NUR 331 Exam 2 Questions And Accurate Answers
Glaucoma
Channels that drain fluid from eye are blocked
- increased intraocular pressure (IOP)
wide angled Glaucoma
eye drainage canals are slowly becoming clogged
- gradual increased in IOP, gradual loss of peripheral vision
narrow angled glaucoma
MEDICAL EMERGENCY
ndrainage channels are blocked suddenely - causes rapid loss of vision
will have a headache, may have pain, will have loss of peripheral vision
cataracts
clouding of the lens
can be related to aging or steroids
photophobia, blurred vision, decreased visual acuity
may require surgical intervention replacing lens
retinal detachment
MEDICAL EMERGENCY
separation of the retina from the underlying epithelium, interrupts vision and can lead to
blindness if surgical repair is not made
pt will describe "shutting the blinds or pulling curtain over vision"
,warning signs : floaters, flashing lights
AMD
age-related macular degeneration
pt loses central vision, begins with blurring or distorted vision
treatment is used to slow progression as it is usually not reversible
care of client with low vision
SAFETY
- orient to room
- keep room clean and free of falling hazards
- clock method for food or table
- good lighting in room if pt has some vision
- have glasses in reach if pt wears glasses
- announce yourself when walking in room
maintain independence
prevent IOP
prevent straining, very important tot take eye drop medications
conductive hearing loss
caused by external of middle ear problem
sensorineural hearing loss
caused by damage tot he cochlea or vestibulocochlear nerve
signs of hearing loss
asking to repeat or leaning towards you
ringing in ears
loud speaking
, answering incorrectly
seeming disinteresting in conversation
withdraw from social activities
s/s of suspicion (thinking someone is talking about them)
menieres disease
abnormal inner ear fluid balance caused by malabsorption of the endolymphatic sac or
blockage of the endolymphatic duct
menieres symptoms
hearing loss
dizziness/lightheadedness
spontaneous, violent vertigo
ear fullness and pain
tinnitus
blurred vision
n/v
extreme fatigue
tachycardia
photosensitivity
mental disorientation
poor physical coordination
menieres disease - interventions/education
low salt diet: 100-1500 mg/day
Glaucoma
Channels that drain fluid from eye are blocked
- increased intraocular pressure (IOP)
wide angled Glaucoma
eye drainage canals are slowly becoming clogged
- gradual increased in IOP, gradual loss of peripheral vision
narrow angled glaucoma
MEDICAL EMERGENCY
ndrainage channels are blocked suddenely - causes rapid loss of vision
will have a headache, may have pain, will have loss of peripheral vision
cataracts
clouding of the lens
can be related to aging or steroids
photophobia, blurred vision, decreased visual acuity
may require surgical intervention replacing lens
retinal detachment
MEDICAL EMERGENCY
separation of the retina from the underlying epithelium, interrupts vision and can lead to
blindness if surgical repair is not made
pt will describe "shutting the blinds or pulling curtain over vision"
,warning signs : floaters, flashing lights
AMD
age-related macular degeneration
pt loses central vision, begins with blurring or distorted vision
treatment is used to slow progression as it is usually not reversible
care of client with low vision
SAFETY
- orient to room
- keep room clean and free of falling hazards
- clock method for food or table
- good lighting in room if pt has some vision
- have glasses in reach if pt wears glasses
- announce yourself when walking in room
maintain independence
prevent IOP
prevent straining, very important tot take eye drop medications
conductive hearing loss
caused by external of middle ear problem
sensorineural hearing loss
caused by damage tot he cochlea or vestibulocochlear nerve
signs of hearing loss
asking to repeat or leaning towards you
ringing in ears
loud speaking
, answering incorrectly
seeming disinteresting in conversation
withdraw from social activities
s/s of suspicion (thinking someone is talking about them)
menieres disease
abnormal inner ear fluid balance caused by malabsorption of the endolymphatic sac or
blockage of the endolymphatic duct
menieres symptoms
hearing loss
dizziness/lightheadedness
spontaneous, violent vertigo
ear fullness and pain
tinnitus
blurred vision
n/v
extreme fatigue
tachycardia
photosensitivity
mental disorientation
poor physical coordination
menieres disease - interventions/education
low salt diet: 100-1500 mg/day
