Brainscape's Knowledge GenomeTM

Browse over 1 million classes created by top students, professors, publishers, and experts.


See full index

PNC 103 lecture > chapter 52: nursing care of patients with sensory disorders - vision and hearing > Flashcards

chapter 52: nursing care of patients with sensory disorders - vision and hearing Flashcards

1
Q

conjunctivitis

A
  • inflammation of the conjunctiva
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

blepharitis

A

inflammation of the eyelid margins

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

keratoconjunctivitis sicca

A

dry eye disease

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

hordeolum

A
  • staphylococcal abscess in sebaceous gland
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

chalazion

A
  • abscess in tarsal (meibomian) glands
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

keratitis

A

inflammation of the cornea

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

nursing diagnoses for eye infections and inflammation

A
  • acute pain
  • risk for injury
  • deficient knowledge
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

refractive disorders

A

emmetropia
hyperopia
myopia
astigmatism
presbyopia

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

emmetropia

A

normal vision

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

hyperopia

A

farsightedness

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

myopia

A

nearsightedness

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

astigmatism

A

unequal curvatures in cornea

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

presbyopia

A

loss of lens elasticity

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

blindness

A
  • obstacle to rays of light
  • disease of optic nerve or tract of brain connected w/ vision
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

nursing diagnoses for refractive disorders

A
  • self care deficit (bathing, dressing, feeding)
  • risk for injury
  • deficient knowledge
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

diabetic retinopathy

A
  • vascular changes in retinal blood vessels
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

types of diabetic retinopathy

A
  • microaneurysms
  • preproliferative retinopathy
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q

therapeutic interventions of diabetic retinopathy

A
  • laser photocoagulation
  • vitrectomy
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
19
Q

nursing diagnosis for diabetic retinopathy

A
  • ineffective health management
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
20
Q

retinal detachment

A

separation of retina from choroid layer of eye

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
21
Q

signs and symptoms of retinal detachment

A
  • sudden change in vision
  • flashing lights, floaters
  • looking through a veil
  • curtain being lowered over vision
  • no pain
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
22
Q

therapeutic interventions for retinal detachment

A
  • laser surgery
  • cryoplexy
  • pneumatic retinopexy
  • scleral buckling
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
23
Q

glaucoma

A
  • group of diseases
  • most have elevated pressure within eye
  • damage is silent, progressive, irreversible
  • optic nerve is damaged
  • can lead to blindness
  • lifelong treatment needed
  • no cure
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
24
Q

primary open angle glaucoma (POAG)

A
  • degeneration of drainage system blocks aqueous fluid
  • increased intraocular pressure >20 mms of mercury
  • gradual and painless
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
25
Q

signs and symptoms of glaucoma

A
  • mild eye aching
  • headache
  • halos around lights
  • frequent visual changes
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
26
Q

angle closre glaucoma (ACG)

A
  • narrowed angle blocks aqueous fluid
  • medical emergency
  • increased intraocular pressure may be >50 mm of mercury
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
27
Q

signs and symptoms of angle closure glaucoma

A
  • severe eye pain
    0 blurred vision
  • halos around light
  • eye redness, cloudy conea
  • nausea and vomiting
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
28
Q

medications for glaucoma

A
  • miotics
  • agents to decrease production of aqueous fluid
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
29
Q

miotics

A
  • physostigmine (isopto eserine)
  • pilocarpine (pilocar)
30
Q

agents to decrease production of aqueous fluid

A
  • betaxolol (betoptic)
  • timolol (timoptic)
31
Q

***contraindicated in ACG

A
  • mydriatics
  • dilate pupil, which leads to increased ocular pressure
32
Q

***medications contraindicated in ACG (can cause blindness)

A
  • atropine
  • diphenhydramine
  • hydroxyzine
33
Q

surgery for glaucoma

A
  • laser trabeculoplasty
  • trabeculectomy
  • glaucoma drainage devices (shunts)
  • laser peripheral iridotomy
  • surgical refectory
34
Q

nursing diagnoses for glaucoma

A
  • acute pain
  • self care deficit (bathing, dressing, feeding, toileting)
  • risk for injury
  • deficient knowledge
35
Q

cataracts

A
  • opacity in eye lens
  • loss of visual acuity
  • difficulty with night vision
  • difficulty reading fine print
  • sensitivity to glare
  • increase in nearsightedness
36
Q

surgica management for cataracts

A
  • no stitch surgical removal of lens
  • laser removal
  • lens implant
37
Q

nursing diagnoses for eye surgery

A
  • risk for injury
  • deficient knowledge
  • anxiety
38
Q

macular degeneration

A
  • deterioration in macula: wet or dry
  • common over age 64 yeras
  • slow, progressive loss of central/near vision
  • daily screening: Amsler grid
39
Q

therapeutic interventions for dry macular degeneration

A

none

40
Q

therapeutic interventions for wet macular degeneration

A
  • antiangiogenesis medication
  • ranibizumab (lucentis) —> monoclonal antibodies
  • aflibercept (eylea)
41
Q

nursing diagnoses for macular degeneration

A
  • self care deficit (bathing, dressing, feeding)
  • risk for injury
  • deficient knowledge
42
Q

eye trauma: emergencies

A
  • foreign bodies
  • burns
  • abrasions
  • lacerations
  • penetrating wounds
43
Q

therapeutic measures and nursing care for foreign object in eye

A
  • irrigate w/ normal salie
44
Q

therapeutic measures and nursing care for chemical eye trauma

A

15-20 minute irrigation

45
Q

therapeutic measures and nursing care for penetrating object in the eye

A

do not remove

46
Q

therapeutic measures and nursing care

A
  • antibiotic ointment
  • surgery
    0 enucleation
47
Q

enucleation

A

entire eyeball removal

48
Q

hearing loss

A
  • conductive hearing loss
  • sensorineural hearing los
49
Q

conductive hearing loss

A

interference w/ sound conduction to external auditory canal, eardrum, middle ear

50
Q

sensorineural hearing loss

A

involves hair cells and nerve endings

51
Q

presbycusis

A

normal part of aging process
- degeneration of organ of corti
- inability to decipher high frequency sounds

52
Q

therapeutic measures for hearing loss

A
  • hearing aid(not usually covered by insurance)
  • cochlear implants
53
Q

nursing diagnosis for hearing loss

A

impaired verbal communication

54
Q

external ear infections

A

external otitis
ear canal furuncle
otomycosis
perichondritis
masses
trauma

55
Q

impacted cerumen

A
  • normally ear self cleaning
  • older adults at risk
  • hearing loss
  • feeling of fullness
56
Q

therapeutic interventions for external ear

A
  • topical antibiotics
  • irrigations
  • analgesics
  • incision and drainage
57
Q

nursing diagnoses for external ear

A
  • acute pain
  • risk for injury
  • deficient knowledge
58
Q

otitis media (middle ear infection)

A
  • fever, earache, and feeling of fullness
  • antibiotics
  • myringotomy
59
Q

otosclerosis

A
  • new bone along stapes
  • conductive hearing loss
  • more common in women than in men
  • both ears
  • hereditary disease
  • no cure
60
Q

therapeutic interventions for otosclerosis

A
  • ossiculoplasty
  • stapedectomy
61
Q

nursing care for otosclerosis

A
  • operative ear is upward when lying
  • insert earplug to protect
  • promote safety
62
Q

nursing care for otosclerosis: teach not to

A
  • cough, sneeze
  • blow nose
  • vomit
  • fly
  • lift heavy objects
  • shower
63
Q

ear trauma

A

tympanic membrane perforation

middle ear ossicle fracture

64
Q

nursing diagnoses for middle ear, tympanic membrane and mastoid disorders

A
  • risk for infection
  • acute pain
  • deficient knowledge
65
Q

labyrinthitis

A
  • inflammation or infection of inner ear
  • vertigo, tinnitus, sensorineural hearing loss
  • antibiotics
  • sedation
  • besdrest
66
Q

neoplastic disorders: acoustic neuroma

A
  • tumor of the 8th cranial nerve
  • benign or malignant
67
Q

meniere’s disease

A
  • balance disorder due to fluid disturbance
  • triad of symptoms
  • episodic bouts 2-3 times of a year
68
Q

acute treatment for Meniere’s Disease

A
  • tranquilizers
  • vagal blockers
  • bed rest
69
Q

prophylactic treatment for Meniere’s Disease

A
  • salt restricted diet
  • diuretics
  • antihistamines
  • vasodilators
  • avoid alcohol, caffeine, tobacco
70
Q

nursing diagnoses for inner ear disorders

A
  • anxiety
  • risk for injury
  • imbalanced nutrition: less than body requirements

PNC 103 lecture (31 decks)

Brainscape helps you reach your goals faster, through stronger study habits.
© 2024 Bold Learning Solutions. Terms and Conditions