Adult Care 2 Final
At what age does visual acuity gradually diminish? Right Ans - 50
At what age does visual acuity rapidly decrease? Right Ans - 70
What are the 3 factors or light sensitivity that declines with age? Right Ans
- Brightness contrast
Dark adaptation
Recovery from glare
What happens to the lenses as you get older? Right Ans - Thicken, harden,
and yellow
What is the normal aging of the ears? Right Ans - auricles wrinkle and sag
What happens to cerumen production as you age? Right Ans - It increases
What is the normal aging to the internal ear? Right Ans - Atrophy of organ
of Corti and cochlear neurons
Loss of sensory hair cells
Degeneration of the stria vascularis
What is cyclopedic eye drops? Right Ans - It's an anticholingeric agent that
prevents pupil constriction for prolonged periods of time
,What is client teaching for cyclopedic eye drops? Right Ans - Effects can
last 7-10 days
Can cause photophobia
How do you apply an eye drop? Right Ans - Apply to the corner of the eye
near the nose, once applied apply pressure
What are symptoms of cataracts? Right Ans - Painless blurring of vision
Sensitive to glare
Halos around objects
Loss of acuity from dimness to distortion
Reading and night driving difficulty
What are the 3 signs of a cataract? Right Ans - Haziness of lens
Inability to see fundus
No red reflex
What are the 6 risk factors for developing cataracts? Right Ans - Increased
age
Smoking & alcohol
Diabetes, hyperlipidemia
Trauma to the eye
Exposure to the sun & UVB rays
,Corticosteroid medications
What is pre-op care for cataract surgery? Right Ans - NPO
Void
Measures to decrease IOP
Eyedrops to dilate pupils
All consents signed
May clip eyelashes
What is post-op care for cataract surgery? Right Ans - HOB elevated to
Semi-Fowler's
Lying on back or unoperated side
Monitor for V/V
Eye drops to constrict pupils
Antibiotics
Anti-inflammatory drugs
Minimal light
4 post-op teaching's following cataract surgery Right Ans - Report any
drainage, excessive tearing or decline in visual acuity or unrelieved pain
Wear eye shield at night for 2-3 weeks
Resume normal activities - may need to limit heavy lifting, straining at stool,
bending at waist for few days
, Eye drops will be ordered post-op
5 complications following cataract surgery Right Ans - Infection
Wound dehiscence
Hemorrhage
Severe pain
Uncontrolled, elevated IOP
What are the vision changes with cataracts? Right Ans - Lens clouding
Decreased light to retina
Limited vision
What they can see
What are the 8 risk factors for Glaucoma? Right Ans - Increased IOP
Older than 60
Family history of Glaucoma
Personal history of myopia, diabetes, HTN, or migraines
African American ancestory
How is Glaucoma diagnosed? Right Ans - measurement of IOP & vision
acuity
At what age does visual acuity gradually diminish? Right Ans - 50
At what age does visual acuity rapidly decrease? Right Ans - 70
What are the 3 factors or light sensitivity that declines with age? Right Ans
- Brightness contrast
Dark adaptation
Recovery from glare
What happens to the lenses as you get older? Right Ans - Thicken, harden,
and yellow
What is the normal aging of the ears? Right Ans - auricles wrinkle and sag
What happens to cerumen production as you age? Right Ans - It increases
What is the normal aging to the internal ear? Right Ans - Atrophy of organ
of Corti and cochlear neurons
Loss of sensory hair cells
Degeneration of the stria vascularis
What is cyclopedic eye drops? Right Ans - It's an anticholingeric agent that
prevents pupil constriction for prolonged periods of time
,What is client teaching for cyclopedic eye drops? Right Ans - Effects can
last 7-10 days
Can cause photophobia
How do you apply an eye drop? Right Ans - Apply to the corner of the eye
near the nose, once applied apply pressure
What are symptoms of cataracts? Right Ans - Painless blurring of vision
Sensitive to glare
Halos around objects
Loss of acuity from dimness to distortion
Reading and night driving difficulty
What are the 3 signs of a cataract? Right Ans - Haziness of lens
Inability to see fundus
No red reflex
What are the 6 risk factors for developing cataracts? Right Ans - Increased
age
Smoking & alcohol
Diabetes, hyperlipidemia
Trauma to the eye
Exposure to the sun & UVB rays
,Corticosteroid medications
What is pre-op care for cataract surgery? Right Ans - NPO
Void
Measures to decrease IOP
Eyedrops to dilate pupils
All consents signed
May clip eyelashes
What is post-op care for cataract surgery? Right Ans - HOB elevated to
Semi-Fowler's
Lying on back or unoperated side
Monitor for V/V
Eye drops to constrict pupils
Antibiotics
Anti-inflammatory drugs
Minimal light
4 post-op teaching's following cataract surgery Right Ans - Report any
drainage, excessive tearing or decline in visual acuity or unrelieved pain
Wear eye shield at night for 2-3 weeks
Resume normal activities - may need to limit heavy lifting, straining at stool,
bending at waist for few days
, Eye drops will be ordered post-op
5 complications following cataract surgery Right Ans - Infection
Wound dehiscence
Hemorrhage
Severe pain
Uncontrolled, elevated IOP
What are the vision changes with cataracts? Right Ans - Lens clouding
Decreased light to retina
Limited vision
What they can see
What are the 8 risk factors for Glaucoma? Right Ans - Increased IOP
Older than 60
Family history of Glaucoma
Personal history of myopia, diabetes, HTN, or migraines
African American ancestory
How is Glaucoma diagnosed? Right Ans - measurement of IOP & vision
acuity
