Exam 1 Sensory RNSG 1430 Questions & Answers

Peripheral Neuropathy - ANSWERS(nerve damage in extremities) hands and feet biggest concern. Check for injuries/ wounds. decreased tactile sense Risk factors for peripheral neuropathy - ANSWERS-diabetes -impaired perfusion -smoking Risks of peripheral neuropathy - ANSWERS-thermal burns -falls -wounds -infections -sores in areas they cant feel Any sensory condition that reduces vision - ANSWERS-communicate with adaptive items ie; brail -safety in familiar settings -ambulation with blind cane -never grab a blind or low vision patient. ( blind folded activity in class) Safety/ helpful precautions for reduced vision - ANSWERS-orient to surroundings -increase amount of light w/o glare -bright colors are more distinguishable -remove hazards: throw rugs, electric cords, coffee table, etc. -make a clear path to the bathroom Prevention of reduced vision - ANSWERSsnellen eye chart- used to check distance vision Therapeutic communication for reduced vision - ANSWERS" tell me more", "how do you feel when..." Cataracts - ANSWERSlens of the eye becomes cloudy. can be in one or both eyes Is Cataracts acute or chronic? - ANSWERSAcute! Cataract surgery - ANSWERScataract surgery is curative. the lens in the eye is removed and replaced with an artificial lens. What eye drops do you take for Cataracts? - ANSWERSNONE. there are no drops for cataracts because surgery is the curative option. Manifestation of cataracts - ANSWERS-blurry vision -decreased vision -light scatter (halos around headlights especially at night) -glare Cataracts risk factors - ANSWERS-aging -heredity -eye trauma (traumatic cataract) -diabetes mellitus -chronic steroid use -sun exposure -smoking cigarettes Catarac Pre OP teaching - ANSWERS-Local anesthesia, sedative -Home 1 hour after surgery -Multiple eye drops TID x 2-4 weeks -Eye assessment Post Op care for cataract surgery - ANSWERS-usually unpatched -eye shield is given to wear after surgery for a certain amount of time and then typically at night while sleeping avoid rubbing the eye -discharge usually occurs within 1 hour with dark glasses -mild itching is normal- the eye is healing! -avoid bending, lifting, straining, sexual activity, sneezing, blowing nose, etc. these activities can increase the intraocular pressure -follow up appointment usually in 48 hours after surgery What would pain indicate after Cataract surgery? - ANSWERSComplication!! Glaucoma - ANSWERSelevated intraocular pressure (IOP) What are two main types of glaucoma? - ANSWERS-primary open angle glaucoma -angle closure glaucoma Is Glaucoma acute or chronic? - ANSWERSChronic! Causes of Glaucoma - ANSWERS-can be caused from increased fluid production -decreased fluid drainage -optic nerve disturbed -primary open angle glaucoma is the most common Risk factors for Glaucoma - ANSWERS-age -heredity -more common in african americans -diabetes mellitus -glaucoma can be secondary to tumors (the pressure from the tumor increases the pressure in the eye) -can be a side effect of cataract extraction Manifestation of open angled glaucoma - ANSWERS-generally no symptoms to start -elevated IOP 21 mm Hg -loss of peripheral vision over time -decreased accommodation -usually affects both eyes -untreated=blindness