Deck 15_Sensory_Sleep

Question 1

Identify the following eye conditions conjunctival hemorrhage, conjunctivitis, and corneal abrasion. Compare and contrast clinical manifestations.

Answer 1

• Conjunctival hemorrhage -
  
  • redness anywhere underneath the conjunctiva
  • can be painless, can feel like something is in your eye or from allergies.
  • due to an acute pressure in the eye and is affected by valsalva movement
  • Benign​​​​

​​

• Conjunctivitis
  
  • viral - watery discharge: clear fluid → highly infective. Start unilateral
  • bacterial - yellow drainage: goopy fluid → highly infective. Start unilateral
  • allergies - are typically bilaterally first. Cobblestone appearance
• Corneal abrasion - scrape or scratch on the eye (contact wearers, windy conditions), painful, can lead to infection

​Signs and Symptoms:

• eye pain
• photophobia leading to squinting
• eye spasms (squinting, tearing, blurred vision, sensation of tearing the eye)
• sensation of object in eye

complications = corneal ulcer - deeper disruption of epithelium which is a medical emergency (infection can develop rapidly and can lead to permanent vision loss)

Question 2

What is the difference between cataracts and glaucoma (i.e., structure of eye, affected visual changes, and associated symptoms)?

Answer 2

1. cataracts

Definition: Lens Opacity (Blurry Vision)
S/S

• Clouded
• Blurred
• Double vision in one eye
• Night vision difficulty
• Halo vision around light
• Fading or yellowing of colors

2. glaucoma:

1. All pressure in the eye from leads to damaged optic nerve
2. Open angle is most common and happens over time, tends to be asymptomatic
3. Closed angle is quick and painful and is an emergency

• Headaches, vomiting, nausea, rainbows around lights and blurred vision
• Increased pressure in the eye that leads to open or closed angle (closed angle is the emergency)
• Decreased Peripheral Vision
• Causes blindness because it can compress the optic nerve

Question 3

What is macular degenerative disease and what type of visual change does it cause?

Answer 3

• Advanced age causes macular degenerative disease
• Central Vision Loss
• Fine Detail loss
• Changes in colors
• Lines are not straight*

Question 4

Describe clinical manifestations and nursing management of Meniere’s disease.

Answer 4

• *S/S**
• Unilateral Sensorineural loss
• Tinnitus
• Vertigo
• Recurrent attacks
• N/V
• Too much salt

Treatment

• Low sodium Diet
• Track on Focal point

Assess: Romberg, Nystagmus

Question 5

What is the difference between conductive and sensorineural hearing loss?

Answer 5

Sensorineural hearing loss

• Has to do with nerve damage
• Takes place in inner ear
• (Head Trauma, Loud Noises, Meds)*

Conductive hearing loss

• When Sound waves are not traveling effectively from the outside world through the middle and outer ear.
• (Tumors, Allergies, Ear infection)*

Question 6

What non-pharmacological interventions can nurses provide to a patient with a sleep disorder?

Answer 6

Question not answered

Question 7

What strategies can a nurse implement to promote sleep within the acute care setting?

Answer 7

• lessening noise
• making the room darker
• limiting number of times you go into the room