Sensory
Which of the following is the overall aim of glaucoma treatment? a. optimize the patient's remaining vision b. reattach the retina c. reverse optic nerve damage d. prevent optic nerve damage
Prevent optic nerve damage. Rationale: the aim of all glaucoma treatment is to prevent optic nerve. The treatment can not reverse optic nerve damage, further damage can be controlled.
What is the treatment for cataracts?
Surgery?
The risk factors for macular degeneration include:
a. increasing age
b. overweight
c. wearing glasses
d. smoking
e. alcohol
The risk factors include increasing age, smoking history, HTN, overweight, hyperopia and familial incidence
A nurse prepares a teaching plan for a mother of a child diagnosed with bacterial conjunctivitis. Which of the following, if stated by the mother, indicates a need for further teaching?
a. “I need to wash my hands frequently.”
b. “I need to clean the eye as prescribed.”
c. “It is okay to share towels and washcloths.”
d. “I need to give the eye drops as prescribed.”
“It is okay to share towels and washcloths.”
Rationale: Conjunctivitis is an inflammation of the conjunctiva. Bacterial conjunctivitis is highly contagious, and the nurse should teach infection control measures. These include good hand washing techniques and not sharing towels.
A 56 year old patient who is hearing impaired is scheduled for a colonoscopy. Which of the following nursing actions are most appropriate in performing patient education prior to the procedure?
a. Face the patient directly, smile, and speak slowly. b. Continue to administer medications while educating the patient.
c. Nod to make up for awkward silence, even if you don't know what is being said
d. Use only gestures to communicate the highlights of content to be covered.
Face the patient directly, smile, and speak slowly.
Which ethnic groups are at most risk for glaucoma? a. Caucasians and African Americans b. Europeans and Asians c. African American and Asians d. Hispanics and Caucasians
Who are African American and Asians?
What are the highest priority nursing managements for the patient with retinal detachment? SATA
a. promoting comfort and teaching complications
b. Restrict head movements
c. teaching how to remove foreign bodies and manage splash injuries
d. Teaching about self care and eye removal
a. Promoting comfort and teaching complications
b. Restrict head movements
What vision is most affected by macular degeneration? a. peripheral vision
b. central vision
c. hyperopia
d. myopia
Central Vision is generally the most affected, with most patients retaining peripheral vision.
A woman was working in her garden. She accidentally sprayed insecticide into her right eye. She calls the emergency department frantic and screaming for help. The nurse should instruct the woman to take which immediate action?
a. Call the physician
b. irrigate the eyes with water
c. come to the emergency room
d. irrigate the eyes with diluted hydrogen peroxide
Irrigate the eyes with water
Rationale: In this type of accident, the client is instructed to irrigate the eyes immediately with running water for at least 20 minutes, or until the emergency medical service personnel arrive. In the emergency department, the cleansing agent of choice is usually normal saline. Calling the physician and going to the emergency department delays necessary intervention. Hydrogen peroxide is never placed in the eyes.
How might a patient with tinnitus describe hearing sound to the nurse?
a. sputtering
b. muffled
c. loud
d. buzzing
D. buzzing
Tinnitus is described as a roaring, buzzing, or hissing sound in one or both ears.
Halos or blurry vision
Loss of peripheral vision
feeling of pressure in the eyes
Increased intraocular pressure indicates that client has _______?
What is glaucoma?
What are three symptoms of Meniere disease?
- Attacks of dizziness
- Ringing of the ear (tinnitus)
- Unilateral sensorinerual hearing loss
As it pertains to treatment of Meniere disease, the patient may be placed on a low-sodium diet and fluids may be restricted to help with which symptom?
What is edema?
(Or to reduce pressure)
What are post op instructions for cataract surgery
Do not bend
Wear eye patch
Do not sleep facedown
Do not lift heavy weight
What might a priority nursing diagnosis be for a patient who refuses to acknowledge their hearing impairment?
a. safety
b. ineffective coping
c. loneliness
d. suspiciousness
Safety
Shadowy areas in central vision or unusually fuzzy or distorted vision. Some patients may notice wavy or distorted words when reading.
What is macular degeneration?
What are postoperative complications that can occur with retinal detachment?
a. increase IOP
b. decrease IOP
c. development of other retinal attachments
e. development of cataracts
a. Increase IOP
c. development of other retinal detachments
d. development of cataracts
A hereditary disorder causing progressive deafness due to overgrowth of bone in the inner ear
What is Otosclerosis?
Farsightedness that progresses with age
What is presbyopia?
Central vision is gone?
What is macular degeneration?
What is the greatest risk factors for cataract formation?
What is aging, history of DM, use of corticosteroids and exposure to ultraviolet light?
If the patient experiences sudden excessive pain, swelling and bleeding the nurse should:
a. administer analgesic medications
b. cover the eye with an eye patch
c. turn, cough deep breath
d. notify the surgeon
Notify the surgeon
True or False?
For a child younger than 3 years, the pinna is pulled down and back for the administration of ear drops.
True?
What are two types of conjunctivitis that are contagious?
a. allergic and toxic b. toxic and viral c. viral and bacteria d. viral and toxic
C. Viral and bacteria
What should the nurse do for a patient who is hearing-impaired whose speech is difficult to understand? a. Speak very loudly so the patient can hear b. Devote full attention to what the patient is saying c. Assume that the patient would prefer writing as a means of communication d. Ignore the patient to avoid awkward encounters
Devote full attention to what the patient is saying. Rationale: The nurse should not try to attend to another task while listening to the patient.