Sensory system
If the macula degenerates or is damaged, only the ability to see movement and gross objects in the _____________ fields of vision remains
What is peripheral fields
A binocular microscope that magnifies the surface of the eye
What is a slit lamp
What is one cause of conductive hearing loss
What is impacted earwax or foreign body
Name protective structures of the eye
What is eyelids, eyelashes and tears
The outer ear
What is the auricle
An inflammation of the cornea and dark glasses are recommended to relieve photophobia which happens with this inflammation
What is Keratitis
Inflammation of the conjunctiva
What is conjunctivitis
A visual distortion caused by an irregularly shaped cornea
What is a Astigmatism
What is one cause of Sensorineural hearing loss
What is ototoxic drugs (aminoglycosides, salicylates (aspirin), loop diuretics
What is the structure called that is the white of the eye
What is the sclera
It equalizes air pressure in the middle ear
What is the eustachian tube
In open-angle glaucoma as the IOP (intraocular pressure) rises it causes
What is edema of the cornea, atrophy of nerve fibers in the peripheral areas of the retina and degeneration of the optic nerve
What would the nurse expect to see in a pt with conjunctivitis?
What is watery and red eyes with itchiness
Head position when irrigating the eye
What is turn the head with right side lower than the left
Suggested oral communication with the hearing impaired
What is face pt when speaking, speak in a clear voice, clearly articulate, speak in a low tone, remain patient positive and relaxed.
A nutrient rich liquid that nourishes eye structures
What is aqueous humor
What test is performed by striking the tuning fork and placing its stem in the midline of the pt's skull or center of the forehead. A person with normal hearing perceives the sound equally well in both ears.
What is the weber test
What class of medication will lower the pressure in your eye and increase the blood flow to the retina
What is Miotics
When the lens becomes opaque, as when a cataract forms, light is blocked form reaching the macula, and the ________________________________.
What is the visual image becomes blurred or cloudy
Double vision
What is diplopia
When irrigating the ear the solution can be
warmed by holding the container in the hand for a few minutes or placing it in warm water to 98 degrees
An opening that dilates and constricts in response to light
What is a pupil
Device used to examine the ear
What is an otoscope
What do you monitor for if the pt is taking Betaxolol (Betopitic)
What is blood pressure
Simple screening tool for determining visual acuity, the ability to see far images clearly.
What is the Snellen eye chart
Pt has symptom of blurred vision what type of question would be appropriate for the nurse to ask?
What is have you had this before
What can be put in the ear to smother an insect
What is mineral oil
What are you called as a MD of the eyes?
What is a optometrist
Hearing loss that is the result of nerve impairment
What is sensorineural hearing loss
Some priorities in maintaining normal pressure range in the eye?
What is increase fiber intake in diet, increase ease of bowel movement to prevent constipation and straining
What do you do with pt using Snellen eye chart?
What is with the chart 20 feet away the examiner asks the pt to cover one eye and identify letters of decreasing size.
Pt teaching for instilling medications in the eye
What is wash hands thoroughly, Pull the tissue near the cheek downward, forming a sac in the lower lid, Tilt the head slightly backward, Close the eye gently, Do not allow the tip of the container to touch the eye, Do not rub eye
Using an otoscope what would the nurse expect to see if the pt had otitis externa which is an inflammation of the tissue in the external auditory canal
What is diffuse or confined inflammation, swelling and pus
The lens is more convex on the posterior side and can change shape, a process known as
What is accommodation
Hearing loss that involves interference in the transmission of sound waves to the inner ear
What is conductive hearing loss
Most important teaching regarding cataract surgery discharge teaching
What is Do not engage in strenuous activity and heavy lifting
Drooping upper eyelid
What is ptosis
How would you minimize the systemic effects of eye medications?
What is occlude the nasolacrimal duct with a finger for several minutes after instilling drops
What can the nurse advise a swimmer to do that has reoccurring swimmers ear
What is wear soft plastic ear plugs
Uncontrolled oscillating movement of the eyeball
What is a nystagmus
Name the method used to assess a pt's gross auditory acuity
What is the whisper test
Nutrition teaching regarding discharge teaching for cataract surgery
What is eat soft easily chewable foods until healing is complete to avoid tearing from excessive facial movements
Color vision is assess with what?
What is Ishihara polychromatic plates
Inflammation of the uveal tract, which consists of the iris, ciliary body, and choroid
What is Uveitis
What is associated with respiratory allergies and enlarged adenoids
What is serous otitis media
The innermost layer of the eye
What is the retina
A paraprofessional with special training in performing hearing tests, measuring hearing loss, and recommending methods for improving the perception of sound.
What is a audiologist
What home care measures will the nurse include for teaching pt who is undergoing cataract extraction with intraocular implant
What is avoid activities that require bending over, Protective eye shield at bedtime and for 24 hours after surgery, Notify MD if they have a change in their vision, Take acetaminophen (tylenol) for minor eye discomfort
The pt receives a series of cards on which the pattern of a number is embedded in a circle of colored dots. The numbers are in color that color-blind individuals commonly cannot see. Clients with normal vision readily identify the numbers. What is this tool used
What is Ishihara polychromatic
What kind of condition can occur frequently with ankylosing spondylitis, juvenile RA, tuberculosis and herpes zoster?
What is Uveitis
What serious complication can occur with middle ear infections
What is meningitis
The examiner holds a penlight approximately 12 inches from the pts face and asks the pt to stare straight ahead. The reflection of light should be in the same spot on each eye, indicating parallel alignment. What is this called?
What is the corneal light reflex test
Could impaired hearing, tinnitus, or vertigo be caused by a drug?
What is yes
Related to a retinal detachment If an air bubble is instilled to promote contact between the retina and sclera how will the pt be positioned
What is with face parallel to the floor so that the bubble floats to the posterior of the eye
A sensation of movement when there is none or a sense of exaggerated motion when moving
What is vertigo
A condition in which the lens of the eye becomes opaque
What is cataracts
What has happened if fluid drains into the external acoustic canal that relieves pain in the middle ear
What is the tympanic membrane has perforated
Most common vision restoration after cataract surgery
What is intraocular lens (IOL) implant
What does the nurse do to the ear when instilling medication in the ear of an adult
What is pull the auricle up and back to instill medication in the adult ear
What is the pt at risk for following Enucleation which is surgical removal of the eye
What is hemorrhage
What medication may be ordered for acute episodes of Meniere's disease to help control vertigo; used only for short-term therapy because of the addictive potential
What is Diazepam (valium)
What tx for Meniere's disease aims at reducing fluid production in the inner ear
What is a low sodium diet 1000-1500mg/daily
Classic triad of symptoms with Meniere's disease
What is hearing loss, vertigo and tinnitus
Nearsightedness
What is Myopia
What is something that can occur with the eyes when someone has Meniere's disease
What is nystagmus as a result from an imbalance in vestibular control of eye movements
Normal vision
What is Emmetropia