CH 13 VISUAL AUDITORY DISORDER/SENSORY
Hearing will not return until edema subsides
4 hours after a stapedectomy, the patient complains that hearing has not improved at all. What knowledge would the nurse use to shape a response?
Apply a pressure dressing over the right eye socket
A patient who has had an enucleation of the right eye has been admitted to the PACU. What should the nurse include in the plan of care?
Exposure to cigarette smoke, Allergies, Upper respiratory infections
Which may contribute to otitis media?
Rinne Test
Distinguishes conductive from sensorineural hearing loss. Tuning fork is placed half an inch from the external auditory meatus n vibrating stem placed over the mastoid bone. While one ear is tested, the other is masked.
Lie immobile & hold the head in one position until vertigo lessens
How should the nurse advise a patient who has severe vertigo m from labyrinthitis?
The procedure will destroy new blood vessels, seal leaking vessels & help prevent retinal edema
How would the nurse explain the purpose of photocoagulation to a diabetic patient w/diabetic-retinopathy?
RINNE TEST
In sensorineural loss the sound is heard longer by air conduction, whereas in conductive hearing loss the sound is heard longer by bone conduction
Irrigate with normal saline solution for 20 mins
One of the housekeepers splashes a chemical in the eyes. What should be the first priority?
ostosclerosis
Progressive deafness is caused by the ankylosis of the stapes is the condition of __________.
Buildup of cerumen, Foreign bodies, Osteosclerosis of external auditory canal, Otitis media with effusion
Select all the conditions that may cause conductive hearing loss.
Sjogren Syndrome
The 62 year old home health patient who is recovering from eye surgery complains of a feeling of "grittiness" in the eye & is having blurred vision. The eyes are reddened and have stringy mucus. What do these complaints indicate?
Entropion
The home health patient complains of tearing and feeling of dryness in the right eye. The nurse assess that the eyelid is turned inward and the sclera is red. The nurse documents the presence of a(n) __________.
Removes some internal layers of the cornea
The nurse clarifies that the difference between photorefractive keratotomy [PRK] & a lister in-situ keratomileusis [LASIK] is that a LASIK :
Damage of the fine hair cells in the Iraq on Corti
The nurse counsels the 16 year old boy that is playing his music at high volume can result in impairment in hearing related to :
Gas
The nurse explains that a pneumatic retinopexy is a repair of a retinal detachment using a bubble of _______ to put pressure on the damaged retina.
20 feet
The nurse is water that the patient 20/40 vision. This means that the patient can see at 20 ft what the normal eye can see at ___ ft.
Louder in his affected ear
The nurse takes into consideration that the Weber Test indicated a conductive hearing loss in a patient because the patient reported hearing the tone :
External otitis
The nurse will assess for _______ when the older adult health patient complains that the entire right side of his head hurts and he cannot chew without pain.
The nurse would need to determine how this patients visual impairment affects normal functioning
The patient tells the nurse that he is legally blind. How would this info impact the nurses plan of care for this patient?
WEBER TEST
The sound is equally loud in both ears. If the person has a sensorineural loss in one ear, the unaffected ear perceives the sound louder. In conductive hearing loss sound is louder on affected ear. Patient doesn't hear background noise & receives only vibrations by bone conduction
myringotomy
The surgical incision into the eardrum w/either a knife or a heated wire loop to relieve pressure in the middle ear is a(n) ________.
Enucleation
The total removal of an eye is a(n) ____________.
Constrict the pupil & open the canal of Schlemm
What do miotic eye drops do for a patient with glaucoma?
Conductive hearing loss
What does a tympanoplasty correct?
Capillaries only retina hemorrhage
What does diabetes retinopathy result from?
Breaking the cataract w/ultra-sound
What does the cataract treatment of phaco-emulsification involve?
Cultural beliefs, Values, Habits
What factors must the nurse consider when assessing readiness to learn when teaching health promotion practices for the visually & hearing impaired?
Overaccentuating words
What is a common mistake that hinders communication when communicating with the hearing impaired?
Position self in a face-down position for 4 to 5 days
What must a patient do following a left virectomy?
Long-term use of corticosteroids, Congenital from exposure to maternal rubella, Diabetes Mellitus, Smoking
Which of the following are causes of cataracts?
Eustachian tubes in children are shorter & straighter
Why is otitis media found more frequently in children 6 to 36 months?
The lamp can cause cataracts
Why would the nurse encourage a group of teenagers to protect their eyes with dark sunglasses while using a UV lamp?
Weber Test
Assesses auditory acuity. Determines defective hearing in an ear with a conductive hearing loss caused by a middle ear problem or sensorineural loss. Test is performed by placing the stem of a vibrating tuning fork in the center of the patients forehead or on the maxillary incisors
Difficulty in driving at night
Which complaint made by a 64 year old patient during a health interview would alert the nurse to the possibility of cataracts?
Large fixed pupil
What is a sign of acute angle closure glaucoma [AACG]?
Loss of central vision
What is the first indication of macular degeneration?
Lay the patient down flat
What is the first nursing intervention step for the immediate care of a patient w/penetrating wound of the eye?
Choroid
What is the most interior part of the eye?
Accommodation
What is the process when the lens of the eye changes it's curvature to focus on the retina?
The lifting of heavy objects
What should a patient who has had a cataract repair avoid?
Avoid alcoholic beverages
What should the nurse advise the 20 year old to do who has been put on Cefaclor [Ceclor] for a resistant otitis media?
Describe the surroundings, Encourage the patient to ask for verbal cues, Place the patients hand on the nurses elbow or shoulder
What should the nurse do when assisting a blind person to walk in an unfamiliar hospital environment?
Elevate the head of the bed w/operative-side facing upward
What should the nurse include in the plan of care following a tympanoplasty?
Reinsert the ear mold
What should the nurse remind the hearing aid wearer to do when the nurse hears a whistling hearing aid?
Turn the patient to his right side, Turn the patient every 2 hrs, Medicate immediately on the complaint of nausea
What would a nurse do when the patient arrives in the PACU after a left stapedectomy?
American foundation for the Blind for a list of agencies
When the newly blond male home health patient asks the nurse how he might get assistance, who might the nurse suggest he contact?
Detached retina
When the patient in the E.R. complains of seeing flashing lights & a curtain down over his right eye, the nurse recognizes this as a symptom of which condition?
Any distortion of the grid
When the patient stares at the black dot on an Amsler grid, what should the nurse ask him to report?
