Disease
Farsightedness that progresses with age
What is presbyopia?
Roaring, buzzing, or hissing sound in one or both ears.
What is tinnitus?
What is the treatment for cataracts
Surgery
A nurse prepares a teaching plan for a mother of a child diagnosed with bacterial conjunctivitis. Which ADLs should be avoided?
Sharing 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.
What might a priority nursing diagnosis be for a patient who refuses to acknowledge their hearing impairment
Safety
A hereditary disorder causing progressive deafness due to overgrowth of bone in the inner ear
What is Otosclerosis?
Attacks of dizziness, tinnitus, unilateral sensorinerual hearing loss
What are symptoms of Meniere disease?
For a child younger than 3 years, the pinna is pulled down and back for the administration of ear drops.
True
Restrict head movements, promote comfort and teach complications
What are the highest priority nursing managements for the patient with retinal detachment?
If the patient experiences sudden excessive eye pain, swelling and/or bleeding after surgery, the nurse should:
Notify the surgeon
Halos or blurry vision, Loss of peripheral vision, Feeling of pressure in the eyes, Increased IOP
What is Glaucoma?
A 56 year old patient who is hearing impaired is scheduled for a colonoscopy. Which nursing actions are most appropriate in performing patient education prior to the procedure?
Face the patient directly, smile, and speak slowly.
Prevent optic nerve damage
What is the overall aim of glaucoma treatment? 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.
Which ethnic groups are at most risk for glaucoma?
African American and Asians
Increase IOP, development of retinal detachments, development of cataracts
What are postoperative complications that can occur with retinal detachment?
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?
Viral and bacteria
What are two types of conjunctivitis that are contagious?
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)
List the greatest risk factors for cataract formation.
What is aging, history of DM, use of corticosteroids and exposure to ultraviolet light?
Do not bend, wear eye patch/avoid sunlight, do not sleep facedown, do not lift heavy weight
What are post-op instructions for cataract surgery?
Overaccumulation of endolymph fluid, causing the membranous labyrinth to swell and rupture
What is Meniere's?
The nurse notes the client turning their head sideways to read the education handouts.
What is macular degeneration?
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?
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.
The risk factors for macular degeneration include:
The risk factors include increasing age, smoking history, HTN, overweight, hyperopia and familial incidence
What should the nurse do for a patient who is hearing-impaired whose speech is difficult to understand?
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.