Med Surg Study Guide Chapter 22

Front 1

Corrected with a cylinder lens

Back 1

Astigmatism

Front 2

Absence of crystalline lens

Back 2

Aphakia

Front 3

Corrected with convex lens

Back 3

Hyperopia

Front 4

Image focused behind retina

Back 4

Hyperopia

Front 5

Abnormally long eyeball

Back 5

Myopia

Front 6

Excessive light refraction

Back 6

Myopia

Front 7

Corrected with a concave lens

Back 7

Myopia

Front 8

Unequal Corneal curvature

Back 8

Astigmatism

Front 9

No accommodation for distance vision with accommodation for near Vision

Back 9

Emmetropia

Front 10

Insufficient light refraction

Back 10

Hyperopia

Front 11

Abnormally short eyeball

Back 11

Hyperopia

Front 12

Image focused in front of retina

Back 12

Myopia

Front 13

To determine if an unconscious patient has contact lens in place, the nurse should?

Back 13

use a pen light to shine a light obliquely over the eyeball.

Front 14

the most common correction for aphasia is

Back 14

surgical implantation of interocular lens

Front 15

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?

Back 15

may be able to perform many tasks and activities with Vision enhancement techniques.

Front 16

Identify five nursing measures that should be implemented to increase a Visually impaired patient's safety and comfort.

Back 16

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.

Front 17

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?

Back 17

Cover the eye with a dry sterile patch and a protective shield.

Front 18

Acute bacterial conjunctivitis

Back 18

Pinkeye

Front 19

keratoconus

Back 19

corneal degeneration

Front 20

Keratitis

Back 20

Inflammation of the cornea

Front 21

Epidemic keratotoconjunctivitis

Back 21

Viral infection spread by direct or sexual contact.

Front 22

chalazion

Back 22

Inflammation of the eyelid

Front 23

Trachoma

Back 23

Blindness-causing Keratoconjunctivitis

Front 24

Hordeolum

Back 24

Sty

Front 25

The nurse teaches all patients a with conjectural infections to use?

Back 25

frequent and thorough hand washing to avid spreading the infection.

Front 26

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?

Back 26

Vision-enhancement techniques may improve vision until surgery becomes an acceptable option to maintain desired activity.

Front 27

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?

Back 27

a gradual loss of vision with abnormal color perception and glare.

Front 28

A patient with bilateral cataracts is scheduled for an extracapsular cataract extraction with an interocular lens implantation of one eye. Preoperatively, the nurse should?

Back 28

assess the visual acuity in the inoperative eye to plan the need for postoperative assistance.

Front 29

Retinal tears leading to retinal detachment are most often caused by?

Back 29

Vitreous shrinking during aging that pulls and tears retina.

Front 30

the leakage of vitreous humor into the Subretinal space, separating the sensory retina from the pigment epithelium is termed a _____ retinal detachment.

Back 30

rhegmatogenous

Front 31

Treatments for retinal detachment that are used to create am inflammation and scarring between the retina and the Choroid include ______ and _____.

Back 31

laser photocoagulation
Cryproxy

Front 32

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______?

Back 32

Sclera Buckling

Front 33

following sclera buckling with a pneumatic retinopexy, the nurse plans postoperatively care of the patient based on the knowledge that?

Back 33

Specific positioning and activity restrictions are likely to be required for several days.

Front 34

In caring for the patient with age-related macular degeneration (ARMD), it is important for the nurse to?

Back 34

emphasize the use of vision enhancement techniques to improve what vision is present.

Front 35

a patient with wet ARMD is treated with photodynamic therapy. after the procedure the nurse instructs the patient to?

Back 35

Completely cover all the skin to avoid a thermal burn from sunlight.

Front 36

Visual impairment occurring with glaucoma results from?

Back 36

ischemic pressure on the retina and optic nerve.

Front 37

An important health promotion nursing intervention that is relevant to glaucoma is?

Back 37

promoting regular measurements of interocular pressure for early detection and treatment of glaucoma.

Front 38

resistance to aqueous humor outflow through trabecular meshwork

Back 38

POAG
Primary open-angle glaucoma

Front 39

treated with iridotomy/iridectomy

Back 39

PACG
Primary angle-closure glaucoma

Front 40

Administration of hypertonic oral and IV fluids

Back 40

PACG
Primary angle-closure glaucoma

Front 41

caused by lens blocking pupillary opening

Back 41

PACG
Primary angle-closure glaucoma

Front 42

may be caused by increased production of aqueous humor

Back 42

POAG
Primary open-angle glaucoma

Front 43

Causes sudden severe eye pain associated with nausea and vomiting

Back 43

PACG
Primary angle-closure glaucoma

Front 44

causes loss of central vision with corneal edema

Back 44

PACG
Primary angle-closure glaucoma

Front 45

Treated with beta-adrenergic blocking agents

Back 45

POAG
Primary open-angle glaucoma

Front 46

Gradual loss of peripheral vision

Back 46

POAG
Primary open-angle glaucoma

Front 47

treated with trabeculoplasty/trabeculectomy

Back 47

POAG
Primary open-angle glaucoma

Front 48

Betaxolol

Back 48

beta blocker decreases aqueous humor production

Front 49

Dipivefrin

Back 49

an adreneric agonist and decreases aqueous humor production

Front 50

Carbachol

Back 50

a cholinergic agent that stimulates iris sphincter contraction leading to miosis and opening of the trabecular network, increasing aqueous outflow

Front 51

acetazolamide

Back 51

carbonic anhydrase inhibitor that decreases aqueous humor production

Front 52

one of the nurse's roles in preservation of hearing includes?

Back 52

monitoring patients at risk for drug-induced ototoxicity for tinnitus and vertigo

Front 53

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?

Back 53

age and 3 ototoxic drugs

Front 54

Nursing management of the patient with external otitis includes

Back 54

administering eardrops without touching the dropper to the auricle and positioning the ear upward for 2 minutes afterward

Front 55

acute otitis is most commonly treated with _______ to resolve this increased pressure and inflammation in the middle ear.

Back 55

antibiotics

Front 56

in chronic otitis media, formation of an _______ may destroy the structures of the middle ear or invade the dura of the brain.

Back 56

cholesteatoma

Front 57

a _________ may be used to insert an ossicular prostheses and a tympanic membrane graft in patients with chronic otitis media

Back 57

tympanoplasty

Front 58

the patient who has had a myringotomy with placement of a tympanostomy tube should be instructed to ?

Back 58

avoid getting water in the ear

Front 59

_________ otitis media is an infection of the middle ear that frequently leads to mastoiditis and meningitis

Back 59

Chronic

Front 60

impairment of the _________ is most commonly associated with chronic otitis media with effusion

Back 60

eustachian tube

Front 61

following middle ear surgery, the patient should be positioned?

Back 61

elevated 30 degrees

Front 62

while caring for a patient with otosclerosis, the nurse would expect that the patient has?

Back 62

a strong family history of the disease

Front 63

the nurse identifies a nursing diagnosis of risk for injury for a patient following a stapedectomy based on the knowledge that?

Back 63

stimulation of the labyrinth during surgery may cause vertigo and loss of balance.

Front 64

List the triad of symptoms that occur with inner ear problems

Back 64

1. vertigo
2. tinnitus
3. sensorineural hearing loss

Front 65

an appropriate nursing intervention for the patient during an acute attack of Meniere's disease includes providing?

Back 65

a quiet, darkened room

Front 66

The nurse counsels the patient with an acoustic neuroma based on the knowledge that?

Back 66

early diagnosis and treatment of the tumor can preserve hearing and vestibular function.

Front 67

conductive hearing loss characteristics

Back 67

hears best in noisy environments
may be caused by impacted cerumen
hearing aid is helpful
speaks softly
associated with otosclerosis
related to otitis media

Front 68

sensorineural hearing loss characteristics

Back 68

caused by noise trauma
presbycusis
associated with meniere's disease
result of ototoxic drugs

Front 69

when teaching a patient to use a hearing aid, the nurse encourages the patient to initially use the aid?

Back 69

in a quiet, controlled environment to experiment with tone and volume