Functional Assessment

Question 1

Symptoms seen in the 4 stages of acetaminophen toxicity

Answer 1

1st stage - maybe no symptoms, pallor, sweating, N/V, normal LFTs

2nd stage- RUQ pain or elevated LFTs maybe

3rd stage- hepatic failure with encephalopathy

4th stage- survival or death

Question 2

When are pneumatic compression devices worn?

Answer 2

Only while in bed.

Removed when sitting or walking

Question 3

Secondary prevention focuses on:

Answer 3

Screening, diagnosis and treatment of existing health problems

Question 4

When examining eyes, what are some common geriatric eye findings that may not be normal in younger eyes?

Answer 4

The sclerae are light yellow.
The pupils recover slowly after being stimulated by a penlight.
There is a whitish gray ring and circling the periphery of the iris.

Photophobia is NOT a normally occurring aging process.

Question 5

What is accommodation in regards to the eye.?

Answer 5

Accommodation is the ability of the lens to adjust to various distances.

Question 6

Ultraviolet light exposure is associated with what kind of problem in the eyes?o

Answer 6

UV light exposure Is associated with the accelerated development of cataracts

Question 7

How often does a person usually blink?

Answer 7

Approximately 15 times per minute

Question 8

What kind of oral medication might have adverse effects with glaucoma drops?

Answer 8

Beta blockers —because that is the category of medications used to treat glaucoma.

Atropine sulfate —used as a mydriatic to dilate the pupil. blocks the drainage of aqueous humor. if used by a client has glaucoma it could cause increased intraocular pressure.

Question 9

What is the Snellen chart?

Answer 9

Tests visual acuity for distance

Question 10

Presbyopia

Answer 10

Farsightedness. Normal loss of near vision that occurs with age.

Question 11

Jaeger chart

Answer 11

Assesses near vision. Presbyopia

Question 12

What might be suspected if you see a bluish tinged tympanum?

Answer 12

Acute otitis media, which requires immediate care to prevent perforation of the tympanum.

Question 13

How glaucoma treated?

Answer 13

treated by drugs that constrict the pupil and allow for the escape of aqueous humor and that reduce intraocular pressure

Question 14

What is a class of drugs that are adrenergic blocking agents used to treat glaucoma?

And what is a serious side effect of these drugs?

Answer 14

Beta blockers

Most serious adverse reaction is an exacerbation in asthma. Could also cause photophobia, burning, tearing, and blurred vision.

Question 15

Keratitis- what is it and what is a drug that treats it?

Answer 15

Inflammation of the cornea

treated with topical idoxuridine (stoxil)

Question 16

What does a mydriatic eye drop do to the eye?

What about miotic drop?

Answer 16

Mydriatic: Dilates the pupil. Also constricts blood vessels. Often used preoperatively for cataract surgery.

Miotic: constricts the pupil

Question 17

Name some topical and systemic side effects of miotic drugs (constricts pupil)

Answer 17

Topical adverse reactions include blurred vision, Eye aches and brow ache.
Systemic adverse reactions include abdominal cramps, diarrhea, and increased salivation.

Question 18

What race / ethnicity of people have highest prevalence of hearing loss?

Glaucoma?

Answer 18

Hearing loss: Whites

Glaucoma: African Americans

Question 19

Cone receptors I the eye are responsible for seeing what?

Answer 19

Color

Question 20

What are some symptoms of acute angle closure glaucoma?

Answer 20

Unilateral eye inflammation,

pain, pressure over his eye,

blurred and decreased visual acuity,

seeing halos around lights,

nausea and vomiting