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Shellin test instructions:
cover one at a time; stand 20 ft away
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What is considered being legally blind?
20/200
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What questions would you ask a pt if they tell you they are "blind"?
how in depth their impairment is and how to fix their functioning (?)
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What would you do if you get chemicals in your eye?
Wash eye for 15 minutes with water
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What is presbyopia?
decreased ability to accomodate near vision (farsighted)
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What is Sjogrens syndrome?
kerito conjunctivitis sicca---dry eyes
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What instructions for a pt who has had a stapidectomy?
not to sneeze or cough--to avoid pressure
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How do you communicate with a pt that is hearing impaired?
** do not overextenuate words (?)
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Primary goal for pt with vertigo:
safety
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What is myopia?
nearsighted (cannot see far away)
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Primary precaution for pt with conjunctivitis:
prevention (spread)
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Sx of cataracts:
** cloudy lens
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How do you approach a blind pt in the emergency room?
announce your presence
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When feeding a blind pt:
tell them where the food is on their plate
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Closed-angle glaucoma:
halo around lights, pain, decreased vision, rapid onset
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What is an astigmatism?
abnormal curve of the lens with blurred vision
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What is the tx for Maneire's dx?
diuretics
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Tx for a penetrating wound to the eye:
cover with cup and take to ER
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Tx for partially blind pt with open-angle glaucoma:
decrease aqueous humor
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What is acute bacterial conjunctivitis?
pink eye
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Severe vertigo: nursing actions to decrease sx are:
have them lay down, stay still, hold head in one position
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Accomodation:
eye adjustment at different distances
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Position of pt who has had tympanoplasty for perforation of eardrum and has drainage:
elevevate head of bed 40 degrees and have lay on their side with operative side facing up
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Pt cannot bend over to pick up objects without dizziness and nausea....what is the problem?
semicircular canal
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Acute inflammatory process with pain when auricle is moved:
external otitis
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How would you assist a blind pt to the bathroom?
proceed pt by 1 ft and have them put their hand on your elbow while you guide them
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Pt on insulin that has diabetic neuropathy getting photocoagulation therapy has to watch for:
destruction of new blood cells (?)
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What conditions can cause congenital hearing loss?
anorexia and trauma during surgery (?)
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Why is otitis media more prominent in children ages 6-36 months?
they have shorter, flatter eustachian tubes
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How do you avoid serious complications of ear disorders?
early detection and tx
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The aging process can affect nutrition how?
** hindering smell and taste and meds
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What can cause conductive hearing loss?
cerumen, foreign bodies, photosclerosis, and otitis media with effusion
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What can contribute to otitis media?
allergies and smoking
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Assess readiness to learn in visual and hearing impaired. What can hinder this readiness?
cultural beliefs, values, habits, and income/occupation
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What are the major senses?
sight, touch, taste, hearing, balance
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