NUR 410 Exam 1 Questions And 100% Correct Answers
what is 4M's?
mobility, mentation, what matters, medication
normal eye changes associated with aging
loss of visual acuity, arcus senilis, less light flexibility
skin changes associated with aging
Cells become irregular in shape and size
thinning, skin tears, wrinkles, paling, drying
2 risks associated with gland changes
increased risk for overheating
dryness
body fat changes associated with aging
redistribution to trunk, increased
nail changes w/ normal aging
thick, brittle, dull
T/F: long term memory loss is an expected symptom of aging
False
expected neuro changes associated with normal aging
short term memory loss
sleep changes
loss of temp regulation
s/s of cataracts
gradual blurring with halo
sensitivity to bright light
cataract treatment
,surgical lens replacement
post op care for cataract surgery
avoid strain
admin abx and mydriatic eye drops
considerations for mydriatic eye drops
they're anticholinergic - drying
physiology of glaucoma
chronic intraocular pressure causes nerve damage
s/s of glaucoma
loss of peripheral vision
tx for glaucoma
beta blocker drops to decrease pressure timolol/pilocarpine
physiology of macular degeneration
thinning of the macula over time
s/s of macular degeneration
blurred/distorted vision
what is the Amsler grid used for?
to evaluate distortion caused by macular degeneration
physiology of diabetic retinopathy
uncontrolled blood sugar in the eye causes damage to retinal blood vessels leading to
blindness
s/s of diabetic retinopathy
asymptomatic until late in process; blindness
A new hearing aid is fitted for a 74-year-old client who has been experiencing a
progressive loss of hearing acuity over the past few years. Which of the following should
be included in the nurse's teaching plan?
a) "While hearing aids will help you, they bring some challenges also, like the
background noises are amplified."
, b) "With the best hearing aid, you can expect your hearing to return back to normal."
c) "Many people believe that hearing aids assist only in hearing loss that results from
previous noise exposure."
d) "It is possible to buy hearing aids with many different commercial vendors at less
cost."
a)
A nurse is examining the eyes of a 77-year-old client. Which finding would lead the nurse
to suspect that the client is developing chronic (open-angle) glaucoma?
a) Client states, "I have horrible pain in my eyes and head and am nauseated".
b) Client states, "I have frequent double vision, especially upon arising"
c) Client states, "I had 18 mm Hg during my last tonometry test".
d) Client states, "I often can not see my grandson when he is standing on my side".
A quiet and reserved 77-year-old client is suspected by the nurse to have a hearing
deficit related to impacted cerumen. Which of the following would support impacted
cerumen?
a) Frothy drainage from the client's ears.
b) Client reports sensations of fullness in his ears.
c) Client reports dizzy
d) Gray, metallic-appearing tympanic membrane.
b)
The nurse working at the ophthalmology office is providing teaching to an older adult
client who has just been diagnosed with cataracts. The nurse identifies that the client
has learned the teaching when the client identifies the following as something that must
be avoided?
a) Anticholinergic meds
b) Vigorous rubbing of the eye
c) Sun gazing
d) Contact lenses
what is 4M's?
mobility, mentation, what matters, medication
normal eye changes associated with aging
loss of visual acuity, arcus senilis, less light flexibility
skin changes associated with aging
Cells become irregular in shape and size
thinning, skin tears, wrinkles, paling, drying
2 risks associated with gland changes
increased risk for overheating
dryness
body fat changes associated with aging
redistribution to trunk, increased
nail changes w/ normal aging
thick, brittle, dull
T/F: long term memory loss is an expected symptom of aging
False
expected neuro changes associated with normal aging
short term memory loss
sleep changes
loss of temp regulation
s/s of cataracts
gradual blurring with halo
sensitivity to bright light
cataract treatment
,surgical lens replacement
post op care for cataract surgery
avoid strain
admin abx and mydriatic eye drops
considerations for mydriatic eye drops
they're anticholinergic - drying
physiology of glaucoma
chronic intraocular pressure causes nerve damage
s/s of glaucoma
loss of peripheral vision
tx for glaucoma
beta blocker drops to decrease pressure timolol/pilocarpine
physiology of macular degeneration
thinning of the macula over time
s/s of macular degeneration
blurred/distorted vision
what is the Amsler grid used for?
to evaluate distortion caused by macular degeneration
physiology of diabetic retinopathy
uncontrolled blood sugar in the eye causes damage to retinal blood vessels leading to
blindness
s/s of diabetic retinopathy
asymptomatic until late in process; blindness
A new hearing aid is fitted for a 74-year-old client who has been experiencing a
progressive loss of hearing acuity over the past few years. Which of the following should
be included in the nurse's teaching plan?
a) "While hearing aids will help you, they bring some challenges also, like the
background noises are amplified."
, b) "With the best hearing aid, you can expect your hearing to return back to normal."
c) "Many people believe that hearing aids assist only in hearing loss that results from
previous noise exposure."
d) "It is possible to buy hearing aids with many different commercial vendors at less
cost."
a)
A nurse is examining the eyes of a 77-year-old client. Which finding would lead the nurse
to suspect that the client is developing chronic (open-angle) glaucoma?
a) Client states, "I have horrible pain in my eyes and head and am nauseated".
b) Client states, "I have frequent double vision, especially upon arising"
c) Client states, "I had 18 mm Hg during my last tonometry test".
d) Client states, "I often can not see my grandson when he is standing on my side".
A quiet and reserved 77-year-old client is suspected by the nurse to have a hearing
deficit related to impacted cerumen. Which of the following would support impacted
cerumen?
a) Frothy drainage from the client's ears.
b) Client reports sensations of fullness in his ears.
c) Client reports dizzy
d) Gray, metallic-appearing tympanic membrane.
b)
The nurse working at the ophthalmology office is providing teaching to an older adult
client who has just been diagnosed with cataracts. The nurse identifies that the client
has learned the teaching when the client identifies the following as something that must
be avoided?
a) Anticholinergic meds
b) Vigorous rubbing of the eye
c) Sun gazing
d) Contact lenses
