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Exam (elaborations)

MDC 1 - Exam 2 Study Guide GRADED A

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Always knock or announce your entrance into the patient's room or area and introduce yourself. - Orient the patient to the environment, counting steps with him bathroom - Help the patient place objects on the bedside table or in the be the bed and room and do not move them without the patient's p - Remove all objects and clutter between the patient's bed and t - Use a normal tone of voice.: What are some nursing interventions 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 di 4. enophthalmos: sunken eyes, eyeballs are recessed 5. ptosis: prolapse, downward displacement, dropping 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 occlusi - 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 t absorption 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 prescription • Without surgical intervention blindness follows: Signs and symptoms of cataracts 9. • Wear dark glasses and avoid bright sunlight • Do not drive • Develop a schedule for the administration 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 c of the retinal blood vessels and photoreceptors and their nerve fibe hypoxemia and death of the tissue and permanent loss of vision 11. - Sudden sever


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