A patient has ptosis resulting from myasthenia gravis. Which of the following assessment findings would the nurse expect to see in this patient?
A) Redness and swelling of the conjunctiva
B) Dropping of the upper lid margin in one or both eyes
C) Redness,
B
When assessing an adult patient's external ear canal and tympanum, the nurse would
A) Ask the patient to tip his or her head toward the nurse.
B) Identify a pearl gray tympanic membrane as a sign of infection.
C) Gently pull the auricle up and backward to
C
Aspects of the patient's medical history that are most likely to have potential consequences for the patient's visual system are
A) Hypothyroidism and polycythemia.
B) Hypertension and diabetes mellitus.
C) Atrial fibrillation and atherosclerosis.
D) Vasc
B
During the initial assessment of a 68-year-old male patient, the nurse will assess the man's pupil function using a(n)
A) Penlight.
B) Tono-Pen.
C) Snellen chart.
D) Ophthalmoscope.
A
The nurse is assessing an 86-year-old female who has just been transferred to the long-term care facility. Which of the following assessment questions will best allow the nurse to assess the woman for the presence of presbycusis?
A) "Do you ever experienc
D
Otoscopic examination of the patient's left ear indicates the presence of an exostosis. The nurse recognizes that this finding will likely be followed up by
A) Surgery.
B) No intervention.
C) Electrocochleography.
D) Irrigation of the ear canal.
B
When planning care for a patient with disturbed sensory perception related to increased intraocular pressure caused by primary open-angle glaucoma, which of the following elements should you focus on?
A) Recognizing that eye damage caused by glaucoma can
C
Which of the following statements is most appropriate when teaching a patient about timolol (Timoptic) eye drops in the treatment of glaucoma?
A) "You may feel some palpitations after instilling these eye drops."
B) "You may have some temporary blurring o
B
Which of the following findings related to primary open-angle glaucoma would the nurse expect to find when reviewing a patient's history and physical examination report?
A) Absence of pain or pressure
B) Blurred vision in the morning
C) Seeing colored hal
A
When teaching a patient about the pathophysiology related to open-angle glaucoma, which of the following statements is most appropriate?
A) "The retinal nerve is damaged by an abnormal increase in the production of aqueous humor."
B) "There is decreased d
B
Which of the following instructions is most appropriate for a patient using contact lenses who is diagnosed with bacterial conjunctivitis?
A) Discard all opened or used lens care products.
B) Disinfect contact lenses by soaking in a cleaning solution for
A
When performing teaching with a patient with glaucoma while administering a scheduled dose of pilocarpine, the nurse would include which of the following statements?
A) "Prolonged eye irritation is an expected adverse effect of this medication."
B) "This
D
Before administration of timolol (Timoptic) eye drops for treatment of glaucoma, the nurse would assess the patient for which of the following contraindications for the use of this medicine?
A) Sinusitis
B) Migraine headaches
C) Chronic urinary tract infe
D
When administering eye drops to a patient with glaucoma, which of the following nursing measures is most appropriate to minimize systemic effects of the medication?
A) Apply pressure to each eyeball for a few seconds after administration.
B) Have the pati
C
When administering a scheduled dose of pilocarpine, the nurse should place the drops in which of the following areas?
A) Inner canthus
B) Outer canthus
C) Center of the eyeball
D) Lower conjunctival sac
D
You are providing care for a 73-year-old male patient who has sought care because of a loss in his hearing acuity over the past several years. Which of the following statements is most accurate?
A) "This is often due to an infection that will resolve on i
B
NORMAL EYE PRESSURE
10-21MMHG
DRY EYE RESULTS FROM:
DECREASE IN AQUEOUS FLUID
INCREASED INTRAOCULAR PRESSURE WITH:
HTN, HIGH CHOLESTEROL
EMERGENT SURGERY REQUIRED IF IOP RISES ABOVE:
70MMHG
CAUSES OF IOP:
EYE INFECTION, RETINA DETACHMENT, GLAUCOMA, HTN, COUGHING, SNEEZING, NECK FLEXION, VALSALVA MANEUVER, TRENDELENBERG POSITION, LIFTING OVER 5#
MEDS THAT CAUSE IOP:
ANTIHISTAMINES
ADRENERGICS
ANTICHOLINERGICS
TREATMENT FOR IOP:
MIOTICS
OSMOTIC DIURETICS
BEDREST
SURGERY
MOST COMMON SIGN OF GLAUCOMA
NARROWING OF VISUAL FIELD
MIOTICS
CONSTRICT THE PUPIL, USED FOR GLAUCOMA
PRIMARY OPEN ANGLE GLAUCOMA
MOST COMMON TYPE, HALOS AROUND LIGHTS, TUNNEL VISION, TROUBLE NIGHT DRIVING
PRIMARY ANGLE CLOSURE GLAUCOMA
RARE, TRUE EMERGENCY, SEVERE PAIN, HALOS AROUND EVERYTHING, NAUSEA, VOMITING, REQUIRES IMMEDIATE SURGERY OR DRUGS
BETA BLOCKERS
TIMOPTIC
BETAGAN
MIOTICS
PILOCAR
XALATAN
RETINAL DETACHMENT
FLASHES OF LIGHT, PAINLESS, LOSS OF CENTRAL VISION, COBWEBS, FLOATERS, VISUAL FIELD LOSS, EMERGENCY
RATIONALE FOR MEDS USED FOR GLAUCOMA CAUSING A MIOTIC RESPONSE IS:
INCREASE THE OUTFLOW OF AQUEOUS HUMOR
CATARACTS
AS THEY MATURE THEY CHANGE COLOR, MUST MATURE BEFORE THEY CAN BE TREATED
RISK FACTORS FOR CATARACTS:
AGE, NOT WEARING SUN GLASSES, SMOKING, DRINKING, CONGENITAL, STEROIDS, TYPICAL ANTIPSYCHOTICS
LOSS OF PERIPHERAL VISION WITH:
CATARACTS AND GLAUCOMA
APHAKIC
HAVING NO LENS
POST OP EYE SURGERY NSG CARE
MAINTAIN DRESSING AND PATCH, ANALGESIA, PREVENT N&V, EDUCATION, SAFETY PRECAUTIONS, WATCH FOR INCREASED PULSE
MYDRIATIC
OPENS LENS, DILATE, USED FOR CATARACTS
CYCLOPLEGIC
PARALYZE EYE
SUPPLEMENTS FOR EYE HEALTH
VIT A, VIT E, BETA CAROTENE
PRESBYCUSIS
PROGRESSIVE HEARING LOSS R/T AGING
OTOSCLEROSIS
OVERGROWTH OF SPONGY BONE
OTOTOXIC MEDICATIONS
GENTAMYCIN (MYCINS)
LOOP DIURETICS (DIAMOX, LASIX, BUMEX)
NSAIDS
CHEMO (PLATINUM BASED, CISPLATIN)
OTOSCLEROSIS
MIDDLE EAR DISEASE, HEREDITARY, MORE WOMEN, STARTS IN PUBERTY, RINGING OR BUZZING IN EAR, NEW SPONGY BONE DEVELOPS IN LABYRINTH AND PREVENTS STAPES FROM VIBRATING
SCHWARTZ'S SIGN
TYMPANIC MEMBRANE BECOMES PURPLE/RED
NSG CARE WITH STAPEDECTOMY
NO SUDDEN MOVEMENTS
ASSESS CRANIAL NERVE 7 (FACIAL DROOPING, DROOLING, ALTERED TASTE)
CANNOT GET EAR WET
WILL HAVE A LOT OF PAIN
MEDICATE FOR N,V
INSTRUCT TO OPEN MOUTH IF THEY SNEEZE
NO BLOWING NOSE OR COUGHING
DO NOT BEND AT WAIST
MENIERE'S DISEASE
RECURRENT VERTIGO WITH TINNITUS AND UNILATERAL HEARING LOSS
NYSTAGMUS, N,V, SUDDEN ONSET HEARING LOSS WITH SEVERS BALANCE PROBLEMS
SUDDEN ONSET, UNPREDICTABLE SYNDROME, CAN LAST MINUTES, HOURS OR DAYS
PROBLEM WITH NA BALANCE IN BODY
TREATMENT ON MENIERE'S
LOW NA DIET
DIURETICS TO DECREASE PRESSURE IN EAR
ANTIEMETICS, NO SMOKING OR ALCOHOL USE
CAN HAVE SURGERY, DESTRUCTION OF LABYRINTH OR VESTIBULAR NERVE RESECTION
SURGERY CAUSES PERMANENT DEAFNESS