Vision Nursing E4

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  1. Loss of transparency of the lens:

    A. Cataracts
    B. Macular degeneration
    C. Glaucoma
    A.
    (this multiple choice question has been scrambled)
  2. Intraocular structural damage caused by elevated intraocular pressure:

    A. Cataracts
    B. Macular degeneration
    C. Glaucoma
    C.
    (this multiple choice question has been scrambled)
  3. Blurred central vision caused by progressive damage of the center retina:

    A. Cataracts
    B. Macular degeneration
    C. Glaucoma
    B.
    (this multiple choice question has been scrambled)
  4. What is the color red of bottle caps?

    A. Miotics
    B. Mydriatics and cyclopegics
    C. anti-infective
    D. anti-inflammatory
    B.
    (this multiple choice question has been scrambled)
  5. What color will this eye drop be: Sulfa drug

    A. tan
    B. pink
    C. red
    D. dark green
    A. Tan

    pink = anti-inflammatory/steroids
    red = mydriatis and cycloplegics
    dark green = Miotics
    (this multiple choice question has been scrambled)
  6. Flll in:

    Eye drops require __a__ minutes in between each drop of same medication and some require __b__ minutes if different medications.
    • a. 3-5 minutes
    • b. 5-10 minutes
  7. This is the second leading cause of blindness and first in african americans
    Glaucoma: increased ntraocular pressure, optic nerve atrophy, and loss of peripheral vision
  8. What is normal IOP? What is it with Glaucoma?
    • Normal: 10-21
    • Glaucoma: >21
  9. T or F: trauma can be a leading cause of glaucoma and occurs within minutes
    False: it is a secondary cause that can occur later
  10. A patient with IOP of 17 is considered normal or abnormal?
    Normal (10-21)
  11. 90% of glaucoma is caused by this
    Open Angle glaucoma: drainage angle of the eye becomes less efficient; decreased outflow of aqueous humor
  12. This eye dz develops slowly, has no s/s until late, and eventually takes away peripheral vision.
    Glaucoma (Open angle)
  13. This is 10% of glaucoma cases. It is d/t lens blocking the pupillary opening, preventing flow of aqeuous humor.

    A. acute angle closure
    B. Primary open angle 
    C. Primary angle closure
    C. Primary Angle closure Glaucoma
    (this multiple choice question has been scrambled)
  14. What type of glaucoma is this?

    s/s: sudden onset of severe pain, blurring or loss of vision, rainbow halos, light sensitivity, n/v

    A. Primary open angle 
    B. acute angle closure
    C. Primary angle closure
    B.
    (this multiple choice question has been scrambled)
  15. This eye d/z requires immediate tx. Person could have total loss of vision if not treated.

    A. Primary angle closure
    B. acute angle closure
    C. Primary open angle 
    B.
    (this multiple choice question has been scrambled)
  16. State how these medications will help with glaucoma:

    Beta blockers
    Pilocarpine
    Prednisone
    • BB: decrease production of aqueous humor
    • Pilocarpine: constricts pupil so flow of AH can get out
    • Prednisone: reduce inflammation
  17. Piloarpine is used for glaucoma. What does it do and what 2 things do you have to warn the patient about it?
    • Constricts pupil so flow of AH can get out
    • Tell pt. that it initially blurs vision, but will resolve.
    • Might cause damage if not taken as ordered
  18. What does an orange bottle cap signify?

    A. beta-blocker
    B. anti-infective
    C. miotic
    D. carbonic anhydrase inhibitor
    D. CAI (Diamox)
    (this multiple choice question has been scrambled)
  19. These are the movements you want to avoid doing if pt. has had eye surgery
    • Prolonged bending over
    • sneezing/coughing
    • rapid jerky movements
    • Hyperflexing the neck/back
  20. This is the first/leading cause of blindness
    Cataracts
  21. T or F: cataracts can occur in one eye or both eyes in different stages
    True
  22. These are clinical manifestations of which eye dz?

    decrease in vision actuity, worse at night
    abnormal color perception
    visible opacity
    painless

    A. macular degeneration
    B. diabetic retinopathy
    C. glaucoma
    D. cataracts 
    D.
    (this multiple choice question has been scrambled)
  23. T or F: Cataracts can cause secondary glaucoma
    True
  24. This surgery is used for what eye d/z: removing the opacified lens and implanting a new lens.

    A. cataracts 
    B. glaucoma
    C. macular degeneration
    D. diabetic retinopathy
    A.
    (this multiple choice question has been scrambled)
  25. What medications will you see during eye surgery (3) and post-op (2)?
    • Pre:
    • 1. IV sedation and local anesthesia
    • 2. Mydriatics (reduce inflammation and dilate eyes) 
    • 3. Cyclopegics (atropine for dilation)
    • Post: 
    • 1. abx (for a week)
    • 2. steroids (maybe longer)
  26. What s/s will you report to MD during post op care? (4)
    • n/v
    • pain
    • infection
    • changes in vision
  27. List clinical manifestations of retinal detachment
    • shadow or curtain falling across field of vision
    • sudden onset
    • burst of black spots
    • flashes of light
  28. T or F: retinal detachment is not considered an eye emergency
    False
  29. What are the two surgical managements of retinal detachment?
    • Laser to close hole
    • Scleral buckling: band around eye
    •  - can also do a silicone implant or patch at hole
  30. What is a vitrectomy?
    sucks out the blood during a tear in the retina
  31. What post-operative care meds will you see during retinal detachment?
    • abx
    • steroids
    • mydriatics
    • cycloplegics
  32. What are the two types of macular degeneration
    • 1. Non exudative (dry) - 90% of cases-radual blockage in retinal capillaries
    • 2. Exudative (wet) - new growth of blood vessels-thin walls, allow blood and fluid to leak thru
  33. This eye d/z has a "wet" and "dry" types, causes blurred, wavy vision, decreased central vision, and lack of depth perception

    A. glaucoma
    B. diabetic retinopathy
    C. cataracts 
    D. macular degeneration
    D.
    (this multiple choice question has been scrambled)
  34. what are risk factors for Macular degeneration?

    cardiac?
    which vitamin?
    • age
    • smoking
    • HTN
    • hx
    • diet lacking carotene and vitamin A
  35. This eye dz has no known cure or tx

    A. macular degeneration
    B. cataracts 
    C. glaucoma
    D. diabetic retinopathy
    A.
    (this multiple choice question has been scrambled)

Card Set Information

Author:
edeleon
ID:
331600
Filename:
Vision Nursing E4
Updated:
2017-05-20 02:38:23
Tags:
vision nursing
Folders:
Med surge exam 4
Description:
lecture notes
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