EYES
What diagnostic tests should be performed on a patient with suspected macular degeneration?
Snellen Chart, Amsler Grid.
When inspecting a patients ear, the nurse notes visible earwax. The patient is diagnosed with cerulean impaction. What type of hearing loss will this cause?
Conductive hearing loss.
The nurse teaches a patient with peripheral neuropathy that this daily practice is essential to prevent complications from unnoticed foot injuries.
Daily foot assessments.
BONUS: what tool is helpful for foot inspections?
This nursing intervention promotes better sleep hygiene by reducing environmental distractions in the patient’s room.
Minimizing stimuli (turning off the tv, clustering care)
When talking about cataracts in the context of nursing care, what does functional capacity refer to.
What a patient can safely and effectively do on their own. (ADL’s)
Following cataract surgery, the nurse educates the patient to avoid this activity to prevent complications.
Bending over or lifting heavy objects.
bonus 100 points if you can tell me why^
The nurse teaches the patient that this is the most common early sign of hearing loss related to ototoxic medications.
Tinnitus.
Due to the patient’s decreased sensation in the feet, the nurse identifies this priority nursing diagnosis related to safety.
Risk for injury.
To prevent insomnia, nurses should educate patients to avoid these things before bedtime.
Exercise, fluids, irritating foods (heartburn triggering), watching TV, phone usage
What non pharmacological treatment for insomnia can a nurse request for their patient?
Chamomile, melatonin
The nurse instructed the patient to immediately report these specific symptoms post-cataract surgery. These may indicate serious complications such as infection or retinal detachment.
N/V, eyelid swelling, decreased vision, bleeding or discharge, sudden eye pain, flashes of light, or excessive tearing.
What should a patient or nurse do when removing hearing aids?
Disconnect the battery.
A patient with neuropathic pain, anxiety, and impaired coordination is struggling with daily activities. The nurse should include this type of referral in the care plan.
physical therapy or a pain management
This assessment is often done to confirm a diagnosis related to sleep impairment such as sleep apnea or insomnia.
Polysomnography.
What health promotion activity is recommended for a patient over 40 with vision loss?
Annual eye exams.
After cataract surgery, the nurse should instruct the patient to avoid this common medication category that may increase the risk of bleeding.
NSAIDS.
The nurse is caring for a patient on furosemide and gentamicin. What should the nurse be concerned about?
Ototoxicity.
BONUS: whats one way you monitor for ototoxicity?
The nurse includes this dietary recommendation in the patient education plan to support nerve health and possibly reduce symptoms.
Increase B12 intake.
This is a common cause of chronic insomnia that can often be identified during a health history interview.
Stress, irritability, and anxiety
What type of age related macular degeneration involves the creation of new, weak blood vessels that leak fluid?
Wet AMD.
To support retinal health, the nurse should advise the patient with macular degeneration to consume a diet rich in these nutrients.
Vitamin C, Vitamin E, zinc, copper, and beta-carotene.
A patient states their hearing aid is producing a constant high-pitched whistle. The nurse assesses for what two probable causes?
Improper fit and earwax blockage.
The nurse teaches a patient with peripheral neuropathy to avoid this type of movement or position, as it can worsen nerve damage and lead to further loss of function.
repetitive motions or prolonged pressure on affected areas
This is one of the most important patient-reported outcomes when evaluating the effectiveness of sleep interventions.
Feeling upon wakening or alertness level during the day.
What is the most common cause of sensorineural hearing loss?
Recurrent otitis media infections.