Қаріп өлшемі
Жұмыс парақтарыEyes and Ears!!
Total сұрақ: 20
Worksheet time: 10mins
a patient is having difficulty reading a newspaper and even seeing detail when looking at an image. Which additional assessment test would give additional data for a dx?
assess if pupils are equal and reactive to light
assess vision on a Snellen chart
assess the peripheral vision
assess color vision
What does Nystagmus mean?
drooping upper eyelid
uncontrolled oscillating movement of the eyeball
extended/protruded upper eyelid that delays closing
inflammation of the conjunctiva
How far must a patient stand from a Snellen chart?
20 ft
10 ft
5 ft
12 ft
what indicates a normal result on a corneal reflex light test using a penlight?
the pupils react to light
the client can see the light using peripheral vision
the eyes follow the light in all four directions
the light reflection is in the same spot on each eye
A patient presents to the ER with blurred vision. Which question should you ask first?
Have you ever had these symptoms before?
Did these symptoms come on abruptly?
Do you have a family hx of vision problems?
Do you have any other disease?
what are the symptoms of a fx to the bony orbit?
eyes appear asymmetrical
blurred vision
diplopia
a rust ring around the pupil
How would you position the patient's head to irrigate a chemical splash of the rt eye?
tilt head backward and irrigate both eyes
to the lft side with rt side higher
turn head with rt side lower than the lft
direct solution toward the nasolacrimal duct
open -angle glaucoma causes which of the following?
degeneration of the optic nerve
edema of the cornea
atrophy of nerve fibers in the peripheral areas of the retina
edema of the lens
atrophy of the nerve fibers in the central area of the retina
Miotic solutions are used in the treatment of glaucoma. What do these solutions do?
constricts the pupil; pulling iris away from the drainage channels so aqueous fluid can escape
dilate the pupil
paralyze the ciliary muscle
constricts intraocular vessels
what medications are contraindicated with Glaucoma
atropine
Beta-adrenergic blocking drugs
mydriatic drugs
miotics
which teaching is most important following DC after cataract removal surgery?
apply patch to both eyes at bedtime
only sleep on back
avoid washing face/eyes for first 24 hours
avoid any activity that increases IOP
check all that could be causes of conductive hearing loss.
impacted cerumen/foreign body
external ear conditions
otosclerosis
meniere's disease
check all that could be causes of sensorineural hearing loss
impacted cerumen
otoxic drugs
meniere's disease
atherosclerosis
what is a sure sign to dx otitis externa ?
pus in ear canal
discomfort in the ear
difficulty hearing
inflammation around the tympanic membrane
What is the purpose of miotic drug administration with Glaucoma?
it lowers the pressure in the eye and increases blood flow to the retina
it dilates the eye to prevent pressure from occuring
it relaxes the muscles of the eye and prevents blurred vision
blocks responses that are sent to the muscles in the eye
What do you as a nurse want to make sure to monitor on a patient taking Betoptic eye drops for glaucoma?
temperature
peripheral pulses
bp
urine glucose and acetone
What degree do you want to warm ear irrigation solutions to?
cool to 85 degrees
102 degrees
105 degrees
98 degrees
to minimize systemic effects with eye drop instillation, instruct the client to..
eat before instilling the drops
swallow several times after instilling the drops
blink vigorously to encourage tearing after instilling eye drops
occlude the nasolacrimal duct with a finger for several mns after instilling the drops
what nursing goal is priority when caring for patient dx with vertigo
client will have a caretaker with him/her in the home
client will remain safe while ambulating in the home
client will maintain therapeutic medication schedule
client will close eyes as needed to reduce symptoms
what preexisting conditions are tied to ueveitis?
ankylosing spondylitis
juvenile rheumatoid arthritis
conjunctivitis
blepharitis
