Download Visual Acuity and Eye Disorders: Diagnostic Tests and Management Guide and more Exams Nursing in PDF only on Docsity!
NSG |! 3009 |! exam |! 2 |! - |! visual |! problems
Snellen |! chart |! - |! Correct |! answer |! ✔used |! to |! measure |! visual |! acuity; |! pt |! reads |! from |! 20 |! ft |! for |! far |! vision |!. |! examiner |! notes |! the |! smallest |! print |! pt |! can |! read |! on |! the |! chart. |! leave |! glasses |! on. when |! examining |! the |! eyes |! - |! Correct |! answer |! ✔assess |! the |! right |! eye |! first |! then |! the |! left |! eye right |! eye |! - |! Correct |! answer |! ✔OD |! (oculus |! dexter) left |! eye |! - |! Correct |! answer |! ✔Os both |! eyes |! - |! Correct |! answer |! ✔write |! out less |! than |! 20/30 |! vision |! - |! Correct |! answer |! ✔needs |! referral |! to |! opthamologist the |! first |! number |! of |! the |! recorded |! visual |! acuity |! indicates |! the |! ___ |! ___ |! ___ |! from |! the |! ___ |! the |! client |! is |! ___ |! - |! Correct |! answer |! ✔distance |! chart standing
the |! second |! number |! of |! the |! recorded |! visual |! acuity |! is |! the |! ___ |! at |! which |! a |! - |! ___ |! can |! read |! the |! line |! - |! Correct |! answer |! ✔distance normal |! eye legal |! blindness |! when |! defined |! by |! visual |! acuity |! - |! Correct |! answer |! ✔20/200 |! or |! less |! in |! the |! better |! eye |! after |! correction Jaegar |! chart |! - |! Correct |! answer |! ✔near |! vision hold |! the |! card |! 14 |! inches |! from |! the |! eye |! in |! good |! light Ishihara |! test |! - |! Correct |! answer |! ✔tests |! for |! color |! vision Confrontation |! visual |! field |! testing |! - |! Correct |! answer |! ✔Checks |! peripheral |! vision pt |! faces |! examiner, |! covers |! one |! eye, |! fixates |! on |! examiner's |! face |! and |! counts |! the |! number |! of |! fingers |! that |! examiner |! brings |! into |! pt |! field |! of |! vision the |! pupils |! should |! - |! Correct |! answer |! ✔react |! to |! light |! directly |! (pupil |! constricts |! when |! a |! light |! shines |! into |! the |! eye) |! and |! the |! other |! eye |! should |! also |! constrict |! when |! a |! light |! is |! shined |! in |! the |! opposite |! eye testing |! for |! eye |! accommodation |! - |! Correct |! answer |! ✔focus |! on |! a |! distant |! object- |! pupils |! should |! dilate ask |! pt |! to |! shift |! focus |! to |! a |! near |! object(your |! finger |! about |! 3 |! cm |! from |! pt |! nose)- pupil |! should |! constrict |! and |! converge |! (eyes |! move |! inward)
determines |! blood |! flow |! thru |! retina |! vessels myopia |! - |! Correct |! answer |! ✔light |! rays |! are |! focused |! in |! front |! of |! the |! retina near |! sighted |! can |! be |! caused |! by |! an |! abnormally |! long |! eye |! or |! excessive |! light |! refraction |! by |! the |! cornea |! or |! the |! lens normal |! eye |! - |! Correct |! answer |! ✔light |! rays |! focus |! on |! the |! retina. hyperopia |! - |! Correct |! answer |! ✔light |! rays |! focus |! behind |! the |! retina; |! farsightedness cause: |! cornea |! or |! lens |! does |! not |! have |! adequate |! focusing |! power, |! or |! eye |! ball |! is |! too |! short presbyopia |! - |! Correct |! answer |! ✔loss |! of |! accommodation |! of |! the |! crystalline |! lens |! associated |! with |! the |! aging |! process mid |! 40s lens |! becomes |! larger, |! firmer, |! and |! less |! elastic, |! resulting |! in |! the |! inability |! to |! focus |! on |! near |! objects astigmatism |! - |! Correct |! answer |! ✔a |! condition |! in |! which |! the |! eye |! does |! not |! focus |! properly |! because |! of |! uneven |! curvatures |! of |! the |! cornea refractive |! error |! clinical |! manifestations |! - |! Correct |! answer |! ✔blurry |! vision eye |! discomfort
eye |! strain headaches management |! of |! refractive |! errors |! - |! Correct |! answer |! ✔corrective |! glasses contacts laser |! implant nursing |! care |! for |! refractive |! errors |! - |! Correct |! answer |! ✔how |! does |! it |! effect |! normal |! functions |! and |! how? determine |! support |! system |! and |! cop |! ing |! mechanisms determine |! goals Extraocular |! Disorders |! - |! Correct |! answer |! ✔Inflammation |! and |! infection |! of |! the |! eye. Conjunctivitis conjuctivitis |! - |! Correct |! answer |! ✔inflammation |! of |! the |! conjunctiva |! caused |! by |! infectious |! agents |! or |! allergies; |! "pinkeye"; |! can |! be |! viral |! or |! bacterial Bacterial |! conjunctivitis |! - |! Correct |! answer |! ✔"Pink |! Eye". |! Caused |! by |! staphylococcus |! aureus |!
Every |! time |! they |! blink, |! the |! cornea |! is |! damaged. Takes |! years |! for |! full |! effect. Tx: |! tetracycline |! & |! erythromycin |! eyedrops. AIC |! - |! Correct |! answer |! ✔does |! not |! cause |! long |! term |! efects |! of |! blindness |! like |! trachomal blepharitis |! - |! Correct |! answer |! ✔inflammation |! of |! the |! eyelid bilateral cause: |! s. |! aureus |! or |! microorgansim |! red |! rimmed |! lids, |! crusts, |! burning, |! photophobia tx: |! antibiotics baby |! shampoo |! on |! margins keratitis |! - |! Correct |! answer |! ✔inflammation |! of |! the |! cornea bacterial contact |! wearing |! ppl |! prone |! along |! w |! ppl |! w |! weakened |! immune |! system |! viral: |! herpes, |! shingles fungal |! (eye |! trauma |! out |! doors)
keratoconjunctivitis |! - |! Correct |! answer |! ✔inflammation |! of |! the |! cornea |! and |! conjunctiva keratitis |! tx |! - |! Correct |! answer |! ✔tx: |! bacterial |! -antibotics viral- |! antiviral, |! analgesics, |! steriods: |! contraindicated |! in |! pt |! w |! herpes fungal: |! corneal |! transplants, |! educate: |! more |! than |! one |! eye |! drops, |! wait |! 30 |! minutes Keratitis |! presentation |! - |! Correct |! answer |! ✔pain, |! photophobia, |! reduced |! vision, |! tearing Cataracts |! - |! Correct |! answer |! ✔-clouding |! of |! the |! lens -mostly |! age |! related smoking |! and |! alcohol, |! tanning |! beds, |! light |! exposure, |! steroids |! may |! play |! a |! factor -diabetics |! develop |! at |! longer |! age clinical |! manefestations |! of |! cataracts |! - |! Correct |! answer |! ✔-clouded/dim |! or |! blurred |! vision -abnormal |! color |! perception -glare presence |! of |! halos |! around |! lights avoid |! driving |! at |! night diagnoses |! of |! cataracts |! - |! Correct |! answer |! ✔visual |! acuity
mydriatic |! drops |! - |! Correct |! answer |! ✔placed |! into |! the |! eyes |! to |! produce |! temporary |! paralysis, |! forcing |! the |! pupils |! to |! remain |! dilated |! even |! in |! the |! presence |! of |! bright |! light cycloplegic |! drops |! - |! Correct |! answer |! ✔paralyze |! the |! sphincter |! muscle |! producing |! dilation |! and |! inactivates |! accommodation phacoemulsification |! - |! Correct |! answer |! ✔the |! use |! of |! ultrasonic |! vibration |! to |! shatter |! and |! remove |! the |! lens |! clouded |! by |! a |! cataract no |! sutures extracapsular |! cataract |! extraction |! - |! Correct |! answer |! ✔excision |! of |! most |! of |! the |! lens, |! followed |! by |! insertion |! of |! an |! intraocular |! lens |! transplant sutures, |! longer |! recovery Post |! Op |! cataracts |! Surgery |! - |! Correct |! answer |! ✔When |! surgery |! is |! done |! to |! remove |! cataracts |! & |! lens |! implant |! is |! placed, |! lens |! implant |! will |! correct |! distance |! vision |! but |! might |! still |! need |! reading |! glasses
- |! Avoid |! straining, |! heavy |! lifting |! or |! bending |! at |! the |! hips
- |! Should |! not |! have |! swollen |! or |! pain |! after |! surgery |! it |! indicates |! an |! infection |! or |! complication given |! steriods |! and |! antibiotic Cataract |! surgery |! discharge |! instructions |! - |! Correct |! answer |! ✔- |! Do |! not |! lift |! anything |! heavier |! than |! 10lbs |! for |! at |! least |! one |! week
- |! Sleep |! on |! your |! back |! or |! unaffected |! side |! to |! lessen |! the |! pressure.
- |! Need |! to |! report |! any |! pain, |! decrease |! in |! vision |! or |! increase |! in |! discharge |! in |! the |! eye.
- |! It |! is |! normal |! to |! feel |! itching |! and |! mild |! discomfort |! after |! surgery, |! but |! the |! pt |! should |! be |! instructed |! not |! to |! rub |! or |! place |! pressure |! on |! the |! eye retinal |! detachment |! - |! Correct |! answer |! ✔separation |! of |! the |! retina |! from |! the |! underlying |! epithelium, |! disrupting |! vision |! and |! resulting |! in |! blindness |! if |! not |! repaired |! surgically. |! medical |! emergency severe |! myopia |! - |! Correct |! answer |! ✔increases |! risk |! of |! retinal |! detatchment SSx |! of |! retinal |! detachment |! - |! Correct |! answer |! ✔light |! flashes floaters tunnel |! vision swaying |! black/grey |! curtain vision |! loss wavy/jagged |! lines weighty |! feeling |! in |! eyes floaters |! - |! Correct |! answer |! ✔one |! or |! more |! spots |! that |! appear |! to |! drift |! or |! float |! across |! the |! visual |! field diagnosis |! of |! retinal |! detachment |! - |! Correct |! answer |! ✔retinal |! examination; |! ultrasound |! imaging
wet |! macular |! degeneration |! - |! Correct |! answer |! ✔abnormal |! blood |! vessel |! that |! leak |! and |! buildup |! of |! fluid |! causes |! scar |! tissue; |! most |! severe; |! rare dry |! macular |! degeneration |! - |! Correct |! answer |! ✔accounts |! for |! 90% |! of |! these |! cases, |! is |! caused |! by |! the |! slow |! deterioration |! of |! the |! cells |! of |! the |! macula macular |! degeneration |! clinical |! manifestations |! - |! Correct |! answer |! ✔blurred |! and |! darkened |! vision distortion |! of |! vision |! (metamorphosia) Drusen |! - |! Correct |! answer |! ✔benign |! deposits |! on |! the |! ocular |! fundus |! that |! show |! as |! round |! yellow |! dots |! and |! occur |! commonly |! with |! aging Wet |! AMD |! - |! Correct |! answer |! ✔iv |! injections |! to |! inhibit |! growth |! factor pdt- |! damage |! abnormal |! blood |! vessels give |! vitamin |! c, |! e |! , |! and |! beta |! caretine, |! zinc green |! leafy |! veggies, |! fish |! oil |! 2x |! a |! wk Glaucoma |! - |! Correct |! answer |! ✔increased |! intraocular |! pressure |! results |! in |! damage |! to |! the |! retina |! and |! optic |! nerve |! with |! loss |! of |! vision primary |! open |! angle |! glaucoma |! - |! Correct |! answer |! ✔Primary |! open |! angled |! galucoma: |! 90% |! of |! cases. |! Outflow |! of |! aqueous |! humor |! is |! decreased |! in |! trabecular |! meshwork, |! becomes |! clogged |! like |! a |! sink
Develops |! slowly |! and |! without |! symptoms, |! no |! pain |! or |! pressure, |! pt |! usually |! doesn't |! notice |! until |! peripheral |! vision |! is |! compromised iop |! 22 |! or |! over leading |! cause |! in |! AA most |! common door |! is |! open |! but |! so |! much |! congestion |! that |! fluid |! csnt |! get |! thru angle |! closure |! glaucoma |! - |! Correct |! answer |! ✔Acute |! angle-closure |! glaucoma |! causes |! ocular |! pain, |! blurred |! vision, |! and |! a |! fixed |! mid-dilated |! pupil. doors |! closed manifestations |! of |! open |! glaucoma |! - |! Correct |! answer |! ✔slow |! onset, |! tunnel |! vision closure |! glaucoma |! - |! Correct |! answer |! ✔sudden |! sever |! pain |! , |! n/v, |! colored |! halos symptoms |! of |! glaucoma |! - |! Correct |! answer |! ✔few |! early |! signs, |! but |! late |! signs |! include |! seeing |! halos |! around |! lights |! and |! blurred |! vision open |! angle |! glaucoma |! treatment |! - |! Correct |! answer |! ✔Pharmacological |! -Beta-blockers |! -Prostaglandin |! analogs |! Laser |! or |! surgical |! treatment |! if |! not |! controlled |! by |! medication |! -Laser |! therapy |! is |! often |! effective |! only |! in |! the |! first |! several |! years |! after |! surgery
