MDC 1 - Exam 2 Study Guide Questions And Answers 2024/2025

- Always knock or announce your en￾trance into the patient's room or area and introduce yourself. - Orient the patient to the environment, counting steps with him or her to the bathroom - Help the patient place objects on the bedside table or in the bed and around the bed and room and do not move them without the patient's permission - Remove all objects and clutter between the patient's bed and the bathroom. - Use a normal tone of voice. What are some nursing inter￾ventions for visual impairment? 2. anisocoria a condition in which the pupils are unequal in size 3. exophthalmos protrusion of the eyeballs, as seen in Graves disease 4. enophthalmos sunken eyes, eyeballs are re￾cessed 5. ptosis prolapse, downward displace￾ment, dropping 2 / 33 6. - Put in lower conjunctival sac - Do not drop in center of eye - Stabilize hands on facial structures (bony prominences) - Hold the inner eye to avoid systemic effects (punctal occlusion) - Do not let dropper touch their eye - Wash hands before Patient education for instilling eye drops 7. punctal occlusion Drainage of topical drops from the eye and their systemic ab￾sorption can be prevented by ? 8. · Blurred vision · Clouded vision · Decreased color perception · May think that glasses are smudged · Double vision · Halos around objects · Problems with ADL'S · Affects reading and driving · Impaired night vision · Frequents changes in eyeglass pre￾scription · Without surgical intervention blindness follows Signs and symptoms of cataracts 3 / 33 9. · Wear dark glasses and avoid bright sun￾light · Do not drive · Develop a schedule for the administra￾tion of post-op eye drops. Be sure client or family can demonstrate the correct technique for administering the drops. · Report Worsening Vision · Observe for increasing eye redness · Decrease in vision · Floaters · Sharp, or sudden pain in eye · Green or yellow drainage on the lids and lashes ***avoid anything that increases IOP like... · Do no bend at the waist · Lift more than 10 pounds · Sneeze or cough · Blow your nose · Strain to move bowels · Have sexual intercourse · Vomit · Keep head in a dependent position · Wear tight shirt collars Patient Education for post-op cataract surgery 10. glaucoma When the intraocular pressure increases it leads to compres￾sion of the retinal blood vessels and photoreceptors and their nerve fibers resulting in hypox￾emia and death of the tissue and permanent loss of vision 4 / 33 11. - Sudden severe pain around the eyes radiating over the face - Headache or brow pain - Nausea and vomiting - Seeing colored halos around lights - Sudden blurred vision - Reddened sclera - Foggy cornea - Moderately dilated pupil that does not react to light - Cupping and atrophy of the optic disc Signs and symptoms of glaucoma 12. 10 mm Hg - 21 mm Hg What is the normal intraocular range pressure? 13. reduce intraocular pressure What is the goal of treatment for glaucoma? 14. tonometry - measures IOP ultrasonic imaging of the retina and optic nerve - creates a three-dimensional view of the back of the eye; tells us the TYPE of glaucoma