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Med Surg 2 > Eye review > Flashcards

Eye review Flashcards

1
Q

subjective data for entropion?

A

“feels like there is something in my eye”

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2
Q

can surgery correct entropion ?

A

yes

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3
Q

with entropion how does how does the cornea present itself?

A

red

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4
Q

nursing care for entropion

A
  • eye drops

- antibiotics

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5
Q

what is an ectropion

A

the turning outward and sagging of the eyelid

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6
Q

what causes an extrapion?

A

muscle relaxation and weakness caused by aging

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7
Q

with an ectropion air gets in the cornea causing __________

A

dryness

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8
Q

Patient presents with constant ______ and sagging lower eyelid

A

tears

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9
Q

surgery can restore_______

A

eyelid alignment

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10
Q

What is a hordeolum?

A

stye… infection of the eyelid sweat gland or eyelid sebaceous gland

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11
Q

a stye looks _______ and is painful

A

red

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12
Q

nursing care for a stye includes…

A
  • eye compress

- antibacterial ointment

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13
Q

Nursing intervenes for a stye….

A
  • teach patient how to apply compress

- remove the ointment from eyes before driving or operating machinery

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14
Q

what is a chalazion?

A

is an inflammation of a sebaceous gland in the eye lid

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15
Q

Is there pain felt with a chalazion?

A

No, painless swelling

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16
Q

Subjective for chalazion

A
  • light sensitivity
  • eye fatigue
  • excessive tears
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17
Q

what is a keratoconjunctivitis sicca?

A

dry eye syndrome

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18
Q

what drugs decrease tear production?

A
  • antihistamine
  • beta androgenic blocking agents
  • anticholinergics
  • cosmetic surgery
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19
Q

cyclosporine

A

(restasis) ….increases tear production

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20
Q

artificial tears are used with dry eye syndrome to

A

reduce daytime dryness

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21
Q

what is Conjunctivitis?

A

inflammation with or without infection of the conjunctiva

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22
Q

what are the two types of conjunctivitis ?

A

allergic and bacterial

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23
Q

allergic conjunctivitis manifestation…

A

burning !

blood shot eye appearance, excessive tears and itching

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24
Q

Management of allergic conjunctivitis includes…

A

…

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25
Q

Management of allergic conjunctivitis includes…

A

vasoconstritor and corticosteroid eyedrops

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26
Q

Bacterial conjunctivitis manifestations

A
  • vessel dialation
  • edema
  • tears
  • discharge
  • discharge is watery then turns thicker w/ mucus
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27
Q

treatment of conjunctivitis

A

ophthalmic antibiotics

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28
Q

Nursing intervention of conjunctivitis

A
  • preventing spread to the other eye
  • remind to wash hands
  • do not touch un affected eye before washing hands
  • avoid sharing was cloths
  • dont try on others make-up
  • dont share eyeglasses
  • use eyedrops in both eyes
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29
Q

What is a trachoma?

A

Chronic conjunctivitis caused by clamydia trachomatis

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30
Q

trachoma resembles which eye condition?

A

bacterial conjunctivitis

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31
Q

most effective medication used for trachoma is

A

azithromycin (Zithromax)

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32
Q

Corneal abrasion

A

a scratch or scrape injury to the cornea

33
Q

What can cause a corneal abrasion?

A
  • foreign body
  • trauma
  • contacts
  • malnutrition
  • dry eye syndrome
  • some cancer therapies
34
Q

Corneal ulceration

A

deeper injury to the cornea….medical emergency that can permanently impair vision

35
Q

The patient with corneal disorder has

A

pain, reduced vision, photophobia and eye secretions

- hazy look

36
Q

nursing priority for corneal disorder

A
  • begin drug therapy

- prevent infection

37
Q

nursing interventions

A
  • antibiotics and make sure they are compliant

- eye drops only go i in the infected eye and not both

38
Q

cataract is a

A

lens opacity that distorts the image

39
Q

cataracts can be present at birth or develop…

A

at anytime

40
Q

cataracts can cause…

A

blindness

41
Q

assessment of cataract

A
  • age
  • family history
  • recent/ past eye trauma
  • radioactive exposure
  • ## prolonged corticosteroid, beta blockers and biotic drugs
42
Q

subjective

A
  • decreased color perception

- may express that their vision is blurry

43
Q

does cataracts caused pain ?

A

no pain or redness associated with age related cataracts

44
Q

Can vision be restored when the cataract is removed ?

A

yes

45
Q

what is the only cure for cataracts ?

A

surgery

46
Q

glaucoma is

A

a group of eye disorders resulting Inntraocular pressure

47
Q

a patient with glaucoma usually has pain and has a dull…

A

headache over the affected eye

48
Q

an intraocular pressure above 20 is

A

to be alarmed

49
Q

primary glaucoma…

A

most common

- develops slowly and has no manifestation in early stages

50
Q

physical assessment/manifestations of glaucoma

A
  • los of visual fields
  • sudden severe pain around the eyes that radiates over the face
  • seeing halos
  • vomiting
51
Q

diagnostic assessment of IOP measured by

A

tonometry

52
Q

open angles glaucoma tonometry reading should be between

A

22-32

53
Q

angle closure glaucoma tonometry reading may be

A

30 mm Hg or higher

54
Q

glaucoma is a common cause of

A

Blindness in North America

55
Q

glaucoma intervention

A
  • drug therapy to decrease IOP
56
Q

Patient teaching for glaucoma drug therapy

A
  • take medications as prescribed and on time
  • wait 5-10 min if taking more than 1 eye drop to prevent washing out effect.
  • do not skip doses
57
Q

What would you want to reinforce to a patient with a patient taking multiple eye drops

A
  • identifying through different textures
  • using large labels
  • brighter colors
  • use rubber band system
58
Q

Macular degeneration is

A

the deterioration of the macula and can be age related and exudative

59
Q

____ AMD is the most common

A

dry

60
Q

dry amd manifestationa

A
  • decreased central vision
  • mild blurring
    visual distortion at first
  • affects adl’s
61
Q

dry AMD processes fastest amongst

A

smokers

62
Q

risk factors for AMD include

A 
hypertension
female
short stature
family history
long term diet poor in vitamin E and carotene
63
Q

exudative macular degeneration can occur

A

at any age and in one or both eyes

64
Q

patients with EMD has a

A

sudden decrease in vision after a detachment of pigment epithelium in the macula

65
Q

does dry AMD have a cure?

A

No, treatment is focused on slowing down vision loss

66
Q

what dietary intakes slow the progression of dry AMD?

A
  • vitamin B 12
  • antioxidants
  • carotenoids lutein ans zeaxanthin
67
Q

Retinal holes can be caused by

A

trauma and aging

68
Q

retinal tears are characterized by

A

jagged and irregular shaped break in the retina

69
Q

retinal detachment

A

separation of the retina from the epithelium

70
Q

retinal detachment can be sudden and

A

painless

71
Q

subjective for retinal detachment…

A

sudden bright, flashes of l

- floating dark spots ight

72
Q

myopia

A

near sightedness

73
Q

presbyopia

A

age related vision loss

74
Q

patients decrease floaters as

A

seeing little things crawling ( bleeding behind the eye

75
Q

hyperopia aka micro myopia

A

far sightedness

76
Q

astigmatism

A

combination of both

77
Q

eye trauma is diagnosed with what

A

a CT scan or bedside ultrasound

78
Q

if a person works in construction and has metal in their eye you cannot do an MRI why?

A

the radiation will pull out the eye

Med Surg 2 (19 decks)

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