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NURS 1255 > Ears & Eyes: PowerPoint & Taylor > Flashcards

Ears & Eyes: PowerPoint & Taylor Flashcards

1
Q

Hyperopia

Vs

Myopia

A

Farsighted (see far objects better)

Nearsighted (see near objects better)

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2
Q

Myopia

Hyperopia

A

Nearsightedness ONLY SEE CLOSE

Farsightedness ONLY SEE FAR

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3
Q

______ is a common type of refractive error.

Part of your eye (either the cornea or lens) is more curved than it should be. This altered eye shape makes your vision blurry.

Treated eyeglasses or contact lenses.

A

Astigmatism

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4
Q

Miosis =

Midryasis =

A

Pupillary constriction

Pupillary dilation

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5
Q

Mydriasis =

A

Pupil dilation

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6
Q

Process of maintaining a clear visual image when the gaze is shifted from a distant to near object

A

Accommodation

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7
Q

Convergence

A

Ability of both eyes turn inward toward the nose at the same time

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8
Q

Difference between

Exophthalmos

Enophthamos

A

Exophthalmos: protrusion of eyes

Enophthamos: Sunken in eyes

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9
Q

Ptosis

A

Dropping of eyelid

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10
Q

Normal size of pupils

A

3 - 5 mm

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11
Q

Anisocoria

A

Noticeable difference in size of eyeballs

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12
Q

Diagnostic Assessment

Access eye, bony structures and muscles.

Also to look for tumors

A

CT scan

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13
Q

Diagnostic Assessment

Examine Orbits & Optic Nerves

Evalute Tumors

A

MRI

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14
Q

slit lamp exam is used to look for…

A

cataracts & glaucoma

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15
Q

Corneal Staining Test

A

test that uses orange dye (fluorescein) and a blue light to detect foreign bodies in the eye.

This test can also detect damage to the cornea. (Foreign Objects)

The cornea is the outer surface of the eye

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16
Q

Tonometry is a diagnostic test

A

Measures the pressure inside the eye, also known as intraocular pressure
(IOP).

Help determine if you’re at risk of developing glaucoma

Screen for glaucoma

Measure how well glaucoma treatment is working

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17
Q

Cataracts

Preop responsibility for nurse

Obtain informed consent?

Education

Medications to be avoid beforehand:

A

Yes, informed concent

Education: how to admin eye drops after procedure

Med his. Taking meds affext blood clotting

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18
Q

Cataracts

Post-op

Abnormal

Discharge Ed.

A

Ab. Sig swelling, pain, brusing, Discharge

Dark glasses outdoors
Eyedrops
Follow-up appointment

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19
Q

2 types glaucoma

Primary open-angle glaucoma

Primary angle-closure glaucoma

Explain differences

A

Primary open-angle glaucoma

Dev slowly, gradual loss of vision fields

Primary angle-closure glaucoma

Sudden onset of increased pressure. Is an Emergency

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20
Q

Sclera may appear reddened and the cornea foggy in this condition

A

Glaucoma

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21
Q

Start by tilting your head backward while sitting, standing, or lying down.

With your index finger placed on the soft spot just below the lower lid, gently pull down to form a pocket. Look up.

Squeeze one drop into the pocket in your lower lid.

True or False

A

True

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22
Q

Types of meds for glaucoma

  1. Prostaglandin (prost)

Reduce IOP via dilation of blood vessles

Nursing considerations.

A

Admin as prescribed

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23
Q

Beta-Adrengic Blockers (lol)

Reduce IOP LIMITS producción of aqueous humor and dilating pupil

Nursing Considerations:

A

Check pulse (Low HR & BP) concern & Glucose

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24
Q

Cholinergric agonist

Reduce IOP by limiting production of Aqueous Humor

Nursing considerations:

A

Report increase salvation

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25
Q

Trabeculectomy is used to treat…

How….

A

Glaucoma

Creates a drainage pathway in the eye

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26
Q

Leading cause of blindness in adults of 65

Deterioration of central vision

A

Macular degeneration

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27
Q

Onset is sudden and painless

Bright flashes
Floaters
Shadow side vision

A

Retinal Detachment

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28
Q

Pre & Post Op Eye patch is given for this problem

Post Op.

Avoid increased IOP
No bending / lifting
Blowing nose, sneeze, cough
Head in dependent posistion
Face-Down Recovery posistion

No work that requires close vision

A

Detached retina

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29
Q

How do the field of view differ

Retinal Detachment

Macular degeneration

Open-angle glaucoma

A

Retinal Detachment
Cant see Corner field of vision

Macular degeneration
Cant see center field of vision

Open-angle glaucoma

Only see center field of vision

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30
Q

Corneal ______

Deeper injury caused by infection leads to emergency due to blood supply being impaired ro the eye

A

Corneal Ulceration

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31
Q

Questions to ask for retinal Detachment

A

Have you had cataract or lazer eye surgery?

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32
Q

Which pitch is the first to not hear in Elderly (Low / High)

A

High

F, S,SH, PA sounds first to go

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33
Q

Conductive vs Sensorineural
hearing loss

Causes

Cerumen
Foreign body
Perforación of tympanic membrane
Infection external or middle ear

Prolonged noise exposure
Presbycusis
Ototoxic Substances
Meniere Disease
Diabetes Mellitus

A

Conductive
Cerumen
Foreign body
Perforación of tympanic membrane
Infection external or middlle

Sensorineural

Prolonged noise exposure
Presbycusis
Ototoxic Substances
Meniere Disease
Diabetes Mellitus

Presbycusis = bilateral age-related hearing loss

Meniere’s disease

A disease of the inner ear that can cause a person to get dizzy and have trouble hearing

often affects only one ear. Its exact cause isn’t known. But a buildup of fluid in the inner ear seems to set off the symptoms.

Most often it begins between the ages of 40 and 60.

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34
Q

Speaking softly
Hearing best in noisy environment
Evidence of obstruction

Conductive or Sensorineural

A

Conductive

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35
Q

Assessment Findings

Tinnitus (Ear Ringing) common
Occasional Dizziness
Speaking Loudly
Hearing poor in loud environment
Normal appearance of external ear canal

Conductive or Sensorineural

A

Sensorineural

36
Q

Rinne: Tuning fork struck, placed on mastoid and infront of ears.

Normal findings

Abnormal findings indicate (This type of hearing loss)

Postive Rinne (Good or Bad)

A

Normal: Air conduction 2x long as bone conduction

Ab: Bone conduction longer than air. CONDUCTIVE HEARING LOSS

Positive = Good (Normal Findings)

37
Q

Weber test: Tuning fork struck and placed on head

Normal findings

Abnormal
(Type of hearing loss)

Postive Result (Good or Bad)

A

Normal: Both sides are heard evenly

positiveWeber
Sensorineural hearing loss

:Sound is heard louder on the side of the intact ear.

Conductive hearing loss

:Sound is heard louder on the side of the affected ear.

Normal Weber test:Sound is heard equally in both ears.

38
Q

S/ S
Vértigo
Tinnitus
Hearing loss

Causes

Exact cause unknown
Endolymph build-up, increased pressure, inner ear

A

Meniere Disease

39
Q

Proprioception

A

Sense of body position, force, and movement.

Awareness of body position, and it helps us understand where our body parts are in space

40
Q

_______ is a network of nerves in the brain stem that helps regulate wakefulness and sleep-wake transitions.

Filters out unnecessary noise that can interfere with message processing during sleep.

Filter between the conscious and subconscious mind, filtering out millions of pieces of data per second.

Only allows what is important and of interest to be brought into awareness

A

The reticular activating system (RAS)

41
Q

Stereognosis is …

A

the ability to identify and recognize the shape and form of an object by using touch

42
Q

This process happens when we get used to certain obnoxious stimulus

A

Adaption

43
Q

Sensory Poverty….

A

Seeing images on a computer screen but not experiencing them in real life.

44
Q

Presbycusis is…

A

Loss in high frequency hearing

Associated with aging

Gradual onset, progressive, bilateral

45
Q

Ototoxic drugs includ

A

Furosemide, some chemotherapy, and aspirin

46
Q

Which type of hearing loss is usually correctable

A

Conductive. Wax, foriegn object, infection

Sensorineural: inner ear problem usually gets worse

47
Q

Patient at risk for sensory Deprivation due to limited physical activity related to RA.

Which interventions would be recommended

A. Use low tone when talking to patient
B. Provide interaction with children and pets
C. Decrease environmental noise
D. Ensure paitent eats with other members
E. Discourage use of sedatives
F. Provide adequate light and clear pathways

A

B,D,E

lower tone appropriate for hearing loss

Decrease environmental noise appropriate for sensory overload

Provide adequate lighting appropriate for Vision Problems

48
Q

Assessment for Kinesthetic & Visceral disturbances. select all

A. Ask if bored, if so, why?
B. Ask if anything interferes with functionality of their senses
C. Ask any changes in way they precieve their body
D. Ask, if they find it difficult to express themselves verbally
E. If patient withdraws from being touched
F. Nurse notes if patient seems unsure of his body parts of posistion

A

C,E,F

49
Q

11 year olds grades have dropped, difficultly finishing homework, rubs eyes/ squints, Snellin chart vision 160 / 20 .

Which alteration would the nurse document

A. Self-care dedicit
B. Altered Role Performance (Student)
C. Distrubed body image
D. Delayed growth and development

A

B. The term Role is referring to her Role in life.
Altered performance means she is doing poorly

50
Q

Group home of mildly / moderate visually & auditory Impairments

What is the nurses Priority

A. Maintaining safety and prevention of sensory deterioration
B. Insisting on participation from all members in activities
C. Emphasize and reinforce individual strengths
D. Encourage reminiscence and life review in groups

A

A. Safty is always the priority

51
Q

When caring for a patient with glaucoma

A. Assist to ambulate by walking behind then grasping their arm.
B. Concentrate on their sense of site and limit diversions of other senses
C. Stay outside POV when preforming personal hygine
D. Indicate when the conversation is over and when the nurse is leaving the room.

A

D.

When assisting with ambulation walk slightly ahead allowing patient to grasp onto hand.

Nurse should provide Not Limit, diversions using other sense

52
Q

Short eyes (hyperopia/myopia)

Long eyes (hyperopia/myopia)

A

Short hyperopia farsighted ONLY SEE FAR

long myopia Nearsighted ONLY SEE CLOSE

53
Q

Do scleara normally yellow with age?

A

Yes

54
Q

Pupils have trouble constricting with age.

True or False

A

False they have trouble dilation

55
Q

CLINICAL JUDGMENT MODEL vs ADPIE

Assessment

A

Recognize Cues

56
Q

CLINICAL JUDGMENT MODEL vs ADPIE

Diagnosis/ Analysis (2)

A

Analyze Cues
Prioritize Hypothesis

57
Q

CLINICAL JUDGMENT MODEL vs ADPIE

Planning

A

Generate Solutions

58
Q

CLINICAL JUDGMENT MODEL vs ADPIE

Implementation

A

Take action

59
Q

CLINICAL JUDGMENT MODEL vs ADPIE

Evaluation

A

Evaluate outcomes

60
Q

_____patients often experience vision loss in the peripheral vision
This is often described as Tunnel vision or looking through a straw

A

Glaucoma

61
Q

Exophthalmos is a problem with this gland

A

Thyroid

62
Q

What is the name of the color blind test

A

Ishihara

63
Q

___ is used to find a tumor

___ is used to get details on tumor

A

CT

MRI

64
Q

Normal tonoity range

A

10 - 20

65
Q

Corticosteroids can cause these 2 eye problems

A

Cataracts/ Glaucoma

66
Q

This disease can cause a decreased blood flow to all areas (including eyes and ears)

A

Diabetes

67
Q

Which is the only eye condition that is painful

A

Acute close glaucoma

68
Q

Is Itching normal after cataract surgery

A

Yes, no need to call dr

69
Q

Normal IOP Is a balance between production and out flow of….

A

Aqueous humor

70
Q

IOP presses on _____ which can cause blindness

A

Optic nerve

71
Q

Gradual loss of peripheral vision that progresses to tunnel vision

This disease

A

Open angle glaucoma

72
Q

What is the cure for macular degeneration

A

No cure, manage symptoms

73
Q

Sclera Buckling and Gas Bubble are used to correct this problem

A

Retinal Detachment

74
Q

This procedure requires the use of an eye patch both pre and post opp

A

Retinal Detachment

75
Q

Facedown recovery posistion is used after surgery for this eye problem

A

Retinal Detachment

76
Q

Examines the anterior eye structure for problems with Lens, Cornea, Vitreous Humor

A

Slit-Lamp

77
Q

Paitent History

Diabetes or HTN

Recent Surgery to eye

Traum to eye

A

Glaucoma

78
Q

Non-surgical management includes (eyedrops)

Prostaglandin agonit
Beta-Adrenergic
Cholinergic agonis

(This eye disease)

A

Glaucoma

79
Q

Macular Degeneration is a disorder or this part of the eye

A

Retina

80
Q

Causes:

Cataract or Lazer surgery

Manifestaciones

Onset: Sudden & Painless
Bright flashes of light seen
FLOATERS
POV: Curtain Closing near end stage

A

Retinal Detachment

81
Q

Scleral Buckling & Gas Bubble
Used to fix problem

Post Op. Eye Patch
Restrictions to avoid increasing IOP
Face-Down Recovery posistion

A

Retinal Detachment

82
Q

Presbycusis is….

A

gradual, symmetrical loss of hearing
that occurs over many years. It’s also known as age-related hearing loss. The word presbycusis literally means “old hearing” or “elder hearing

83
Q

Risk factors for Glaucoma

A

Age
Family History
Ethnicity
Diabetes/ HTN
Eye injuries
Corticosteroids use

84
Q

Visiion changes with open angle glaucoma

A

Peripheral vision loss
Blurred or hazy vision
Dificultad adjust to darkness
Halos around lights
Dificultad focus on close objects

85
Q

Interventions for glaucoma

Least to most invasive

A

Eye drops
Oral meds
Lazer therapy
Surgical (Trabeculectomy)

86
Q

Symptoms of cataracts

A

Cloudy vision
Lights too bright / Halo
Double vision
Increased near sightedness

NURS 1255 (13 decks)

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