex. What is an expected assessment finding?
What is orthostatic hypotension?
After performing an ocular assessment, a nurse suspects a foreign body is in a client's eye. What radiology test will be done to confirm the findings?
A condition exacerbated by sudden head movements and position changes.
What is vertigo?
Test used to rule out other neuro concerns- MRI of the brain
Diagnostic test obtained to determine skin infections.
What is a swab culture specimen?
A nurse caring for a client with cellulitis instructs the client to complete the full course of ________ even symptoms subside.
What are systemic antibiotics?
Localized pain, skin peeling, itching, edema, erythema
Leads to sepsis (fever, elev wbc, etc)