Nur 234 Final Exam Questions With Correct Answers.

When is primary prevention to maintain eye health most important? - Answer-In the womb or prior to pregnancy ask if they have a history of rubella or if they have received their vaccinations Why is it important that a woman receives her rubella vaccination before pregnancy? - Answer-If the woman contracts rubella while pregnant the virus can pass through the placenta and cause congenital diseases such as deafness and blindness What are patient teachings regarding the rubella vaccine? - Answer-get the vaccine before becoming pregnant if it was not giving as a child wait three months to get pregnant after receiving the vaccine.(because the placenta is completed at three months and offers more protection to the fetus against any reminence of the vaccine.) What is an example of prophylactic antibiotic therapy used for primary prevention of eye health? - Answer-Use of an eye prophylaxis (erythromycin) which protects the newborn baby from gonorrhea and chlamydia as it passes through the mothers vaginal canal, this prevents blindness. What is a key concept when performing general eye care? - Answer-Always clean from inner canthus to outer canthus to prevent dirt from being pushing into the inner canthus. Way to prevent everyday eye damage ? (primary prevention) - Answer-Limit eye strain ( allow rest periods between reading or looking at screens) Have UVA/UVB filters on our screen to minimize the UVA/UVB exposure When you are reading have adequate lighting Where sunshades with UVA/UVB protection to protect eyes when outside.(Side note: Prolonged or excessive UVA/UVB exposure is a common cause for the development of cataracts.) Avoid rubbing eyes try to allow them to tear up instead What is secondary prevention of eye health? - Answer-Screening such as your annual eye exam Snellen's: test for visual acuity Ishihara :test for color blindness Tonometry : Measures intraocular pressure ( Normal value is 12-21 mmhg) Slit lamp exam: use of drop slit causing the pupil to dilate to view the inner structures of the eyes Gonnometerty: Measurement of the angel of opening in the eye (helps determine either open or close angle glaucoma ) Acute treatment (could be secondary or tertiary): Applying medications and general post operative care What are some nursing considerations when treating a visually impaired patient? - Answer-Always apply drops before ointmentsAvoid increase in intraocular pressure and use and eye shield and eye patches Avoid non verbal communication Talk before touch, announce your presents when you enter a room Orient the client to their new surroundings and provide a kinesthetically identifiable call bell. Use mobility aids, stand on the imparied side Walk slightly ahead of them, allow them to hold you but don't grab them so that they feel incontrol Describe where you are going and your surroundings. Describe their plates and where things are located using whatever method of direction they are most comfortable with. Nursing considerations regarding tertiary care (long term care) of a visually impaired patient? - AnswerEncourage the patient to train on the braille method of reading Train brail before they are fully blind if possible Attach bells to pets to prevent falls or tripping Nursing considerations when dealing with a visually impaired post op patient? - Answer-Avoid any kind of bearing down to prevent increase intraocular pressure Utilize measure to prevent constipation such as(Increase fluids,Ambulation,Fiber,PRN stool softeners) Protective eye gear: eye patches or eyes shield Infection control; wash hands and dont touch eyes Report: drainage, puss, pain pressure. What is the difference between an eye shield and eye patch? - Answer-Eye Patches are occlusive , pt cannot see Eyeshield if the disorder can be corrected especially when sleeping. Prevents rubbing eyes. What are cataracts? - Answer-Gradual and painless opacification of the crystalline lens of the eye