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