MDC 1 - Exam 2 Study Guide

- 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 or her to the bathroom - Help the patient place objects on the bedside table or in the bed and around the bed and room and do not move them without the patient's permission - Remove all objects and clutter between the patient's bed and the bathroom. - Use a normal tone of voice. - What are some nursing interventions for visual impairment? anisocoria - a condition in which the pupils are unequal in size exophthalmos - protrusion of the eyeballs, as seen in Graves disease enophthalmos - sunken eyes, eyeballs are recessed ptosis - prolapse, downward displacement, dropping - 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 occlusion) - Do not let dropper touch their eye - Wash hands before - Patient education for instilling eye drops punctal occlusion - Drainage of topical drops from the eye and their systemic absorption can be prevented by _________ _________? · 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 · 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 lashe