1010- Test 3 Ocular Disease

Front 1

A Snellen chart assess ______.

Back 1

distance vision

Front 2

A Rosenbaum assess ______.

Back 2

near vision

Front 3

_____ is nearsightedness. You can see near but can't see things far away.

Back 3

Myopia

Front 4

____ is farsightedness. You can see far away but can't see well close up.

Back 4

Hyperopia

Front 5

_____ is hyperopia in the older population.

Back 5

Presbyopia

Front 6

Presbyopia happens because

Back 6

the lens is not working well.

Front 7

______ is constant involuntary eyeball movement in any direction. It can be associated with neurological issues or some medications.

Back 7

Nystagmus

Front 8

____ is a problem with refraction of light inside the eye. It is associated with lack of roundness of the eyeball.

Back 8

Astigmatism

Front 9

_____ is a test for strabismus. It looks at the weakening of one eye that causes it to deviate from the other eye.

Back 9

Cover-uncover

Front 10

_____ is an important test for people with glaucoma.

Back 10

Tonometry

Front 11

Tonometry is an indirect measurement of the ____.

Back 11

intraocular pressure of the eye.

Front 12

____ is drooping of the eyelid.

Back 12

Ptosis

Front 13

_____ is an acute inflammation of the hair follicle around the eye. It is commonly called a sty.

Back 13

Hordeolum

Front 14

____ is an infected sebaceous gland. It is swollen, firm but not painful.

Back 14

Chalazion

Front 15

____ is a very contagious condition of the eye that can be viral or bacterial. The eye is red, itchy, scratchy and may have drainage.

Back 15

Conjunctivitis

Front 16

Treatment for conjunctivitis includes:

Back 16

antiinfective eyedrops such as penicillin or gentomycin.

Front 17

Nsg implications for conjunctivitis are:

Back 17

-HANDWASHING
-separate wash cloth for each eye
-separate linens for family members
-warm saline compresses
-saline irrigation to remove exudate
-apply eye ointment along conjunctiva

Front 18

A _____ is an abrasion, scratch, or laceration on the cornea. It can be caused by dust, eyelash, grass, etc...

Back 18

corneal abrasion

Front 19

Burns of the eye could be caused by ____ or _____.

Back 19

lye or ammonia

Front 20

2 examples of penetrating trauma with the eye are:

Back 20

metal flakes and BB guns.

Front 21

Management of eye trauma includes:

Back 21

-assessment of vision
-use of irrigation
-positioning
-eye patch
-eye ointment

Front 22

____ is a matchlike stick with dye on the end that is brought to contact with the eyeball. The corneal abrasion turns bright yellow.

Back 22

Fluorescein

Front 23

Irrigation of the eye is done to

Back 23

remove foreign bodies.

Front 24

If a person has blunt trauma to the eye the preferred position is

Back 24

semi-fowlers to help reduce edema.

Front 25

____ is surgical removal of the eye.

Back 25

Enucleation

Front 26

_____ is a clouding of the lens resulting in decreased light, acuity and a glare.

Back 26

Cataracts

Front 27

Cataracts are common in the _____.

Back 27

elderly

Front 28

When a person has cataracts, the lens becomes ____ which interferes with light getting in.

Back 28

opaque

Front 29

CATARACT

Back 29

congenital
aging
toxicity
accidents
radiation (sunlight)
altered metabolism (DM)
cigarette smoking

Front 30

Cataracts tend to occur _____ and development is ______.

Back 30

bilaterally
asymmetrical

Front 31

Manifestations of cataracts are:
tends to occur ____
development is _____
gradual declining _____
problem with ____
pupil may appear ____

Back 31

Manifestations of cataracts are:
tends to occur bilaterally
development is asymmetrical
gradual declining visual acuity
problem with glares
pupil may appear cloudy gray or white

Front 32

Treatment of cataracts includes:

Back 32

surgery

Front 33

Nsg implications for a person who has had cataract surgery are:

Back 33

-eye patch for one day
-eye drops
-HOB elevated
-no coughing/vomiting
-no heavy lifting

Front 34

To prevent coughing and vomiting post op cataract surgery the nurse should administer

Back 34

antinausea meds

Front 35

_____ is a condition characterized by increased intraocular pressure of the eye and gradual vision loss.

Back 35

Glaucoma

Front 36

When a patient has glaucoma, the increased intraocular pressure causes ______.

Back 36

optic nerve damage

Front 37

A person with glaucoma has loss of ____ vision but they have _____ vision.

Back 37

peripheral
central

Front 38

The loss of peripheral vision with glaucoma is due to

Back 38

narrowing of visual fields.

Front 39

____ is the leading cause of blindness worldwide.

Back 39

Glaucoma

Front 40

Manifestations that are vague, often go unnoticed, have no initial manifestations and include gradual vision loss are characteristic of ______.

Back 40

open-angle glaucoma

Front 41

Abrupt onset of eye pain, headache, nausea and vomiting are manifestations of ______.

Back 41

angle-closure glaucoma

Front 42

Glaucoma has no ____, ____, ____.

Back 42

cure, prediction, prevention

Front 43

The aim for glaucoma is ____ to control and preserve vision by preventing optic nerve damage.

Back 43

early diagnosis

Front 44

Yearly eye exams monitor for glaucoma by measuring _____.

Back 44

intraocular pressure

Front 45

Three classes of medications used to treat glaucoma are:

Back 45

-beta adrenergic blockers
-adrenergic agonist (Myadratics)
-prostaglandin analogs

Front 46

3 beta adrenergic blockers used to treat glaucoma include:

Back 46

-Betoptic (betaxolol)
-Betagen (levobunolol)
-Tomoptic (timolol)

Front 47

Beta adrenergic blockers reduce IOP by decreasing production of ______.

Back 47

aqueous humor

Front 48

Beta adrenergic blockers do not affect ____ and ____ therefore there is no adverse effect on vision.

Back 48

pupil size
lens accommodation

Front 49

Beta adrenergic blockers can effect other beta blockers. App;y pressure over the _____ after administering to prevent systemic absorption.

Back 49

lacrimal sac

Front 50

Adrenergic Agonist (Myadratics) are used to treat _____.

Back 50

open angle glaucoma.

Front 51

Adrenergic agonist (Myadratics) ____ pupils, reduces production of ____ and reduces IOP in ____ glaucoma.

Back 51

Adrenergic agonist (Myadratics) dilate pupils, reduces production of aqueous humor and reduces IOP in open-angle glaucoma.

Front 52

When administering adrenergic agonists (Myadratics) the nurse should monitor

Back 52

-BP
-Pulse
-Respirations
-CNs

Front 53

Avoid OTC sinus or cold meds when taking adrenergic agonist (Myadratic) meds because they may

Back 53

increase side effects.

Front 54

2 adrenergic agonists (Myadratics) are

Back 54

alphagran and aprarclonidine

Front 55

_____ increase aqueous outflow and thus lower the ocular pressure.

Back 55

Prostaglandin analogs

Front 56

A prostaglandin analog is

Back 56

Lantanoprost (Xalatan)

Front 57

Prostaglandin analogs are the drug of choice for treating ______.

Back 57

chronic glaucoma

Front 58

Prostaglandin analogs are administered ____ and have a ____ adverse effect rate.

Back 58

daily
low

Front 59

2 problems with prostaglandin analogs are

Back 59

conjunctival hyperemia and color changes in iris or eyebrows.

Front 60

____ is separation of the retina from the choroid.

Back 60

Retinal detachment

Front 61

Retinal detachment occurs ______ (gradually/spontaneously).

Back 61

spontaneously

Front 62

Manifestations of a retinal detachment include:

Back 62

-floaters "spots"
-lines
-flashes of light
-curtain drawn
-blurred vision
-progressie deterioration
-loss of central vision if macula involved
-NO PAIN
-eye looks normal

Front 63

Interventions for retinal detachment are directed toward ______ and reestablishing blood flow and nutrient supply to the retina.

Back 63

bringing the retina and choroid back together.

Front 64

Proper positioning for a person with a detached retina is ____ before surgery and _____ after surgery.

Back 64

lying flat and face up
face down.

Front 65

Treatment for detached retina includes:

Back 65

cryotherapy
laser photocoagulation
scleral buckling

Front 66

_______ is failure of the macula to be able to receive light from center of visual field.

Back 66

Macular degeneration

Front 67

Macular degeneration is a loss of ______.

Back 67

central vision

Front 68

____ is the leading cause of blindness worldwide.

Back 68

Glaucoma

Front 69

____ is the leading cause of blindness over age 65.

Back 69

Macular degeneration

Front 70

Macular degeneration is common is _____ ancestry.

Back 70

European

Front 71

Manifestations of macular degeneration include:

Back 71

-blurred central vision, distorted
-peripheral vision intact
-lines may appear wavy

Front 72

There is NO effective treatment for macular degeneration but ____ may slow the process.

Back 72

laser photocoagulation and high doses of vitamins

Front 73

Magnifying glasses, high-intensity lights, and large print books may be helpful for people with ______.

Back 73

macular degeneration.

Front 74

A new surgery for macular degeneration is ______,

Back 74

implanted telescope