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1901 test3
endo, culture, rom, vision/hearing, diabetes, urinary cath, asepsis
| Question | Answer |
|---|---|
| Pt about 2 b discharged but doesnt c well what wld nurse do? | Give VISION TEST b4 pt is dc |
| Pt vision is decreased in general. What wld nurse ck 4 n general? | MOBILITY |
| What disease must pt tk MED 4 LIFE? | GLAUCOMA |
| What education does pt need who had RETINAL DETACHMENT surgery? | NO STRAINING |
| Pt has CLOUDY/WHITENESS in eye (malignant eye tumor) | RETINO BLASTOMA, b suspicious& talk w pt |
| What test checks VISUAL ACUITY? | SNELLING CHART |
| DIABETIC RETINOPATHY prevention | Have good control of blood sugar |
| Pt presents with foreign body in their eye. What nursing intervention? | Obtain Hx..DO NOT ATTEMPT TO REMOVE! |
| Difference between other ear diseases & Meniere's disease? | NO PAIN |
| Pt has mild to moderate hearing loss. How wld u communicate w pt? | ACCENTUATE WORDS |
| Pt w age related vestibukar system @ risk of what? | FALLS |
| What test detects UNILATERAL hearing loss? | WEBBER |
| What s/s do you expect to see with OTITIS EXTERNA? | PAIN |
| What DISCHARGE is NEVER NORMAL? | H2O (WATERY) d/c - CLL MD STAT!! |
| What test measures IOP (intraocular pressure)? | TONOMETRY |
| What eye disorder is due to SHORTENED or ELONGATED eyeball that PREVENTS light rays from focusing SHARPLY on retina? | REFRACTIVE ERRORS |
| Which disease is NORMAL VISION, or whose visual image focuses PRECISELY on the macula | EMMETROPIA |
| DEEPER eyeballs - NEARSIGHTEDNESS- blurred DISTANT vision | MYOPIA |
| SHORTER depth to eyes - FARSIGHTEDNESS - blurred NEAR vision | HYPEROPIA |
| Irregular CURVATURE of the cornea | ASTIGMATISM |
| LOSS of elasticity of the CRYSTALLINE | PRESBYOPIA |
| OCULAR conditions characterized by OPTIC NERVE DAMAGE RT IOP | GLAUCOMA |
| The CURE for glaucoma | NO CURE!! |
| NORMAL IOP = | 10-21 mm HG |
| OPEN angle glaucoma (PRIMARY) | usually bilateral..anterior chamber OPEN (normal) |
| Leading cause of NEW cases of BLINDNESS | DIABETES (20-74 yo) |
| Microvascular disorder that patho changes in retinal blood vessels | DIABETIC RETINOPATHY |
| DIABETIC RETINOPATHY "2" RISK FACTORS | DIABETES TYPE & DURATION(Type 1/2 & how long pt had it) |
| How can retinopathy be DELAYED? | If diabetes & HTN r CONTROLLED |
| Retinopathy treatment? | Eye exam q YEAR & CONTROL diabetes during FIRST 5 YEARS of Dx REDUCES onset. |
| Treatment of foreign bodies in eye: | XRAY or CT to identify UNLESS its metallic which PROHIBITS the use of MRI. |
| When can foreign body b removed? | If superficial, anterior, sharp edges, copper, iron or vegetable material. |
| What are TWO types of ocular TRAUMA? | CHEMICAL BURN & FOREIGN BODY |
| Which TRAUMA should eye b irrigated with tap H2O or NS (normal saline)? | CHEMICAL BURN |
| Which TRAUMA should NO ATTEMPT be made 2 remove frm eye & protect from mvmnt? | FOREIGN BODY |
| What position for pre/post surgery of retinal detachment? | DEPENDENT/MODIFIED PRONE |
| acute/chronic infect. S/S: redness, burning, discharge & TREATED w/ MEDS. | BACTERIAL infection |
| acute/chronic infect. NO TRTMNT S/S watery discharge, pseudommbrns, upper resp infect,redness,FOREIGN bdy sensatn, | VIRAL infection (POLLEN) |
| Meds used to treat GLAUCOMA | MIOTICS |
| Meds used to DILATE pupils | MYDRIATICS =RELAX cil. mk pupil dilateCYCLOPLEGICS =PARALYZE iris 2 STOP pupil cont. |
| Caused by GENE MUTATION, CAT eye REFLEX/white, cloudy eye, childhood tumor. | RETINOBLASTOMA |
| Tests conductive & sensor neural | RINNE hearing test |
| Ant. Pit. OVERSECRETION of ACTH | CUSHINGS |
| Ant. Pit. OVERSECRETION of TSH | HYPERTHYROIDISM |
| Ant. Pit. OVERSECRETION of GH | ACROMEGALY - adultGIGANTISM - child |
| Post Pit UNDERSECTRION of ADH | DI |
| Post Pit OVERSECRETION of ADH | SIADH |
| THYROID UNDERSECRETION | Cretinism & HYPOthyroidism (trtmnt: supplements) |
| THYROID OVERSECTRETION | HYPERTHYROIDISM (trtmnt: irrad/antithyroid meds) |
| PARAthyroid Glands PRIMARY HYPERparathyroidismRESULT: HYPERCALCEMIA | HI PTHbone decal/kidney stones |
| SECONDARY (CRF) HYPERparathyroidismRESULT: HYPERCALCEMIA | HI PTHPhosphate retention |
| PARAthyroid Glands UNDERsecretion HYPOparathyroidism | LO PTHLo Ca, Hi Ph, Lo absorp. Ca & Lo Ph excret. |
| UNDERsecretion HYPOparathyroidism | = HYPOCALCEMIA TETANY |
| visual disturbances from pressure on optic nerve | eosinophilic - pit. tumor |
| s/s extreme weight loss, atrophy of all endo. glands/organs, hair loss, impotent, amenorrhea | abnormal pit. functions |
| deficiency of ADH causes | diabetes insipidus |
| excrete LARGE amts of urine | diabetes insipidus |
| t4 function | control cellular meta. activity, norm grow, infl. q organ |
| Cushiing diet | DECREASE: sugar, sodium, cholesterolINCREASE: calcium |
| over-replacement of thyroid hormones or discontinuing medications taken to treat hyperthyroidism | Thyroid storm |