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Eyes/Ears/Nose/Throa
Eyes/Ears/Nose/Throat
| Question | Answer |
|---|---|
| What are 4 types of Eye trauma? | Foriegn body, chemical burns, blunt trauma, and penetrating wounds |
| What is used to flush out chemical burns in the eye? | Normal saline or water |
| What position would you put a client in who has recieved blunt trauma to the eye? | Semi Fowlers |
| What 2 types of blunt trauma requires an eye patch? | Blunt trauma and penetrating wounds |
| What are the 2 types of glaucoma? | Open angle and angle closure |
| What type of glaucoma develops slowly? | Open angle |
| What type of glaucoma has a rapid rise in IOP? | Angle closure |
| A client who has a gradual field of vision loss and requires frequent changes in glasses most likely has what type of glaucoma? | Open angle |
| Medication can generally treat early detection of what type of glaucoma? | Open angle |
| What is the treatment for angle closure glaucoma? | Surgery |
| Generally, how long are medications used to treat glaucoma? | Used for life |
| Nausea, vomiting, headaches and eye pain are associated with what type of glaucoma? | Angle closure |
| What type of glaucoma is usually bilateral? | Open angle |
| What type of glaucoma is usually unilateral? | Angle closure |
| In what type of glaucoma is the anterior chamber angle normal? | Open angle |
| In what type of glaucoma does pupil dilation or lens accommodation cause narrowed angle to close thus blocking aqueous outflow? | Angle closure |
| What is one of the most important things to teach a person with glaucoma? | Eye drop administration |
| There is generally no pain associated with which type of glaucoma? | Open angle |
| Eye trauma, certain meds, long term exposure to sunlight, and diabetes are possible causes of what eye condition? | Aquired Cataracts |
| Clients with what eye condition have difficulty distinguishing between light and dark? | Cataracts |
| What are the two most important things for a nurse to consider for a client who has had cataract surgery? | Comfort and safety |
| What position should the client who has had cataract surgery avoid sleeping on? | The client needs to avoid sleeping on the same side that the surgery was performed in order to avoid pressure on the eye |
| What is the most important thing to teach the client who has just had cataract surgery? | Eye drop installation and how to taper them |
| What is the appearance of the pupils in people with cataracts? | Cloudy, gray, or white |
| What are 3 classifications of cataracts? | Senile, congenital, and aquired |
| Pain should be minimal after cataract surgery. If pain is intense what should the client do? | Contact surgeon |
| After cataract surgery what are things the client needs to avoid to reduce external eye pressure? | Bending at the waist, sneezing, coughing, vomiting, straining from constipation |
| The formation of a tear or a hole in the retina is one cause of what type of eye disorder? | Detached retina |
| Floaters, Flashes of light, and blurred vision are signs and the sensation of a cutain being drawn over the eyes are symptoms of what eye disorder? | Detached retina |
| How is a client who has a detached retina to be positioned? | So that gravity pulls the detached potion into closer contact |
| The absence of a lens following lens removal for cataracts is called what | Aphakia |
| What are 4 risk facters that would cause someone to have a detached retina? | Aging, myopia (near sighted),aphakia, and trauma to head or eye. |
| What do we need to teach the client to report that had a detached retina? | Nausea or eye pain |
| What are 4 causes of conjunctivitis? | Viral, bacterial, foreign body, and allergies |
| Redness, watery discharge and follicles of the conjunctiva are caused by what type of conjuntivitis? | Viral |
| What is another name for bacterial conjunctivitis? | Pink eye |
| What should family members never share when one had conjuntivitis? | Towels and washcloths |
| What is the most important things to teach a client with conjunctivities in order to not spread the disease? | Good handwashing |
| What is one thing a nurse want to teach someone with conjucntivitis to avoid? | Rubbing the infected eye and touching the other eye |
| What causes itching, watery to thick stringy discharge, and an inflamed, swollen conjunctiva? | An allergic type of conjunctivitis |
| What is the cause of conjunctivites in which only one eye is affected causing tearing and pain? | Foreign body |
| What is the primary teaching strategie for those with hearing loss? | Prevention |
| What is the main cause of otitis media? | S. pneumoniae and H. influenza |
| When a child is rubbing or pulling at their ear what is the likely cause? | Otitis media |
| What is another name for swimmers ear? | Otitis externa |
| What are common causes of otitis externa? | Pseudomonas, fungal infections, Staph (in adults)mechanical trauma, and hypersensitivity reactions |
| Sending a lot of time in the water, wearing hearing aids or ear plugs are risk factors for what type of ear condition? | Otitis externa |
| What type of ear codition does a client have when manipulation of the auricle or tragus causes an increased amount of pain? | Otitis externa |
| Ear pain is NOT intensified when manipulating the auricle or tragus in what type of ear condition? | Otitis media |
| Teaching client about passive smoke and not to prop bottles is given to parent of children who have what condition? | Otitis media |
| An inflamed and edematous ear canal and an odorless watery or purulent discharge are common signs and symptoms of what condition? | Otitis Externa |
| Damage to the inner ear from severe otitis media or head injury and Family history are risk factors of what disease | Meniere's |
| Risk for noncompliance is often a nursing care for what type of ear complication? | Otitis exterma |
| The build-up of fluid in the inner ear is one of the causes of what disease? | Meniere's |
| Vertigo, gradual hearing loss, tinnitus, fullness in ears, N/V, and immobility are signs and symptoms of what disease? | Meniere's |
| What type of sensory/ perceptual problems are altered? | Auditory |
| What type of diet is recommended for clients with meniere's disease? | Low sodium |
| Clients with meniere's disease need what type of hospital room? | Dark with minimal stimulation |
| What should a client with meniere's disease do immediately at the onset of an attack? | Sit or lie down |
| What is the most important thing to teach someone with meniere's disease? | Safety |
| What do we not want to irrigate if it is perforated? | Ear |
| What do we use in the ear to kill insects? | Mineral oil |
| What are 5 common causes of ear trauma? | Impacted cerumen, foriegn bodies, blunt injury, excessive nose blowing, and rapid pressure changes |
| conductive hearing loss, fullness, tinnitus and discomfort are all signs and symptoms of what? | Ear trauma |
| When can irrigation be done to the ear? | If no there is no perforation of the tympanic membrane |
| What is not used in the ear if there is a pea or insect in it? | Water |
| After a tonsillectomy what kind of fluids are NOT given? | Anything red |
| Why is ASA not given Pre-Op for a tonsillectomy? | Bleeding |
| What position should the client be placed in after a tonsillectomy? | Place on side or abdomen |
| What things should be avoided at home after a tonillectomy? | Spicy food, gargles and vigorous toothbrushing, coughing and clearing the throat |
| How long does the tissues slough after a tonsillectomy? | 10 days |
| Why does tonsillitis happen more often in children? | They have more frequent URI's |
| What type of mist is good for clients with tonsillitis? | Cool |
| What is the most important nursing care for a person that has presented with nose or throat trauma? | Airway clearance |
| With nose and throat trauma the head of bed should be _____to help with swelling | Elevated |
| What is another name for acute viral rhinitis? | Common cold |
| What condition is caused by a viruses that invade the Upper respiratory tract,is spread by direct contact, and is airborne and is highly contagious? | Rhinitis |
| Antibiotoic are used with rhinitis only if what is present? | A secondary infection |
| Swollen red nasal passages, clear, profuse nasal drainage, nasal congestion, sneezing, coughing, low grade fever, and muscle aches are signs and symptoms of what condition? | Rhinitis |
| What are likely causes of sinusitis | Upper respiratory infection, sinus drainage and bacterial invasion |
| What are non infection type of causes of sinusitis? | Tooth abscess, nasal surgery, and swimming/diving trauma |
| What are 3 S/S of sinusitis | Pain, headache, fever |
| What side does the client lie on that has sinusitis? | Unaffected side to promote drainage |
| What kind of compresses are used for patients with sinusitis? | Warm |
| What viral condition occurs with the over use of the voice, tobacco, dust and fumes? | Laryngitis |
| Hoarseness, loss of voice, sore,scratchy throat and dry cough are S/S of what viral condition? | Laryngitis |
| Is sinusitis considered a secondary infection? | Yes |
| What type of antibiotic is usually given for sinusitis? | amoxicillin, bactrim, keflex |
| What type of air is best for clients with laryngitis? | Humidified |
| Hoarseness, barking cough, inspiratory stridow, resp distress, and airway swelling are S/S of what condition? | Croup |
| What type of air condition is best for a client with croup? | High humidity and cool mist |
| Are antibiotics used to treat croup? | NO because it's a viral infection |
| Why is epiglottitis rarely seen? | HIB vaccination |
| Does epiglottitis require immediate attention? | YES |
| What is NEVER done when examining a client that may possibly have epiglottitis? | DO NOT attemp to examine the throat and NO TONGUE BLADE!!! |
| Presence of drooling, anxiety, inspiratory stridor, tachycardia, and tachypnea are common S/S of what condition? | Epiglottitis |
| What is there an absence of in clients with epiglottitis? | Spontaneous cough |
| How should fluids be given for a client with epiglottitis? | IV only. NO oral |
| What does the client have that usually sits upright, leans forward with chin thrust out, mouth open and tongue protruding (tripod position)? | Epiglottitis |
| What needs to be available in the emergency room for a client that presents with epiglottitis? | Trach setup |
| What is another name for the common sore throat? | Paryngitis |
| Red, dry sore throat, dysphagia, and fever are common S/S for what condition? | Pharyngitis |
Created by:
seshelby62
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