Sensory game questions Flashcards
The nurse is developing a teaching plan for a client with glaucoma. Which instruction should the nurse include in the plan of care?
Eye medication will need to be administered for life
What is cranial nerve #8 responsible for?
Auditory (vestibulocochlear) is responsible for balance and hearing
What clinical manifestations are associated with hearing loss?
- Ineffective communication
- Decreased intention
- Withdrawal
- Suspicion
- Loss of self esteem and insecurity
How do you check if a patient with hearing loss understood what you were communicating to them?
Have the patient teach back. Also have a family/friend at bedside to get education
What part of the ear is affected if the patient has conductive hearing loss?
Outer and middle ear
What part of the ear is affected if the patient has sensorineural hearing loss?
Inner ear damage (nerve pathways)
What are two of the priority symptoms that we are assessing for with hearing loss that is caused by compression of cranial nerve 8?
Tinnitus and vertigo
What is tinnitus and what is your priority assessment for the patient suffering with tinnitus?
Ringing of the ears can cause suicidal ideation
What is vertigo and what is your priority assessment for the patient suffering with vertigo?
Room is spinning while patient is still. High fall risk
What are some of the causes of conductive hearing loss?
- Otitis media with effusion
- Poor Eustachian tube function
- impacted cerulean
- Tumors
- Objects present
- Middle ear disease
- Otosclerosis
What are some of the causes of sensorineural hearing loss?
- Illness
- Genetics
- Loud noises
- Ototoxicity
- Aging
What meds cause Ototoxicity in sensorineural hearing loss?
- Vancomycin
- Gentamycin
- Cisplatin
- Aspirin
- Furosemide
-Quinine
True or false: sensorineural is permanent hearing loss that cannot be fixed by surgery or medicine?
True
What is Menieres disease?
Refers to the dilation of the endolymphatic system by overproduction or decrease reabsorption of endolymphatic fluid
(Basically too much fluid causing pressure on cranial nerve 8)
What treatments can be done for a patient with menieres disease?
- Mild diuretics
- Vestibular rehabilitation
- Surgery
What communication technique is most effective for a patient with hearing loss?
Talk low and slow
Can also use written instructions for patient
What part of the eye do you administer eye drops?
Nasolacrimal duct/Conjuctival sac
How long do you hold pressure on the inner eye after administering eye drops?
15 seconds
Why do you want to apply pressure to the nasolacrimal duct/conjuctiva after administering eye drops?
To prevent systemic absorption (Decrease of BP and HR)
What are the four leading causes of blindness?
- Age related macular degeneration
- Cataracts
- Diabetic retinopathy
- Glaucoma
What is cranial nerve 2 responsible for?
Optic nerve is responsible for visual acuity
What is cranial nerve 3 responsible for?
Oculomotor is responsible for opening of eyelids, eye movement
What is cranial nerve 4 responsible for?
Trochlear nerve is responsible for eye movement downward/medial
What is cranial nerve 6 responsible for?
Abductees nerve is responsible for eye movement lateral
What is cranial nerve 7 responsible for?
Facial nerve is responsible for facial muscle movement (except chewing) and eyelid closing
What is cataract defined as?
Opacification of the lens
What is the number one risk factors for cataracts?
Age is the number one risk factor followed by DM, UV light, use of corticosteroids and trauma
What safety education do you want to provide the patient diagnoses with cataracts?
Do not drive at night because of low visibility from light not being able to go through. Glow or halo around light sources
What is the treatment for cataracts?
Surgery
If the patient has any unexpected complications after cataract surgery, what should you do?
Call the surgeon even if it is just pain
What part of the vision does glaucoma affect?
Peripheral vision
What is the difference between open and closed glaucoma?
Open is gradual IOP build up.
Closed is a rapid buildup (24-48 hours to fix before permanent damage)
What part of the vision does macular degeneration affect?
Central vision
What is the difference between dry and wet macular degeneration?
Dry is drusen buildup that is gradual
Wet is drusen with hemorrhage and neovascularization that is rapid
Is there a cure for macular degeneration?
No cure just slowing of progression
For a type 1 diabetic when should they have an eye appointment?
Within 5 years of diagnosis and then yearly
For a type 2 diabetic when should they have an eye appointment?
Upon diagnosis and then yearly
