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Which diagnostic test is used to determine gross hearing acuity?
- 1. Whisper Test
- 2. Rinne Test
- 3. Weber Test
Which data collection item would be collected for hearing loss?
The patient may either talk to softly, or shout
What ear structure function equalizes pressure in the middle ear so tat the eardrum can vibrate freely?
What part of the eye it color?
What gelatin-like substance gives the eye its shape and fills the space behind the lens?
What would you consider a normal finding if noted in the lining of the ear canal?
What technique would the nurse use when testing a patient's peripheral visual ability?
- By visual fields
- - confontation ability of the person to see peripheral while looking straight ahead
What does PEERLA mean?
Pupils are Equal, Round, Reactive to light & acccomdation
What lighting enviornment would the nurse use to examine the patient's pupils?
- Darkened room
- * use a pen light = start on the side and come mid line
How would you interpret a Snellen chart finding of 20/60?
Its a visual impairment - means that patient has a lessened acuity of vision
-- means that the patient can read at 20 feet what a normal person can read at 60 feet.
Why does the nurse apply pressure to the inner corner of the eye for 1 minute after administering eye drops?
Prevent/reduce a systemic effect of the meds through the tear duct
What behavior observed during the interview would indicate a hearing loss?
The cup their ear, struggling to hear
What instructions would the nurse give to a patient who asks how to remove cerumen from ears?
- Do not remove it
- The ear is self cleaning, wax is usually removed during shower
- Do not put anything in the ear
- Wax is a protective mechanism, it lubricates and protects earducts
What type of hearing loss would a hearing aid assist with the patient's hearing disorder?
Conductive hearing loss
How does the nurse evaluate if hearing aid is functioning properly?
if the patient can carry a conversation with them
What intervention would most enhance the nurse's communication with the patient who has presbycusis?
Presbycusis = age related/ gradual hearing loss
- use low frequency/low tone
- patient cannot hear these consonants
- = s, z, f, t, g, sh
What structure changes the shape of the lens of the eye?
What signs/symptoms are indicative of cataract formation?
- Foggy/cloudy vision
- glare at night
- difficulty reading fine print
- halos around lights
- decrease in color vision
What causes cataract in the elderly?
- Medical conditions
- Nutritional deficiency
Why is atropine not utilized as a preoperative medication for a patient with acute angle glaucoma? if ordered what would you do?
Atropine can cause blindness
I should notify the RN or physician/ question the order
What teaching content would you review with a patient who has open ended glaucoma?
Life long eyedrops == to keep ocular pressure down
What is the expected effect of pilocarpine?
Pilocarpine = myotic
It promotes drainage of aqueous humor == Decreases ocular pressure
How would you instruct your patient on how to give eye medications?
- Tilt head back
- Lower lid to make a pocket
- use pinky to anchor the hand
What visual changes is the patient experiencing with macular degeneration?
- Peripheral vision only
- - Central vision is gone
The patient has a ruptured eardrum. What precaution should the patient take against water?
- Keep the ear dry, do not get any water in it
- if water gets in, bacteria can grow = infection
What nursing intervention would you include for a patient who had myringoplasty?
- Not a lot of head movement
- the graft is very delicate and will not take if the head is moving alot
Your patient is a swimmer. She is complaining of pain and itching of the ear. What condition might she have?
External otitis/ Swimmers Ear
What signs/symptoms would the nurse expect while admitting a patient with Meniere's disease?
Triad == Vertigo, Hearing loss, Tinitis (ringing)
What precautions would the nurse put a patient with Meniere's disease on?
What symptoms would the patient be experiencing if they have an inner ear disorder?
- equilibrium/sensory neuro loss
What data collection findings would support a patient that has a visual impairment?
- Not interested in the TV
- Social isolation
What nursing intervention would the nurse do for a patient who lives alone and has a visual impairment?
- Look at the safety of the home:
- - no throw rugs
- - make sure there are banisters near steps
they structure the environment - put/keep things in there right place
make sure patient goes to all scheduled eye exams
What is myopia?
How do you treat myopia?
With concave lenses
What discharge instruction will be crucial for the patient who is discharged with diabetic retinopathy?
Have to control diabetes to prevent complications
What nursing action is most appropriate when caring for a patient who is to have cataract surgery and asks is it a safe procedure?
the patient needs to talk to doctor
Which nursing action is most important when communicating with a hearing impaired patient?
- Face patient
- Level to level with patient
- eye contact with patient
- do not shout
- talk into ear
What medical condition is contraindicated for a patient who is about to receive an ear irrigation due to impacted cerumen?
Previous perforated eardrum
How would the nurse explain Meniere's Disease to her patient who is emotionally upset?
- that episodes might occur suddenly
- might have a warning: i.e. headache
- can occur 3-4 times a year
- it can go into remission
- she should reduce anxiety
Patient has an eye injury and is covered with an eyepatch. What discharge instructions would you review with patient on care of eye?
- Keep covered
- Dressing should be tight enough to keep eye shut
- refrain from watching tv/reading = eye strain
What is a cataract formation?
- it formed over time
- opacity of the lens of the eye that causes a loss of vision
vision is diminished because light rays arent able to get to retina
What nursing action is taken when the nurse assesses an eye enucleation site and there is a large amount of bleeding on dressing?
- notify RN/physician
How do you administer ear drops to an adult?
Pull pinna up and back
involuntary, cyclical, rapid, movement of the eyes in response to vertical, horizontal, rotary movement
- illness of retina
- Diabetes/scare changes of retinal blood vessels
dropping of eyelid
unequal curvature on shape of cornea
- inflammation of joining membrane of the eye
- "pink eye"
Beta adrenergic blocker for glaucoma
beta adrenergic blocker for glaucoma
ceruminoltyic -- for cerumen
List 4 eye injuries that may occur if safety measures are not followed?
- 1. Foreign objects
- 2. chemical splashes
- 3. corenal lens abrasion/infection contact lens
- 4. UV light
- 5. visual deficits in adults with corrective lenses
- 6. eye strain from computer usage
- 7. eye injury from sports