MDC 1 - Exam 2 Study Guide Questions With Correct
Answers.
- Always knock or announce your entrance into the patient's room or area and introduce yourself.
- Orient the patient to the environment, counting steps with him or her to the bathroom
- Help the patient place objects on the bedside table or in the bed and around the bed and room and
do not move them without the patient's permission
- Remove all objects and clutter between the patient's bed and the bathroom.
- Use a normal tone of voice.
What are some nursing interventions for visual impairment?
anisocoria
a condition in which the pupils are unequal in size
exophthalmos
protrusion of the eyeballs, as seen in Graves disease
enophthalmos
sunken eyes, eyeballs are recessed
ptosis
prolapse, downward displacement, dropping
- Put in lower conjunctival sac
- Do not drop in center of eye
- Stabilize hands on facial structures (bony prominences)
- Hold the inner eye to avoid systemic effects (punctal occlusion)
- Do not let dropper touch their eye
- Wash hands before
Patient education for instilling eye drops
punctal occlusion
Drainage of topical drops from the eye and their systemic absorption can be prevented by _________
_________?
· Blurred vision
· Clouded vision
· Decreased color perception
· May think that glasses are smudged
· Double vision
· Halos around objects
· Problems with ADL'S
· Affects reading and driving
· Impaired night vision
· Frequents changes in eyeglass prescription
· Without surgical intervention blindness follows
Signs and symptoms of cataracts
, · Wear dark glasses and avoid bright sunlight
· Do not drive
· Develop a schedule for the administration of post-op eye drops. Be sure client or family can
demonstrate the correct technique for administering the drops.
· Report Worsening Vision
· Observe for increasing eye redness
· Decrease in vision
· Floaters
· Sharp, or sudden pain in eye
· Green or yellow drainage on the lids and lashes
***avoid anything that increases IOP like...
· Do no bend at the waist
· Lift more than 10 pounds
· Sneeze or cough
· Blow your nose
· Strain to move bowels
· Have sexual intercourse
· Vomit
· Keep head in a dependent position
· Wear tight shirt collars
Patient Education for post-op cataract surgery
glaucoma
When the intraocular pressure increases it leads to compression of the retinal blood vessels and
photoreceptors and their nerve fibers resulting in hypoxemia and death of the tissue and permanent
loss of vision
- Sudden severe pain around the eyes radiating over the face
- Headache or brow pain
- Nausea and vomiting
- Seeing colored halos around lights
- Sudden blurred vision
- Reddened sclera
- Foggy cornea
- Moderately dilated pupil that does not react to light
- Cupping and atrophy of the optic disc
Signs and symptoms of glaucoma
10 mm Hg - 21 mm Hg
What is the normal intraocular range pressure?
reduce intraocular pressure
What is the goal of treatment for glaucoma?
tonometry - measures IOP
ultrasonic imaging of the retina and optic nerve - creates a three-dimensional view of the back of the
eye; tells us the TYPE of glaucoma
How do you test for glaucoma?
Answers.
- Always knock or announce your entrance into the patient's room or area and introduce yourself.
- Orient the patient to the environment, counting steps with him or her to the bathroom
- Help the patient place objects on the bedside table or in the bed and around the bed and room and
do not move them without the patient's permission
- Remove all objects and clutter between the patient's bed and the bathroom.
- Use a normal tone of voice.
What are some nursing interventions for visual impairment?
anisocoria
a condition in which the pupils are unequal in size
exophthalmos
protrusion of the eyeballs, as seen in Graves disease
enophthalmos
sunken eyes, eyeballs are recessed
ptosis
prolapse, downward displacement, dropping
- Put in lower conjunctival sac
- Do not drop in center of eye
- Stabilize hands on facial structures (bony prominences)
- Hold the inner eye to avoid systemic effects (punctal occlusion)
- Do not let dropper touch their eye
- Wash hands before
Patient education for instilling eye drops
punctal occlusion
Drainage of topical drops from the eye and their systemic absorption can be prevented by _________
_________?
· Blurred vision
· Clouded vision
· Decreased color perception
· May think that glasses are smudged
· Double vision
· Halos around objects
· Problems with ADL'S
· Affects reading and driving
· Impaired night vision
· Frequents changes in eyeglass prescription
· Without surgical intervention blindness follows
Signs and symptoms of cataracts
, · Wear dark glasses and avoid bright sunlight
· Do not drive
· Develop a schedule for the administration of post-op eye drops. Be sure client or family can
demonstrate the correct technique for administering the drops.
· Report Worsening Vision
· Observe for increasing eye redness
· Decrease in vision
· Floaters
· Sharp, or sudden pain in eye
· Green or yellow drainage on the lids and lashes
***avoid anything that increases IOP like...
· Do no bend at the waist
· Lift more than 10 pounds
· Sneeze or cough
· Blow your nose
· Strain to move bowels
· Have sexual intercourse
· Vomit
· Keep head in a dependent position
· Wear tight shirt collars
Patient Education for post-op cataract surgery
glaucoma
When the intraocular pressure increases it leads to compression of the retinal blood vessels and
photoreceptors and their nerve fibers resulting in hypoxemia and death of the tissue and permanent
loss of vision
- Sudden severe pain around the eyes radiating over the face
- Headache or brow pain
- Nausea and vomiting
- Seeing colored halos around lights
- Sudden blurred vision
- Reddened sclera
- Foggy cornea
- Moderately dilated pupil that does not react to light
- Cupping and atrophy of the optic disc
Signs and symptoms of glaucoma
10 mm Hg - 21 mm Hg
What is the normal intraocular range pressure?
reduce intraocular pressure
What is the goal of treatment for glaucoma?
tonometry - measures IOP
ultrasonic imaging of the retina and optic nerve - creates a three-dimensional view of the back of the
eye; tells us the TYPE of glaucoma
How do you test for glaucoma?
