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?