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Nursing Theory IV > Eye/ Ear > Flashcards

Eye/ Ear Flashcards

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1
Q

Refractive Errors

A 
Non-surgical corrections
- Corrective lenses
- Contacts
Surgical corrections
- PRK
-LASIK
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2
Q

Infections/ Inflammatory Eye Disorders: Nursing Care

A

Assessment

  • Symptoms: local, systemic
  • Structures of the eye
  • Vision/ corrective lens use (Snellen chart; Rosenbaum chart)
  • Injury, exposure
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3
Q

Infections/ Inflammatory Eye Disorders: Medications

A

Topical anti-infectives
Antihistamines
Corticosteroids
Mydriatics

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4
Q

Infections/ Inflammatory Eye Disorders: Nursing Care

A

Nursing Diagnoses

  • Risk for disturbed sensory perception: visual r/t diminished or absent vision
  • Pain r/t irritation or infection
  • Risk for injury r/t altered visual acuity
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5
Q

Infections/ Inflammatory Eye Disorders: Nursing Care

A 
Evaluation
- Eye appearance/ vision
- Client's psychomotor skills (eyedrops, contact lens care, eye cleansing)
- Vision
- Client and/or family are able to verbalize:
Prevention
Irrigation procedure
Medications
Patches
Intraocular pressure
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6
Q

Cataracts

A 
Opthalamoscopic exam
- Lens changes; loss of red reflex
Elective surgery
- Lens removal
- Intraocular lens implant
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7
Q

Eye Surgery - Nursing Care

A 
Preoperative care
- Routine preop care
- Assessing vision
- Reinforcement of postop restrictions
Postoperative care
- VS, pain control
- Dressings/ patch/ shield
- Positioning
- Prevent increase in intraocular pressure
- Report sudden eye pain
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8
Q

Glaucoma

A 
Diagnostic tests:
- Tonometry
- Gonioscopy
Drug Therapy
Surgery
- Laser trabeculoplast
- Cyclocryotherapy
- Laser iridotomy
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9
Q

Glaucoma - Nursing Care

A

Assessment

  • Identify clients at risk
  • Changes in vision
  • Family Hx of glaucoma
  • Inspection of eye structures
  • Visual fields
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10
Q

Glaucoma: Medications

A 
Adrenergic Agonists
- Iopidine
Beta blockers
- Betagan
- Timoptic
Prostaglandin analogs
- Xalatan
Carbonic anhydrase inhibitors
- Diamox
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11
Q

Glaucoma: Nursing Care

A

Diagnoses

  • Ineffective Health Maintenance r/t inconvenience and side effects of medication
  • Risk for injury r/t visual acuity deficits
  • Anxiety r/t loss of vision
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12
Q

Detached Retina: Nursing Care

A

Assessment

  • Sudden changes in vision
  • Client knowledge level
  • Treatment planned
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13
Q

Detached Reinta: Treatment

A

Positioning
Air into vitreous cavity
Laser or cryotherapy
Scleral buckling

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14
Q

Detached Retina: Nursing Care

A

Diagnoses

  • Ineffective tissue perfusion: retinal
  • Anxiety
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15
Q

Eye Trauma: Nursing Cre

A

Assessment:

  • Type of trauma: corneal abrasion, burns, perforations, trauma
  • Vision
  • Pain
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16
Q

Eye Trauma

A 
Eye inspection/ examination
Fluorescein staining
Opthalamoscopic examination
Facial x-rays/ CT scan
Eye irrigation
Surgery
17
Q

Eye Trauma: Nursing Care

A

Diagnoses:

  • Impaired tissue integrity: ocular
  • Pain
  • Anxiety
18
Q

Ear Surgery: Nursing Care

A

Assessment:

  • Symptoms: onset, duration
  • URI history
  • Pain: exacerbating/ alleviating factors
  • Hearing
  • Visual inspection: otoscope
19
Q

Otitis Media: Pharmacology

A

Decongestants
Antibiotics
Analgesics

20
Q

Otitis Media: Surgical Interventions

A

Tympanocentesis
Myringotomy & tympanostomy (tubes)
Mastoidectomy

21
Q

Ear Surgery: Nursing Care

A

Preoperative Care

  • Routine preop care
  • Assess hearing
  • Plan communication strategies
  • Explain postop restrictions
22
Q

Ear Surgery: Nursing Care

A

Postoperative care

  • Assess bleeding/ drainage/ hearing
  • Control nausea
  • Positioning
  • Safety
  • Home care instructions
23
Q

Ear Surgery: Nursing Care

A

Diagnoses

  • Pain
  • Deficient knowledge: antibiotic therapy
  • Impaired tissue integrity
24
Q

Inner Ear Disorders: Nursing Care

A

Assessment

  • Balance/ safety
  • Hearing
  • Nystagmus
  • Nutritional status
  • Sleep/ rest/ activity
25
Q

Inner Ear Disorders

A 
Diagnostic testing
- Electromystagmography
- X-rays/ CT scan
- Glycerol test
Pharmacology
- Antihistamines
- Anticholinergics
- Benzodiazepines
26
Q

Inner Ear Disorders: Treatmentq

A 
Symptom management
Control environmental stimuli
Bed rest; decreased movement
Dietary changes, tobacco, alcohol, caffeine
Surgery
27
Q

Inner Ear Disorders: Nursing Care

A

Diagnoses

  • Risk for trauma
  • Disturbed sleep pattern
28
Q

Hearing Loss

A 
Diagnostic tests:
- Rinne test; Weber test
- Audiometry
Treatment:
- Amplification (Hearing aid; pocket talkers)
Surgery:
- Cochlear implant
29
Q

Hearing Loss

A

Assess:

  • Obstruction of the ear canal
  • Perforated eardrum
  • Damage to ossicles
  • Fluid/ scarring/ tumors
  • Trauma/ infection
  • Meniere’s disease
  • Ototoxic medications
  • Noise exposure: major cause
30
Q

Hearing Loss: Nursing Care

A

Diagnoses

  • Impaired verbal communication
  • Disturbed sensory perception: auditory
  • Social isolation
31
Q

Hearing Loss: Nursing Care

A 
Evaluation:
Observation of:
- Social behaviour, anxiety and stress level
- Absence of coping behaviours
Clients knowledge of:
- Hearing aid use
- Community resources
32
Q

Hearing Loss: Nursing Care

A

Assessment:

  • Voice volume
  • Body language (cupping ear, turning head)
  • Changes in social participation
  • Visual inspection
  • Hearing tests

Nursing Theory IV (12 decks)

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