Med Surg Final Exam

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  1. Shellin test instructions:
    cover one at a time; stand 20 ft away
  2. What is considered being legally blind?
  3. What questions would you ask a pt if they tell you they are "blind"?
    how in depth their impairment is and how to fix their functioning (?)
  4. What would you do if you get chemicals in your eye?
    Wash eye for 15 minutes with water
  5. What is presbyopia?
    decreased ability to accomodate near vision (farsighted)
  6. What is Sjogrens syndrome?
    kerito conjunctivitis sicca---dry eyes
  7. What instructions for a pt who has had a stapidectomy?
    not to sneeze or cough--to avoid pressure
  8. How do you communicate with a pt that is hearing impaired?
    ** do not overextenuate words (?)
  9. Primary goal for pt with vertigo:
  10. What is myopia?
    nearsighted (cannot see far away)
  11. Primary precaution for pt with conjunctivitis:
    prevention (spread)
  12. Sx of cataracts:
    ** cloudy lens
  13. How do you approach a blind pt in the emergency room?
    announce your presence
  14. When feeding a blind pt:
    tell them where the food is on their plate
  15. Closed-angle glaucoma:
    halo around lights, pain, decreased vision, rapid onset
  16. What is an astigmatism?
    abnormal curve of the lens with blurred vision
  17. What is the tx for Maneire's dx?
  18. Tx for a penetrating wound to the eye:
    cover with cup and take to ER
  19. Tx for partially blind pt with open-angle glaucoma:
    decrease aqueous humor
  20. What is acute bacterial conjunctivitis?
    pink eye
  21. Severe vertigo: nursing actions to decrease sx are:
    have them lay down, stay still, hold head in one position
  22. Accomodation:
    eye adjustment at different distances
  23. Position of pt who has had tympanoplasty for perforation of eardrum and has drainage:
    elevevate head of bed 40 degrees and have lay on their side with operative side facing up
  24. Pt cannot bend over to pick up objects without dizziness and nausea....what is the problem?
    semicircular canal
  25. Acute inflammatory process with pain when auricle is moved:
    external otitis
  26. How would you assist a blind pt to the bathroom?
    proceed pt by 1 ft and have them put their hand on your elbow while you guide them
  27. Pt on insulin that has diabetic neuropathy getting photocoagulation therapy has to watch for:
    destruction of new blood cells (?)
  28. What conditions can cause congenital hearing loss?
    anorexia and trauma during surgery (?)
  29. Why is otitis media more prominent in children ages 6-36 months?
    they have shorter, flatter eustachian tubes
  30. How do you avoid serious complications of ear disorders?
    early detection and tx
  31. The aging process can affect nutrition how?
    ** hindering smell and taste and meds
  32. What can cause conductive hearing loss?
    cerumen, foreign bodies, photosclerosis, and otitis media with effusion
  33. What can contribute to otitis media?
    allergies and smoking
  34. Assess readiness to learn in visual and hearing impaired. What can hinder this readiness?
    cultural beliefs, values, habits, and income/occupation
  35. What are the major senses?
    sight, touch, taste, hearing, balance
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Med Surg Final Exam
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