AE3 Exam 1 | Questions and Answers
What are - minimum 3-day qualifying stay in hospital
qualifications/stipulations for - periodic recertification (minimum data set)
SAR? - 100 days per year covered max
(for medicare coverage)
comprehensive multidisciplinary assessment done in skilled
What is a minimum data set? nursing facility to validate need for care, provide data for
reimbursement, maintain assessment, and assess care plan
Is community nursing care Yes, as long as under direction
usually covered by medicare? of a physician (this is visiting
nurses)
It's where a patient sits on a chair w/o arm rest, gets up, walks a
few steps, turns around and sits back down
What is the get up and go test?
Should take 15 seconds or less
care team engages pt in functional and physical activities,
and includes them in routine care
What is function-focused care
(FFC)? Ex: questioning bedrest, encourage self-care of hygiene, use
toilet when possible, encourage independence in feeding,
keep the mind active, PT/OT...
ectropion (eyelid sags outwards)
Decrease in musculature of
entropion (eyelid turns inwards - can be irritating)
eyes is normal in the aging
process. this can lead to what
*Can have sx to fix
two conditions?
What naturally happens to the weaker musculature results in smaller pupil size
musculature of the iris with pt needs extra light, gradual change from light to dark, avoid glare
old age? What are the
implications?
white, grey, or blue ring around cornea d/t fat and Ca
What is arcus senilis? deposits-- cosmetic implications only, asymptomatic
**naturally happens with old age
,What is the difference between myopia = nearsighted, cannot se in distance
myopia and hyperopia? hyperopia = short eyeball, cannot see up close, farsighted
lens loses flexibility with age
What is the Patho of presbyopia?
difficulty focusing on close objects (need reading glasses/bifocals)
Which group is at the African Americans age 40+
highest risk for glaucoma
and its complications?
What is normal Intraoccqular 10-21 mm Hg
pressure (IOP)?
Open Angle:
- more common (90%)
- Aqueous humor Outflow disturbance
- slow progression
- often w/out sx (tunnel vision, loss of peripheral vision)
What is the difference between - IOP > 21 mm Hg
primary open angle and
acute closed angle Closed Angle:
glaucoma? - Crisis, Critical
- Complete blockage of duct
- sudden onset > halos, pain in and around eye, N/V, redness, cloudy
vision
- IOP > 30 mm Hg
Decrease aqueous humor production, decrease IOP
- beta adrenergic blockers
- alpha adrenergic agonist
What medication classes - carbonic anhydrase inhibitors
may someone with
glaucoma be prescribed? Decrease IOP by increasing outflow (open angle)
- prostaglandin agonist
- cholinergic agonist (miotic)
- NSAIDs
What types of eye drops
- Mydriatics (ex: brimonidine tartrate) = dilates
may be prescribed
- Cycloplegics (ex: tropic amide) = paralyses eye
before eye surgery?
- visibly cloudy lens on assessment
- blurry vision that becomes darker over time
- glare
What are signs and sx of - halos
cataracts? - double vision
- difficulty discriminating colors
- poor night vision (too dark and no contrast)
- eye drops for 2-6 wks post-op
- dark glasses outside
What patient teaching is - NORMAL: mild itching, bloodshot eyes, mild swelling
necessary for post-op - Avoid water in eyes for 1 week
, cataract surgery care? - eye protection at night
- no bending, coughing, sneezing, lifting
What are - minimum 3-day qualifying stay in hospital
qualifications/stipulations for - periodic recertification (minimum data set)
SAR? - 100 days per year covered max
(for medicare coverage)
comprehensive multidisciplinary assessment done in skilled
What is a minimum data set? nursing facility to validate need for care, provide data for
reimbursement, maintain assessment, and assess care plan
Is community nursing care Yes, as long as under direction
usually covered by medicare? of a physician (this is visiting
nurses)
It's where a patient sits on a chair w/o arm rest, gets up, walks a
few steps, turns around and sits back down
What is the get up and go test?
Should take 15 seconds or less
care team engages pt in functional and physical activities,
and includes them in routine care
What is function-focused care
(FFC)? Ex: questioning bedrest, encourage self-care of hygiene, use
toilet when possible, encourage independence in feeding,
keep the mind active, PT/OT...
ectropion (eyelid sags outwards)
Decrease in musculature of
entropion (eyelid turns inwards - can be irritating)
eyes is normal in the aging
process. this can lead to what
*Can have sx to fix
two conditions?
What naturally happens to the weaker musculature results in smaller pupil size
musculature of the iris with pt needs extra light, gradual change from light to dark, avoid glare
old age? What are the
implications?
white, grey, or blue ring around cornea d/t fat and Ca
What is arcus senilis? deposits-- cosmetic implications only, asymptomatic
**naturally happens with old age
,What is the difference between myopia = nearsighted, cannot se in distance
myopia and hyperopia? hyperopia = short eyeball, cannot see up close, farsighted
lens loses flexibility with age
What is the Patho of presbyopia?
difficulty focusing on close objects (need reading glasses/bifocals)
Which group is at the African Americans age 40+
highest risk for glaucoma
and its complications?
What is normal Intraoccqular 10-21 mm Hg
pressure (IOP)?
Open Angle:
- more common (90%)
- Aqueous humor Outflow disturbance
- slow progression
- often w/out sx (tunnel vision, loss of peripheral vision)
What is the difference between - IOP > 21 mm Hg
primary open angle and
acute closed angle Closed Angle:
glaucoma? - Crisis, Critical
- Complete blockage of duct
- sudden onset > halos, pain in and around eye, N/V, redness, cloudy
vision
- IOP > 30 mm Hg
Decrease aqueous humor production, decrease IOP
- beta adrenergic blockers
- alpha adrenergic agonist
What medication classes - carbonic anhydrase inhibitors
may someone with
glaucoma be prescribed? Decrease IOP by increasing outflow (open angle)
- prostaglandin agonist
- cholinergic agonist (miotic)
- NSAIDs
What types of eye drops
- Mydriatics (ex: brimonidine tartrate) = dilates
may be prescribed
- Cycloplegics (ex: tropic amide) = paralyses eye
before eye surgery?
- visibly cloudy lens on assessment
- blurry vision that becomes darker over time
- glare
What are signs and sx of - halos
cataracts? - double vision
- difficulty discriminating colors
- poor night vision (too dark and no contrast)
- eye drops for 2-6 wks post-op
- dark glasses outside
What patient teaching is - NORMAL: mild itching, bloodshot eyes, mild swelling
necessary for post-op - Avoid water in eyes for 1 week
, cataract surgery care? - eye protection at night
- no bending, coughing, sneezing, lifting
