FIRST PUBLISH OCTOBER 2024
Nurs 130 Exam 2 Study Guide Solutions
Risk factors for visual impairment - Ans:✔✔-- all populations are at risk
- highest risk is older adults
- medications
- complications from medical conditions
-genetics
-lifestyle choices
Diversional activities for visual loss - Ans:✔✔-- Driving safety
- do not drive during rush hour
- avoid interstate highways
-carry a cell phone
- avoid driving late at night
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Board games, big cards, and remotes with large buttons are helpful
Use of a sighted guide - Ans:✔✔-Gives confidence to patients and ensures safe mobility.
Assessment regarding ability to perform self-care in visually impaired - Ans:✔✔--thorough health history
- assess visual acuity
- functional ability
- ability of IADLs (driving, writing checks)
- How clients adapt to environment to maintain safety
Interventions to promote self-care in visually impaired - Ans:✔✔-- Increase amount of light
- eliminate throw rugs
- use phones with large numbers and autodial
- Large print books and talking devices (clocks, watches)
Health promotion for visually impaired - Ans:✔✔-- assess daily routine
- eye care
- adherence with health screening
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FIRST PUBLISH OCTOBER 2024
- Wear sunglasses while in the sun and protective eyewear while working in areas with risk for eye injury
- avoid rubbing eyes
- eye examination regularly, after age 40
Effective communication methods for patients with hearing problems - Ans:✔✔-- do not approach from
behind
- quiet environment
- make sure hearing aids are in place and working
- articulate clearly
- don't shout
- talk in best hearing ear
Behaviors in hearing impaired older adult - Ans:✔✔-- focusing on lip movement
- leaning in towards the nurse
Conductive hearing loss and how to recognize - Ans:✔✔-- excessive cerumen occluding ear canal.
Interrupts sound waves as they travel
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FIRST PUBLISH OCTOBER 2024
- patient often hears better in noisy environment, speaks softly, holes in tympanic membrane, air
conduction of sound less than bone conduction
Sensorineural hearing loss and how to recognize - Ans:✔✔-- caused by exposure to excess and prolonged
noise or metabolic systemic alterations
- alteration in inner ear
- sound is heard better in normal ear, use tuning fork. Speaks loudly, air conduction is greater than bone
conduction
Conductive hearing loss interventions - Ans:✔✔-- instill a softening agent such as 0.5 to 1 mL of warm
mineral oil followed by irrigation of a solution of 3% hydrogen peroxide to remove impacted cerumen
Sensorineural hearing loss interventions - Ans:✔✔-- conduct hearing assessment
- assess ability to hear various frequencies
Those at risk of hearing loss - Ans:✔✔-- older population
- people in certain occupations
- genetics
- different lifestyle choices
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