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69 Cards in this Set

  • Front
  • Back
Corrected with a cylinder lens
Absence of crystalline lens
Corrected with convex lens
Image focused behind retina
Abnormally long eyeball
Excessive light refraction
Corrected with a concave lens
Unequal Corneal curvature
No accommodation for distance vision with accommodation for near Vision
Insufficient light refraction
Abnormally short eyeball
Image focused in front of retina
To determine if an unconscious patient has contact lens in place, the nurse should?
use a pen light to shine a light obliquely over the eyeball.
the most common correction for aphasia is
surgical implantation of interocular lens
A patent tells the nurse or admission to the health care facility that he recently has been classified as legally blind. The nurse recognizes that the patient?
may be able to perform many tasks and activities with Vision enhancement techniques.
Identify five nursing measures that should be implemented to increase a Visually impaired patient's safety and comfort.
1. address the patient, not others with the patient. talk in a NORMAL conversational Voice/tone.
2. face the patient and make eye Contact.
3. Introduce yourself when approaching patient and let patient know when you are leaving.
4. Do not move objects positioned by patients without patient's consent and knowledge.
5. Ask patient what help is needed and how to provide it.
A patient is admitted to the ED with a wood splinter in bedded in the right eye. An appropriate intervention by the nurse is to?
Cover the eye with a dry sterile patch and a protective shield.
Acute bacterial conjunctivitis
corneal degeneration
Inflammation of the cornea
Epidemic keratotoconjunctivitis
Viral infection spread by direct or sexual contact.
Inflammation of the eyelid
Blindness-causing Keratoconjunctivitis
The nurse teaches all patients a with conjectural infections to use?
frequent and thorough hand washing to avid spreading the infection.
A patient with early cataracts tells the nurse that he is afraid cataract surgery may cause permanent Visual damage. the nurse informs the patient that?
Vision-enhancement techniques may improve vision until surgery becomes an acceptable option to maintain desired activity.
A 6o-year-old patient is being prepared for outpatient cataract surgery. when obtaining admission data from the patient, the nurse world expect to find that the patient has a history of?
a gradual loss of vision with abnormal color perception and glare.
A patient with bilateral cataracts is scheduled for an extracapsular cataract extraction with an interocular lens implantation of one eye. Preoperatively, the nurse should?
assess the visual acuity in the inoperative eye to plan the need for postoperative assistance.
Retinal tears leading to retinal detachment are most often caused by?
Vitreous shrinking during aging that pulls and tears retina.
the leakage of vitreous humor into the Subretinal space, separating the sensory retina from the pigment epithelium is termed a _____ retinal detachment.
Treatments for retinal detachment that are used to create am inflammation and scarring between the retina and the Choroid include ______ and _____.
laser photocoagulation
the surgical procedure that involves physical indentation of the globe to bring the pigmented epithelium, the choroids and sclera in contact with a detached retina is known as______?
Sclera Buckling
following sclera buckling with a pneumatic retinopexy, the nurse plans postoperatively care of the patient based on the knowledge that?
Specific positioning and activity restrictions are likely to be required for several days.
In caring for the patient with age-related macular degeneration (ARMD), it is important for the nurse to?
emphasize the use of vision enhancement techniques to improve what vision is present.
a patient with wet ARMD is treated with photodynamic therapy. after the procedure the nurse instructs the patient to?
Completely cover all the skin to avoid a thermal burn from sunlight.
Visual impairment occurring with glaucoma results from?
ischemic pressure on the retina and optic nerve.
An important health promotion nursing intervention that is relevant to glaucoma is?
promoting regular measurements of interocular pressure for early detection and treatment of glaucoma.
resistance to aqueous humor outflow through trabecular meshwork
Primary open-angle glaucoma
treated with iridotomy/iridectomy
Primary angle-closure glaucoma
Administration of hypertonic oral and IV fluids
Primary angle-closure glaucoma
caused by lens blocking pupillary opening
Primary angle-closure glaucoma
may be caused by increased production of aqueous humor
Primary open-angle glaucoma
Causes sudden severe eye pain associated with nausea and vomiting
Primary angle-closure glaucoma
causes loss of central vision with corneal edema
Primary angle-closure glaucoma
Treated with beta-adrenergic blocking agents
Primary open-angle glaucoma
Gradual loss of peripheral vision
Primary open-angle glaucoma
treated with trabeculoplasty/trabeculectomy
Primary open-angle glaucoma
beta blocker decreases aqueous humor production
an adreneric agonist and decreases aqueous humor production
a cholinergic agent that stimulates iris sphincter contraction leading to miosis and opening of the trabecular network, increasing aqueous outflow
carbonic anhydrase inhibitor that decreases aqueous humor production
one of the nurse's roles in preservation of hearing includes?
monitoring patients at risk for drug-induced ototoxicity for tinnitus and vertigo
a 74-year-old man has moderate presbycusis and heart disease. he takes one aspirin a day as an antiplatelet agent and uses quinidine, furosemide (Lasix) and enalapril (vasotec) for his heart condition. what risk factors are present for ototoxicity in this situation?
age and 3 ototoxic drugs
Nursing management of the patient with external otitis includes
administering eardrops without touching the dropper to the auricle and positioning the ear upward for 2 minutes afterward
acute otitis is most commonly treated with _______ to resolve this increased pressure and inflammation in the middle ear.
in chronic otitis media, formation of an _______ may destroy the structures of the middle ear or invade the dura of the brain.
a _________ may be used to insert an ossicular prostheses and a tympanic membrane graft in patients with chronic otitis media
the patient who has had a myringotomy with placement of a tympanostomy tube should be instructed to ?
avoid getting water in the ear
_________ otitis media is an infection of the middle ear that frequently leads to mastoiditis and meningitis
impairment of the _________ is most commonly associated with chronic otitis media with effusion
eustachian tube
following middle ear surgery, the patient should be positioned?
elevated 30 degrees
while caring for a patient with otosclerosis, the nurse would expect that the patient has?
a strong family history of the disease
the nurse identifies a nursing diagnosis of risk for injury for a patient following a stapedectomy based on the knowledge that?
stimulation of the labyrinth during surgery may cause vertigo and loss of balance.
List the triad of symptoms that occur with inner ear problems
1. vertigo
2. tinnitus
3. sensorineural hearing loss
an appropriate nursing intervention for the patient during an acute attack of Meniere's disease includes providing?
a quiet, darkened room
The nurse counsels the patient with an acoustic neuroma based on the knowledge that?
early diagnosis and treatment of the tumor can preserve hearing and vestibular function.
conductive hearing loss characteristics
hears best in noisy environments
may be caused by impacted cerumen
hearing aid is helpful
speaks softly
associated with otosclerosis
related to otitis media
sensorineural hearing loss characteristics
caused by noise trauma
associated with meniere's disease
result of ototoxic drugs
when teaching a patient to use a hearing aid, the nurse encourages the patient to initially use the aid?
in a quiet, controlled environment to experiment with tone and volume