Questions and Answers
Which may contribute to otitis media? (Select all that apply)
What factors must the nurse consider when assessing readiness to learn for the visually and hearing impaired? (Select all that apply)
Which of the following are causes of cataracts? (Select all that apply)
What would a nurse do when the patient arrives in the PACU after a left stapedectomy? (Select all that apply)
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What should the nurse do when assisting a blind person to walk in an unfamiliar hospital environment? (Select all that apply)
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What is the term for the presence of a turned inward eyelid?
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What bubble is used in a pneumatic retinopexy to repair a retinal detachment?
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What is the term for the total removal of an eye?
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What is the procedure called when there is a surgical incision into the eardrum to relieve pressure in the middle ear?
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What condition is characterized by progressive deafness due to the ankylosis of the stapes?
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Arrange the parts of the eye from the exterior to the most interior (Separate letters by a comma and space as follows: A, B, C, D)
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Place the nursing intervention in appropriate order for the immediate care of a patient with a penetrating wound of the eye (Separate letters by a comma and space as follows: A, B, C, D)
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The nurse is aware that the patient has 20/40 vision. This means that the patient can see at 20 feet what the normal eye can see at what distance?
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The patient tells the nurse that he is legally blind. How would this information impact the nurse's plan of care for this patient?
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One of the housekeepers splashes a chemical in the eyes. What should be the first priority?
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What does a tympanoplasty correct?
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The 62-year-old home health patient who is recovering from eye surgery complains of a feeling of 'grittiness' in the eye and is having blurred vision. What do these complaints indicate?
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Four hours after a stapedectomy, the patient complains that hearing has not improved at all. What knowledge would the nurse use to shape a response?
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What is a common mistake that hinders communication when communicating with the hearing impaired?
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What is the process when the lens of the eye changes its curvature to focus on the retina?
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When the newly blind male home health patient asks the nurse how he might get assistance, who might the nurse suggest he contact?
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The nurse clarifies that the difference between a photorefractive keratectomy (PRK) and a laser in-situ keratomileusis (LASIK) is that a LASIK:
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What does the cataract treatment of phacoemulsification involve?
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Which complaint made by a 64-year-old patient during a health interview would alert the nurse to the possibility of cataracts?
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What should a patient who has had a cataract repair avoid?
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What does diabetes retinopathy result from?
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When the patient in the emergency room complains of seeing flashing lights and a curtain down over his right eye, the nurse recognizes this as a symptom of which condition?
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The nurse will assess for when the older adult home health patient complains that the entire right side of his head hurts and he cannot chew without pain.
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The nurse takes into consideration that the Weber test indicated a conductive hearing loss in a patient because the patient reported hearing the tone:
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What should the nurse remind the hearing aid wearer to do when the nurse hears a whistling hearing aid?
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What should the nurse advise the 20-year-old to do who has been put on cefaclor (Ceclor) for a resistant otitis media?
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How should the nurse advise a patient who has severe vertigo from labyrinthitis?
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What do miotic eyedrops do for a patient with glaucoma?
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What should the nurse include in the plan of care following a tympanoplasty?
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When the patient stares at the black dot on an Amsler grid, what should the nurse ask him to report?
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A patient who had an enucleation of the right eye has been admitted to PACU. What should the nurse include in the plan of care?
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What must a patient do following a left vitrectomy?
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How would the nurse explain the purpose of photocoagulation to a diabetic patient with diabetic retinopathy?
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What is the first indication of macular degeneration?
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Which is a sign of acute angle closure glaucoma (AACG)?
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Why is otitis media found more frequently in children 6 to 36 months?
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Why would the nurse encourage a group of teenagers to protect their eyes with dark sunglasses while using a UV lamp?
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The nurse counsels the 16-year-old boy that playing his music at high volume can result in impairment in hearing related to:
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Select all the conditions that may cause conductive hearing loss. (Select all that apply.)
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Study Notes
Visual Acuity
- 20/40 vision indicates the patient can see at 20 feet what a normal eye can see at 200 feet.
- "Legal blindness" is defined as visual acuity of 20/200 or worse with corrective lenses.
Chemical Eye Injury
- Immediate irrigation of the eyes with normal saline is critical for chemical burns.
- Recommended flushing time is at least 15-20 minutes.
Hearing and Surgical Procedures
- Tympanoplasty corrects conductive hearing loss.
- Stapedectomy patients may not notice hearing improvement until edema subsides and packing is removed.
Patient Interactions
- Effective communication with hearing-impaired individuals requires speaking in a normal tone without overaccentuating words.
- Using visual aids is beneficial for those with hearing impairments.
Eye Conditions
- Accommodation refers to the lens of the eye changing curvature to focus on the retina.
- Sjögren syndrome, characterized by "dry eye," may develop post-eye surgery.
Cataracts
- Phacoemulsification involves using ultrasound to break up cataracts during treatment.
- Difficulty driving at night is a common early symptom of cataracts.
- Post-cataract patients should refrain from lifting heavy objects to avoid increased intraocular pressure.
Diabetic Situations
- Diabetic retinopathy results from capillary damage in the retina, causing hemorrhage.
- Photocoagulation is a procedure that seals leaking vessels and prevents further retinal edema.
Retinal Issues
- Symptoms of a detached retina include seeing flashing lights and a curtain effect over vision.
- Macular degeneration leads to the loss of central vision.
Glaucoma
- Miotic eyedrops constrict the pupil to facilitate drainage and manage fluid levels in glaucoma.
- Acute angle-closure glaucoma can present with a large fixed pupil and pain.
Otitis Media
- Common in young children due to shorter, straighter Eustachian tubes facilitating infection.
- Contributing factors include exposure to cigarette smoke and upper respiratory infections.
Health Promotion
- Protecting eyes from UV light is essential to prevent conditions like cataracts.
- Managing noise levels is crucial for preventing hearing impairment among teenagers.
Conditions Contributing to Hearing Loss
- Causes of conductive hearing loss include cerumen buildup and otitis media.
- Sensorineural hearing loss can result from trauma or exposure to ototoxic drugs.
Patient Education Considerations
- Assess cultural beliefs and values when teaching patients about health promotion.
- Address multiple factors, including income and occupation, to facilitate learning for visually and hearing impaired patients.
Post-operative Management
- Following tympanoplasty, keep the head of the bed elevated with the operative side facing up.
- For patients after stapedectomy, avoid turning them to the operative side immediately to prevent complications.### Nausea Management Post-Surgery
- Immediate medication is crucial upon patient complaints of nausea to prevent vomiting.
- Vomiting can disrupt surgical grafts, especially post-stapedectomy.
- Patients should remain in a flat position with the operated side up.
Assisting Blind Individuals
- Provide verbal cues about the environment to facilitate navigation.
- Allow the patient to hold the nurse's shoulder or elbow while walking.
- Encourage the use of a cane for identification of surroundings; discourage rushing.
Eye Condition: Entropion
- Entropion refers to the inward turning of the eyelid, leading to eye irritation and tearing.
- May present with redness in the sclera and is an important condition for assessment.
Retinal Detachment Treatment
- Pneumatic retinopexy is a surgical procedure that employs a gas bubble to exert pressure on a detached retina.
Eye Surgery: Enucleation
- Enucleation is the complete surgical removal of the eyeball, typically performed under specific medical conditions.
Ear Surgery: Myringotomy
- Myringotomy involves incision into the eardrum to alleviate pressure from the middle ear, utilizing specialized tools.
Hearing Condition: Otosclerosis
- Otosclerosis is characterized by progressive hearing loss due to the ankylosis (stiffening) of the stapes bone in the ear.
Eye Structure Arrangement
- The order of structures from exterior to interior:
- Cornea → Aqueous Humor → Iris → Lens → Retina → Choroid.
Immediate Care for Eye Penetrating Wound
- Initiate care by placing the patient flat to prevent aqueous humor loss.
- Assess the eye without removing any foreign object.
- Check for pupil irregularities before covering both eyes with protective shields.
- Seek urgent medical attention for further treatment.
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Description
Test your knowledge on sensory disorders with this midterm quiz based on Chapter 53. Evaluate your understanding of visual acuity measurements and their implications in patient care. Perfect for nursing students preparing for exams.
