MS: 26
hardened cerumen
Older adults are more prone to conductive hearing loss and tinnitus because of: _______________
flashing colored lights followed by the appearance of "floaters"
Sx of retinal detachment:
cornea
Astigmatism is caused by an irregular curvature of the _________
intraocular pressure
The increase in _________ that occurs with glaucoma will eventually cause blindness if not treated/
Administer the eye drop first, followed by the eye ointment.
The client is receiving an eye drop and an eye ointment to the right eye. Which action should the nurse take?
otosclerosis
A patient is scheduled for a stapedectomy. The LPN/LVN should understand that this procedure is done when a patient has which problem?
canned soups
A patient with a history of Meniere disease is discussing dietary options with the nurse. The patient demonstrates an understanding of the necessary dietary changes by agreeing to restrict which food item?
pupil constriction
A patient with glaucoma is being treated with miotic eyedrops. Following administration of the medication, the nurse should note which reaction?
refraction
A problem with ________ is the most common eye disorder.
Instillation of mineral oil or diluted alcohol
A client arrives at the emergency department with a foreign body in the left ear that has been determined to be an insect. Which initial intervention should the nurse anticipate to be prescribed?
On bed rest in a semi-fowlers position
A client arrives in the emergency department after an automobile crash. The client's forehead hit the steering wheel and a hyphema has been diagnosed. Which position should the nurse prepare to position the client?
cardiovascular disease
A client is diagnosed with glaucoma. Which data gathered by the nurse indicate a risk factor associated with glaucoma?
avoid sudden head movements
A client with Ménière's disease is experiencing severe vertigo. The nurse reinforces instructions to the client to do which to assist with controlling the vertigo?
macular degeneration
A decrease in central vision is most characteristic of: _________________________
Meniere disease.
A low-sodium diet and niacin (a water-soluble B vitamin) have been shown to be effective in reducing the symptoms of : _________________________
Superficial layers of the cornea are lifted while a laser reshapes the deeper layers of tissue.
A patient has been scheduled for LASIK surgery to correct his myopia. Which statement best describes this procedure?
Monitoring blood pressure
Betaxolol hydrochloride eye drops have been prescribed for the client with glaucoma. Which nursing action is most appropriate related to monitoring for the side/adverse effects of this medication?
aqueous humor
IOP is determined by the rate of ____________ production and the outflow of the ____________ from the eye. It is produced in the ciliary body and flows out of the eye through the canal of Schlemm in the venous system.
To dilate the pupil of the operative eye
In preparation for cataract surgery, the nurse is to administer cyclopentolate eye drops. The nurse administers the eye drops knowing that which is the purpose of this medication?
prostaglandin analogs
Increase outflow of aqueous fluid through the ciliary muscle by relaxation of the muscle
cataract
Increasing complaints about glare are associated with the growth of a _______.
diabetes and HTN
Retinopathy is a disorder that occurs most commonly in pts with: _____________
Warm the irrigating solution to 98° F (36.6° C).
The nurse assists with preparing the client for ear irrigation as prescribed by the primary health care provider (PHCP). Which action should the nurse plan to take?
Low-sodium diet
The nurse is assigned to care for a client hospitalized with Ménière's disease. The nurse expects that which would most likely be prescribed for the client?
Speak in a normal tone
The nurse is caring for a client who is hearing-impaired and should take which approach to facilitate communication?
Instructing the pt to lie down and remain as still as possible
When a patient experiences dizziness and vertigo, which action should be included in the patient's care?
a sudden pain the the affected eye
Which finding, if present after a patient has right eye surgery, should be reported to the provider immediately as it may indicate hemorrhage?
Wear an eye shield when in close contact with children or pets.
Which instruction must be included in the discharge teaching of a pt who has undergone corneal transplant?
narrow angle glaucoma
the angle between the iris and cornea is constricted, blocking the outflow of aqueous humor; a medical emergency in which there is severe pain in the eye accompanied by the appearance of colored halos around lights, blurred vision, and pain in/around the eye
open angle glaucoma
the angle between the iris and cornea is open, allowing the outflow of aqueous humor through the canal of Schlemm and the trabecular network
accomodation
the process by which the eye's lens changes shape to focus near or far objects on the retina
primary retinal detachment
the result of spontaneous or degenerative changes in the retina or the vitreous humor
A sense of a curtain falling across the field of vision
The nurse is assigned to care for a client with a detached retina. Which finding should the nurse expect to be documented in the client's record?
vision may be cloudy, complaint of a burst of black spots or floaters
The nurse is assigned to care for a client with a diagnosis of detached retina. Which findings would indicate that bleeding has occurred as a result of retinal detachment? Select all that apply.
eye medications may need to be administered for the rest of your life.
The nurse is assisting with developing a teaching plan for the client with glaucoma. Which instruction should the nurse suggest to include in the plan of care?
Uveitis
inflammation of the uveal tract; cause unknown; S/S: tearing, blurred vision, photophobia, aching around the eye, bloodshot sclera, small, nonreactive pupil; Tx: cycloplegic drug
uveal tract
iris, ciliary body, choroid
traumatic cataracts
may occur from physical blow, extreme heat, or chemical toxins.
open angle glaucoma
most common form of glaucoma that results from degenerative changes that cause congestion and reduce flow of aqueous humor through the canal of Schlemm.
Congenital cataracts
most commonly caused by maternal infection with rubella or toxoplasma gondii.
myopia
nearsightedness; difficulty seeing objects at a distance.
Cataract
opacity of the lens that produces an effect similar to one a person would experience when looking through a sheet of falling water.
glaucoma
optic neuropathy that damages the optic disk, causing atrophy and loss of peripheral vision; neuropathy is often caused bu IOP.
photorefractive keratectomy (PRK)
procedure for the treatment of astigmatism, hyperopia, and myopia in which an excimer laser is used to reshape (flatten) the corneal surface by removing a portion of the cornea; corrects excessive curvature of the cornea
exophthalmos
protruding eyeballs
Labyrinthitis
refers to an inflammation of the vestibular portion of the labyrinth of the inner ear. Manifestations include sensorineural hearing loss, nystagmus, and nausea.
lamellar keratoplasty
replaces only the superficial layer of corneal tissue
full-thickness keratoplasty
restores vision in apprx.
laser
retinopathy is commonly treated by _________
Hyperopia
farsightedness; difficulty seeing objects close at hand
presbyopia
hardening of the ciliary muscles, they become less elastic and cannot readily accommodate the needs of distant and near vision. occurs in people 40 yo or older
Keraitis
inflammation of the cornea caused by irritation or infection; 95% of pts
lens implant
Cataract surgery with ____________ usually restores vision.
glaucoma, cataracts, and retinopathy.
Diabetics may face a group of eye diseases, including:
Be sure the patient avoids coughing, sneezing, rubbing the eyelids, or sudden movements of the head.
During the immediate postoperative period following cataract removal, what is the priority action by the LPN/LVN?
vertigo and tinnitis
Labyrinthitis and Meniere disease cause: ___________
Report the finding to the RN
The nurse is caring for a client after enucleation and notes the presence of bright red drainage on the dressing. The nurse should take which appropriate action?
Atropine sulfate
The nurse is caring for a client with glaucoma. Which medication prescribed for the client should the nurse question?
"I should have my eye placed in about 6 weeks."
The nurse is caring for a patient who has had his eye removed after suffering an injury. The patient is a candidate for the placement of an artificial eye. Which statement by the patient indicates understanding of when an artificial eye will be placed?
nausea, nystagmus, loss of hearing
The nurse is performing an assessment on a patient with labyrinthitis. Which symptom(s) would likely to be noted?
Pulling the pinna up and back
The nurse is preparing to administer eardrops to an adult client. The nurse administers the eardrops by which technique?
Occlude the nasolacrimal duct with a finger over the inner canthus for 30 to 60 seconds after instilling the drops.
The nurse is providing instructions to a client who will be self-administering eye drops. To minimize the systemic effects that eye drops can produce, the client is instructed to perform which action?
A sensorineural hearing loss that occurs with aging
The nurse notes that the primary health care provider (PHCP) has documented a diagnosis of presbycusis on the client's chart. Which explanation should the nurse give to the client to explain this condition?
choroid, ciliary body
The nurse reads in the chart that a patient has been diagnosed with uveitis. The nurse knows that which structure(s) are involved in this diagnosis
vision loss
Unless treated quickly and successfully, retinal detachment causes:
radial keratotomy (RK)
Used to correct both nearsightedness and astigmatism. Tiny cuts are made in the cornea to flatten it.
LASIK
Uses a laser to correct myopia
glaucoma
______ medication typically must be used for the rest of the pt's life.
Cataracts
_______ cause a blurring or loss of vision and usually develops slowly.
Keratoplasty
_______ may be performed to repair damaged corneas
Otitis media
________ is a common malady that may be induced by allergy or URI
Mydriatic
__________ medications dilate the pupil and can cause an increase in intraocular pressure in the eye.
tight glucose
___________ control helps prevent diabetic retinopathy
Otosclerosis
___________ is generally hereditary
Tympanoplasty
_____________ may be performed for otosclerosis or for tympanic membrane dysfunction
Otosclerosis
_____________ refers to the excess formation of bone in the ears. This impairs hearing. A potential treatment is a stapedectomy.
acute narrow angle glaucoma
________________ is a medial emergency
Retinopathy
________________ is frequent in patients with diabetes, either from overgrowth of blood vessels or from hypertension that causes increased pressure and rupture of vessels
astigmatism
a visual defect that results from a warped lens or an irregular curvature of the cornea; prevents the horizontal and vertical rays from focusing on the same point.
secondary retinal detachment
associated with mechanical trauma, inflammation within the eyes, or some other ophthalmic disorder, such as diabetic or hypertensive retinopathy.
Sjogren's syndrome
autoimmune destruction of minor salivary glands and lacrimal glands
corneal ulcer
caused by irritation, infection, injury;
Keratoplasty
corneal transplant; replace corneas that have been damaged; helps restore corneal clarity;
Irrigating the eye with sterile saline
A client sustains a chemical eye injury from a splash of battery acid. The nurse should prepare the client for which immediate measure?
apply ice to the affected eye
A client sustains a contusion of the eyeball after a traumatic injury with a blunt object. The nurse should take which immediate action?