Vision
Commonly caused by posterior vitreous detachment (PVD).
What is retinal detachment?
Applying an eye patch, restricting head movements, and possibly using eye drops to dilate the eye are interventions that must be done before surgery
post op make sure to have the eye patch, restrict head movement and report s/s of infection
Which type of hearing loss indicates an inability of the sound waves to reach the inner ear?
What is conductive hearing loss
external/middle ear issues
r/t obstruction or sound waves-foreign body, cerumen, tumor, infection or fusion of bony ossicles
This diagnostic test compares air conduction with bone conduction.
What is the Rhinne Test
Normal range for IOP
What is 10-21 mmHg
What are the steps to administer eye drops?
Wash Hands
Educate patient
tilt patients head back
gently pull lower eye lid down to create pocket
release drops in pocket
slowly close eyes- do not squeeze or rub
keep eyes closed for 1 minute
wait 5 minutes to administer another drop
use seperate bottles if infection is present.The client has deterioration of part of the retina causing loss of central vision but not affecting peripheral vision. The nurse recognizes this client is experiencing:
What is macular degeneration
The nurse explains to the client that the condition in which inflammation occurs in the middle ear and can cause temporary conductive hearing loss is:
What is otitis media
The most reliable method to assess vision
What is Snellen Eye Chart?
Nearsightedness resulting from a congenital deformity in the eye
What is myopia
The most common assistive devices for those with impaired hearing.
What are portable amplifiers and telephones, hearing aids, cochlear implants, flashing lights for phones or door bells, service animals, sign language, closed caption, picture boards.
The nurse knows that the post operative care of a cataract surgery that the HCP should be called when these occur:
What is Lots of Itching, Blood shot eyes after original has cleared, Large amount of eyelid swelling, Pain with nausea and vomiting indicates increase IOP. NOTIFY HCP ASAP.
Post op education should include using dark eye glasses, s/s of infection, medication regimen, mild itching and redness is normal, do not sleep on affected side.
Defects in the cochlea, the 8th cranial nerve or the brain from degeneration with age, exposure to loud noises, Myxedema, ototoxic substances, DM or Meniere's Disease may cause
What is sensorineural hearing loss
When approaching the client, talk before touching, orient the client to the environment, promote independence in activities of daily living.
What is nursing interventions for a visually impaired client?
Major symptoms are vertigo, tinnitus, and unilateral fluctuating hearing loss.
What is Meniere's Disease
This diet would be ordered for a client with Meniere's disease
What is Low Sodium diet
When caring for a client, the nurse notes an IOP of 35 mm Hg with c/o blurred vision, decreased pupillary response to light and severe pain with nausea. The nurse knows these are the clinical manifestation of?
What is Primary closed angle glaucoma?
Inflammation of the inner ear
What is Labyrinthitis
A nurse is preparing a client for reconstruction of the middle ear use to improve conductive hearing loss. This is called:
What is tympanoplasty
Ringing in the ears
What is Tinnitus
Teaching for visually impaired patients
What is eye protection, disease management (DM, HTN, hyperlipidemia, autoimmune, endocrine), and home safety with these patients
An injury that produces significant internal damage secondary to the sudden compression or indentation of the globe on impact.
What is blunt eye trauma. Tx with rest, eye patch, facial imaging
Penetrating eye trauma- assess vision, eye drops if ordered, possible eye patch, do not removed object-stabilize until evaluation, pain management, decrease IOP.
Irrigation of the ear is not recommended with:
•Do NOT attempt irrigation if:
1. ear tubes are in place
2. Purulent or other drainage is coming form ear
3. TM is not intact
4. Otitis media is present (can spread infection further into ear)
The surgical incision in the posterior ear canal, removal of the stapes, and implantation of a plastic prosthesis.
What is stapedectomy
Virtual defect caused by unequal curvatures of the refractive surfaces of the eye. Light rays from a point do not come to focus on the retina, resulting in visual distortion.
What is Astigmatism
Talk with clearly enunciated words using normal tone of voice, talk directly in front of the client in areas with good lighting, use gesture with speech, have a quiet environment with no distractions.
What is appropriate nursing interventions for caring for a client with a hearing impairment