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77 Cards in this Set

  • Front
  • Back
What caused glaucoma?
Increase in IOP
What is routine pressure?
Tono-tin
When teaching a pt. about routine testing for glaucoma what should you tell them about the tano-tin?
The tano-tin will touch the cornea of the eye, and checks for intraocular pressure
Regarding ageing, what is normal?
scleara lite yellow, pupils recover slowly, whitish ring around the iris
What is the one thing NOT assoceated w/ ageing?
photophobia
How do you assess for accomedation?
watch pupils dilate and constrict from far object to near object
Why would you advise a clint to wear sunglasses?
To protect from cateracts, due to the sunlight.
How many times a minute does a normal person blink? If they blink less than this, what should you do?
15-artificial tears/lubercate the eye
Which would give you more concern in a 45y/o woman? blurry vision while reading, trouble seeing @nite, decreased central vision, dryer eyes
decreased central vision
What is decreased central vision in a 45y/o person called that is of concern?
Macular Degeneration
If you were to check the visual accutiy of a pt. what would you do? Snellen or Rosenbaum
Snellen
What does Snellen check?
Far vision
IF you were to test for presbyopia which chart would you use?
Rosenbaum/Jauguar
If a pt. tells you that they sleep w/ radio on what should you further assess for?
Tennitus
What does a Rhine test check for?
Air conduction longer than bone conduction
When an elderly pt. has PRESBYCUSSIS which will be greater the bone conduction or air conduction?
BONE conduction
A person getting bi-focals, what vision do you need to assess?
Myopia & Presbyopia (near and far)
Your working in the ER, person comes in w MVA assessing pupilary reflexes you notice contacts what should you do?
TAKE IT OUT
Do you need a Dr. order to remove a contact from a pt??
NO
How do you walk w/ a blind person?
Sited guide technique-slightly ahead and to the side of the pt.
How do you prevent the spread of infection from one eye to another no matter what the infection?
Wash hands frequently, no wash cloth on same eye, dont touch one eye to another, different eye drops, thow away open makeup, dont touch eyes w/ eye dropper
If a person has bilateral cateract and they are taking out the R cateract and replaceing the lens what should you assess preop?
Assess the vision in the other eye
Following cateract removal people instill eye drops what do you need to make sure they do?
DEMONSTRATE how to put drops in
What is one of the s/s of retinal detachment?
No pain, lights flashing, loss of central/pereferal vision
What causes an increase in interocular pressure?
Bending, coughing, sneezing, straining
As far as hearing damage what are some things you should educate pt. about what causes hearing damage?
Work place, Loud music, Hunters/guns, race track
What drug causes ototoxicity?
Lasixs
What would be a nursing diagnosis in a pt. w/ meners disease?
Risk for falls d/t dizziness
How do you communitcate w/ a person that can't understand you?
Slow speach, normal tone, face them when speaking
If a person is being fit for hearing aid what should you instruct them to do when trying to find the right volume?
Start low/quite room and increase.
Who do you give coclear implants to?
Sensoryneuro hearing loss
you have a pt. admitied to the hosp in resp distress what should you foucus on in your initial assessment?
RESPATORY system
Getting ready to help w/ thoracentesis what position should pt. be in?
Sitting upright, leaning slightly forward
What is a thorocentisis for?
How much should be removed @ a time?
Plureal effusion
1 Liter
What kind of respirations does a person have w/ METABOLIC acidosis?
Kussmaul
How does smoking harm the lungs?
kills cillia-decreases cilliary action and the ability of mucocilliary clearence system and move them out of lungs
What are the #'s for blood gases?
Ph-7.35-7.45
CO2-35-45
HCO3-22-26
SaO2-95-100%
Why does a person w/ COPD have a barrel chest?
Air traping-avioli are overinflated
If your trying to do a tactile fremitise, what is the technique to do this?
Put your hands on them and FEEL for consolidation
The person is having a bronc what should you check for following the procedure?
Gag reflex
If you hear a loud high pitched blowing sound in the lung bases what is this called?
ABNORMAL breath sounds, this shound should be heard in brocial airway
What is the arterial pressure of O2 suppose to be?
80-100
If your pt. has an arterial O2 of 60 would you be concerned?
YES
Pt. is going for CT to rule out PE what should you know about this pt BEFORE you go?
Any allergies to Iodine or Shelfish b/c of the contrast
Pt. just had a rhino plasty, post op what should you teach your pt. to do?
HOB up 45 degrees for 48 hours to decrese swelling
What is the Inital way to stop a nose bleed?
Pintch soft pt. of nose and lean pt. FORWARD
What do you teach your pt. about allergic rhinitus?
Identify allergen and AVOID them
What should you teach your pt. on how to you treat upper resp infection and prevent 2ndary infections
Lots of H2O, teach them to watch change in color in sputem, tylenol for pain
How long should you tell your pt. to use a nasel decongestant?
3 days
C-pap for sleeping and tells you that they are not feeling any better what should you ask your pt?
if they are using it every night
When suctioning a pt. what should you do?
Hyper oxygenate
use suction for 10-15 sec. Use sterile proceedure
How far can you incert a cathater into the trech?
3-5 inches
Before you deflate trech tube what should you do 1st?
Suction them
What increases risk of larangeal cancer besides smoking?
ETOH use
What is priority nursing action after neck sergery?
Airway
When you do a nasel inhaler what should you teach your pt?
Breath in through nose, out through mouth, and blow nose prior to spray
Nursing diagnoses of ineffective airway clearence what best supports this?
Non productive cough/ineffective cough d/t weakness,
To promote airway clearence in a pt. w/ phneumonia what should you do for your pt to help the cough?
Splint the chest
W/ a person w/ phenumonia w/ nonproductive cough, weak what is the priortiy nurseing diagnosis?
Decreased gas exchange
How do you teach people to prevent reoccurence of phneumonia?
Deep breath and couch
How do you prevent aspiration phneumonia? who is at risk?
turn laterally not flat on back
people w/ altered level of cons.
Regaurding the trasmission on TB what should you teach the pt. to do?
Use a mask, wash hands, cover mouth, one tissue
INH given to people w/ positive TB test what supplement should you give your pt? Why?
B6-prevents periferal nerve damage
An alcoholic and a homeless person what intervention will insure they take their meds?
Arrange w/ a meal
When doing a teaching plan to a 40year smoker, what should you teach them?
Smoking cessation
What is the best indication that a person is having an acute asthma attack?
Wheezing
When you give meds for wheezing what are you trying to do?
Broncodilate b/c they are having airway narrowing
In a person w/ chronic broncitis how do you know you've reached their goal?
They have a productive cough, move the secretions
What kind of foods should you give to COPD pt.?
Frequent, high cal/protien meals
What is the confirming diagnosis of chronic broncitis?
Productive cough for a few months for two consecutive years
What is the purpose of teaching a person pursed lip breathing?
Help control exhilation-prevents airway colapse and airway traping in the lungs on exhalation
How would you know if a person was in corpulmonal?
R-sided heart failure-JVD, edema, asities
Pt. w/ severe COPD says "I wish I were dead I can't do anything for myself anymore" what is your nursing diagnosis?
Ineffective coping r/t loss of independence
In cystic fibrosis what is the problem?
tighting of lungs, phneumonia, and secretions
What is the primary treatment for cystic fibrosis?
Chest Physiotherapy
In an acute asthma attack what drug would you want to give?
Albuterol
In a COPD pt. what type of small frequent meal would you give to them?
the smallest meal/snack w/ the highest calories/protein