Chp 36

Question 1

s/s: hearing loss

Answer 1

• ask to repeat info
• talk inappropriately loud
• not responding if spoken out of sight
• poor pronounciation
• responding only when speaking loudly
• ringing in ears
• decreased hearing
• ear infection/injury
• blood/discharge from ears
• unusual noise/feeling in ears

Question 2

what s/s of hearing loss does a provider need to be notified about?

Answer 2

• ringing in ears
• decreased hearing
• ear infection/injury
• blood/discharge from ears
• unusual noise/feeling in ears

Question 3

what are some ways people might compensate for hearing loss?

Answer 3

• read lips
• turn best ear to sound source
• pretend they heard
• increase volume
• stand very close
• withdraw

Question 4

purpose of tympanometry

Answer 4

determine ability to transmit sound through middle ear to diagnose infection

Question 5

what does a tympanometry measure

Answer 5

pressure

Question 6

how is a Rinne Test performed

Answer 6

hold tuning fork to mastoid bone

Question 7

what is a normal result of a rinne test

Answer 7

sound heart two more times via air conduction than bone conduction

Question 8

what is negative rinne test result?

Answer 8

bone conduction hearing is greater than air conduction

Question 9

where is a tuning fork held in a weber test?

Answer 9

against crown/forehead

Question 10

how should a pt be positioned for eye irrigation?

Answer 10

pt lays on side w/face turned to side of eye being irrigated

Question 11

eyes should be flushed from ___ canthus to ____ canthus

Answer 11

inner; outer

Question 12

what should be looked for when testing visual acuity?

Answer 12

• tilting head to forward/side
• blinking/watering eyes
• frowning/puckering of face
• close 1 eye when testing both eyes
• sign of straining

Question 13

what is considered legally blind

Answer 13

less than 20/200 in better eye w/lenses

Question 14

what does the numerator of a vision score represent

Answer 14

feet from snellen chart (generally 20)

Question 14

aka: color blindness

Answer 14

color deficiency

Question 15

what are the 2 main types of color blindness

Answer 15

daltonism and achromatic

Question 16

define DALTONISM

Answer 16

can’t tell red and green

Question 17

define ACHROMATIC

Answer 17

true color blindness and can only see white, grey, and black

Question 18

define DEUTERANOPIA

Answer 18

can’t tell between green, bluish reds, and neutrals

Question 19

define PROTANOPIA

Answer 19

partial color blindness and can’t see reds, yellows, and greens

Question 20

define TRITANOPIA

Answer 20

rarest form of color blindness that can’t see blue

Question 21

color vision needs to checked in people with

Answer 21

thyroid conditions

Question 22

what is affected by all major eye diseases

Answer 22

contrast sensitivity

Question 23

what are 2 contrast sensitivity tests

Answer 23

Pelli-Robson and CSV-1000

Question 24

the CSV-1000 is the preferred test for contrast sensitivity for these people

Answer 24

small kids, illiterate, and non-english speaking

Question 25

define VITAL CAPACITY

Answer 25

greatest volume of air expelled after max inspiration and relaxed exhalation

Question 26

vital capacity depends on

Answer 26

age, sex, height

Question 27

how expirations are tested with a spirometer at a time

Answer 27

3-5

Question 28

what should be looked for when doing a spirometer testing

Answer 28

stress, coughing, and dizziness

Question 29

what is an abnormal spirometer test

Answer 29

less than 80%

Question 30

what does peak flow measure

Answer 30

exhale

Question 31

when is a peak flow down

Answer 31

if inconclusive spirometry

Question 32

if someone has a peak flow 50%-80%, then they need to do what

Answer 32

use a rescue inhaler

Question 33

what does a peak flow of less than 50% reqire

Answer 33

emergency care