"You spin my head..."
sx cluster head ache
unilateral head, pain behind one eye
Vision changes associated with cateracts
Cataracts- blurred, cloudy vision
How should the nurse adapt when caring for a patient who is hard of hearing?
do not raise the volume of voice; reduce extra noise
do not try to act out what you are saying
slow down, face patient directly
use written word (i.e. white boards, printed brochures/pt edu, texting applications, etc.)
provide extra time for patient to process infromation
patient edu with general anesthesia
patient should not opperate heavy machinery, not drive within 24 hrs, make big life decisions (including informed consent), etc.
Nursing interventions with pain med administrations
Monitor pain with pain scale, LOC, RR,
pt at risk for resp. distress, decreased LOC
treatment for a patient with a tension head ache
muscle relaxants
Vision changes associated with glaucoma
Glaucoma- loss of peripheral vision
*be familiar with all the vision changes associated with the conditions covered
What is the main (preventable) cause of hearing loss?
exposure to amplified music/noise
complications of surgery
blood clots (DVT/PE), atelectasis, hemorrhage, surgical site infection, dehiscence
What findings may indicate that the patient requires better pain management
elevated HR and BP, poor cough and I.S. effort, decreased mobility, shallow breathing
sx of migraine
photophobia, phonophobia, vision changes, nausea/vomiting (emesis), stiff neck, throbbing temples, unilateral head pain, sensory aura
Patient education to decrease the damage from glaucoma should include...
increase dark leafy greens, increase vitamin C, E, and A, includ meat in the diet, stop smoking and avoid exposure to secondary smoke
Nursing interventions for a patient with Meniere's Disease
Falls precautions
Dim the lights and sound (stimulation) and allow them to rest
Bonus: what is involved with falls precautions?
things identified in a time out prior to start of surgery
patient ID, ID site, ID allergies, ID procedure,
Pt edu for fentanyl patches
Obtain the respiratory rate every 2 hours, remove old patches before applying new dose, wear gloves when administering patch, new location with each dose (not same site each time), shave excess hair if necessary
sx of tension HA
palpable muscle tension in neck and shoulders, tenderness to neck and shoulder muscles
Bonus: what is a treatment specific to tension HA
Patient education post intraoccular proceedures
avoid anything that raises IOP: bending down from waist, coughing or sneezing,
may be photosensitive: avoid direct sunlight and cover exposed skin
What options are available for patients with decrease earing
hearing aids, cochlear implants (if applicable), ASL, transcription devices
ID components of a witnessed consent and what are things that would mean it was incomplete?
patient still has questions about proceedure, says they don't understand, or make comments that show they do not understand
patient/family education with pca pumps
the patient is the only one who should be pushing the PCA button to administer programed pain medication
treatment for migraine
rest in quite dark room
rx factors for macular degeneration
obesity, tobacco use, poor nutrient diet (low on dark leafy greens, fiber, antioxidents, etc.) race and family hx
A patient suffers from sensorineural hearing loss. Which device should the nurse recommend the patient ask about?
Cochlear implant- it will not help with conductive hearing loss . it is for sensorineural.
what are nursing assessments for these and interventions that prevent complications from occurring?
IS, DVT/PE protocol heparin, early ambulation etc
A patient who had surgery received IV ketorolac 45 minutes ago and continues to report pain at a level of 8- what can the nurse do next?
administer more pain medication as prn prescribed