Study Guide Exam 3 NUR2356

Module 7 1. Safety (fall prevention, fire, home care safety) a. Fall prevention i. Remove clutter ii. Ensure adequate lighting iii. Install handrails in the shower iv. Utilize non-skid socks b. Fire Safety i. R.A.C.E – rescue, alarm, contain, extinguish ii. P.A.C.E – Pull, aim, squeeze, sweep c. Home care safety i. Poisoning – exposure mainly due to improper storage of items ii. Carbon Monoxide – Know s/s, usually occurs in cold months, install detectors iii. Toxins from work environments – dust particles, chemical contact with skin iv. Burns – Scald, Warming, sunburn, contact burn, chemical burn v. Fires – Home oxygen equipment leading cause of fires vi. Suffocation – Mainly infants and chocking vii. Firearms – Educate and keep locked 2. Communication, especially with impaired patients: a. hearing aids, sign language, lip-reading, CC b. Speak directly to the patient c. Always knock and announce yourself when entering the room 3. Glaucoma  Increased IOP more than 20 mm hg compression of blood vessels and photoreceptors and nerve fibers.  Hypoxia-necrosis-loss of vision.  Signs and Symptoms: a) Acute angle closure i) Sudden severe pain around the eye radiating over face, Headache or brow pain, nausea, and vomiting. ii) Can also cause seeing colored halos around lights and blurred vision with decreased light perception. b) Open angle: corneal thinness, painless  Edu: common in AA, MA,  Types: a) Open angle: most common, occurs over time, goes unnoticed because central vision is not usually affected until later. b) Closed angle: **Medical Emergency**  Interventions: drug therapy to reduce IOP and patient education, Laser trabeculoplasty, trabeculectomy 4. Cataracts (symptoms, signs, education, interventions, surgical interventions, etc)