What occurs with glaucoma? Correct Answer-increased intraocular
pressure
-if left untreated it can damage optic nerve
How far apart should eyedrops for glaucoma be given? Correct Answer-
5 minutes
What other patient teaching should be provided for glaucoma? Correct
Answer--encourage annual eye exams
-educate about medication compliance
-use good lighting to prevent falls
-use sunglasses in bright lights
-use home services and services for the blind if needed
What occurs with cataracts and how is it treated? Correct Answer-lens
opacity or cloudiness
-surgery performed
What patient teaching should be provided for surgical management of
cataracts? Correct Answer--Avoid sneezing and bending over
-Use large glasses to avoid sun, but only for short period of time
-Shouldn't have any pain, just mild discomfort
,What are the common causes of hearing loss? Correct Answer-Vertigo
Acoustic neuroma
Meniere's disease
What is an acoustic neuroma? Correct Answer-slow growing benign
tumors of cranial nerve VII arising from Schwann cells of the vestibular
portion of the nerve
What are the management options of acoustic neuroma? Correct
Answer-Surgical-best if patient can sustain surgery
Radiation-don't respond the best
Observation
What is Meniere's disease? Correct Answer-imbalance of fluid in inner
ear caused by malabsorption in the sac or a blockage in the duct
How is Meniere's disease managed? Correct Answer--Low sodium diet
-antihistamines,
-tranquilizers
-diuretics (Hydrochlorothiazide)
-Antiemetics (Promethazine)
-reduce sudden movement of head
What is vertigo? Correct Answer-dizziness or spinning sensation
,-misperception or illusion of motion of the person or their surroundings
-may cause balance issues
-may be caused by acoustic neuroma
What education should be provided to an individual with vertigo?
Correct Answer--reduce sudden movement of the head
-do not get up without assistance
-medications may include Antivert or the Eply maneuver
-Bed Rest recommended for acute symptoms
What is epistaxis? Correct Answer-nose bleed
What teaching should be provided for epistaxis? Correct Answer--avoid
vigorous exercising for several days
-avoid spicy foods and smoking
-avoid forceful nose blowing, straining, high altitudes, and nasal trauma
-use humidification to prevent drying of nasal passages
-seek medical attention if bleeding won't stop
-don't tilt head back tilt forward
What occurs with acute pharyngitis? Correct Answer-sudden painful
inflammation of the pharynx, back portion of the throat, soft palate and
tonsils (sore throat)
, What are symptoms of acute pharyngitis? Correct Answer-Fever above
101 but no cough
-inflamed pharyngeal membrane and tonsils
-swollen lymph nodes and possible white exudate
What occurs with chronic pharyngitis? Correct Answer-persistent
inflammation of pharynx
-common in adults who work in dusty environments, use voice to
excess, suffer from chronic cough, or habitually use alcohol and tobacco
What are symptoms of chronic pharyngitis? Correct Answer-constant
sense of irritation or fullness in the throat
-mucus collects in throat and can be expelled by coughing
-difficulty swallowing
-associated w intermittent postnasal drip
What is bronchitis and what are the symptoms? Correct Answer-
inflammation of the bronchial tubes
-coughing with mucus production
-fatigue
-SOB
-slight fever or chills
-chest discomfort
Risk factor: smoking
Can present similar to pneumonia but won't be as severe