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Eye & Ear Disorder review 1 Flashcards | StudBud
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Eye & Ear Disorder review 1
Eye & Ear Disorder review 1
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1
What is the best treatment for
Closed-Angle (Narrow Angle) Glaucoma?
Bedrest
Chloride saline flush
PO Timolol
IV Mannitol
2
These
Cycloplegic-Mydriatics
cause pupil dilation and paralyze accommodation during eye exams or eye surgery…
Ocaliva
Mydriacyl
Mydriafair
Cyclogyl
Venlafaxine
Cabometyx
3
These
Ophthalmic Anesthetic
medications are used in eye exams or minor surgeries…
Pontocaine
Edaravone
KetoroLAC
Ophthaine
4
Which of these medications should be used for
Glaucoma
to
lower intraocular pressure
by
causing pupil constriction?
Gablofen
Philocarcrin
Isopto
Carpine
Pilocarpine
Miotics
5
The cause of
Open-Angle Glaucoma
is unknown but which of these patients are
most at risk?
A women with a previous eye injury
A African American man
An elderly hypertensive female
Any elderly person
A South American female
A 68 year old DX with diabetes
6
You as the nurse should inform the patient who has just been treated for a
cataract
that they should…..
Change positions slowly
Avoid anything with bright colors
Avoid constipation with stool softeners or fiber
Avoid lying on the affected side
Avoid anything that increases eye pressure
Not drive immediately post op
7
After taking the
Snellen chart
visual exam, it was determined that the patients vision is
20/20
. What does this mean?
Contacts may be needed
Partial blindness
Normal vision
Bifocals may be needed
Glasses may be needed
Legal blindness
8
Which of these are possible side effects while taking
Pilocarpine?
Headaches
Numbness
Stomach cramps
N & V
Fast or irregular heartbeat
Diarrhea
9
After administering
ophthalmic beta blockers
what should the nurse monitor?
Respiratory status
Neurological status
Endocrine status
Cardiac status
10
After taking the
Snellen chart visual exam
, it was determined that the patients vision is
20/40
. What does this mean?
Legal blindness
Glasses may be needed
Partial blindness
Bifocals may be needed
11
Cataracts
are typically associated with which of these
risk factors?
A retired nurse with a history of intraocular infections
A young adult with congenital defects
A 49 year old alcoholic who is admitted to a substance abuse rehab
A old lady who is DX with nutritional deficiency
Smoking 16 packs a day
A patient admitted with recent trauma
12
Acquired
blindness
occurs as a result of….
Acute trauma
Retinal degeneration
Cataracts
Strabismus
Glaucoma
Diabetic retinopathy
13
These
Ophthalmic Lubricants Medications
replace tears and moisten contacts or artificial eyes….
Hypotears
Octreotide
Kurveloptic
Lacrilube
14
Diabetic Retinopathy
causes which of these SE?
Gritty feeling eyes
Cataracts
Small hemorrhages on retina
Edema
15
Which of these show correct patient education while taking
Miotics
to treat
Glaucoma?
I should restrict the amount of light entering my eyes to prevent headaches
Light must be without glare
I will have decreased vision in poor light
I will have blurred vision after administration
I should wear sunglasses even inside
I should avoid being on electronic devices for more than 30 minutes a day
16
When should
Hypotears or Lacrilube
be given?
During the day because they decrease field of view
At night because they blur vision
Before bed to prevent dry eye syndrome
Early morning to lubricate and prevent dry eyes
17
While doing your assessment you notice
uncontrolled oscillating movement of the eyeballs…
What would you suspect?
Nystagmus
Loquacious
Ocular wabbit
Mastoiditis
18
What is the correct way to
administer Ophthalmic Medications?
Pull down the lower eyelid to create a pouch
Apply pressure on lacrimal duct after giving eye drops
Eye drops should be placed in the conjunctival sac
Instill the drop directly onto the eyeball
Have the patient look up
Instill the eye drops into the pouch
19
Which of these show correct patient education for
Conjunctivitis treatment
?
Topical antibiotics and Steroids may be ordered
Anticholinergics can be used to decreases secretions
I should apply a cold compresses to relieve itching and control edema
Antihistamines and Decongestants can help with allergies
Eye irrigations with lactated ringers may be used to remove secretions
Eye irrigations with saline may be used to remove secretions
20
What are the expected side effects of ophthalmic
anti-inflammatory medications?
Increasing intraocular pressure
Masking infection
Eye redness
Burning or stinging in your eye just after you instill the drops
Difficulty falling asleep or staying asleep
Decreasing intraocular pressure
21
Explain the process for giving or instilling eardrops
to a child…
If the client is lying down, position with the affected ear up
May remove any drainage with a Q-tip externally
The nurse should pull the pinna down and back
The nurse should pull pinna up and back
22
Which of these medications should be used for
Glaucoma
to
reduce IOP without causing pupil constriction?
Beta blockers
Betagen
Betoptic
Antihistamines
Timolol
Timoptic
23
Which of these are injected during
cataract surgery
and
administered post op?
NSAIDS
Expectorants
Corticosteroids
Antibiotics
Bone resorption inhibitors
Nonopioid analgesics
24
What is the best way to communicate with a patient with
hearing Loss?
Use exaggerated lip movements when speaking
Speak in normal voice, don’t accentuate words
Speak at a slightly higher volume
Use a translator to ensure patient is understanding the treatment
25
What are some expected side effects for a patient taking
Ophthalmic Anesthetics?
Interocular hemorrhage
Light sensitivity
Temporary burning
Loss of lid reflex - Patching may be necessary
26
What will
cause
a patient to be DX with
Proptosis
?
Tightening of the extraocular muscles
Swelling of the soft tissues
Swelling of the bones in orbit
Degeneration of the orbital bone
27
Explain the process for giving or instilling eardrops
to a adult…
May remove any drainage with a Q-tip externally
The nurse should pull the pinna down and back
If the client is lying down, position with the affected ear up
The nurse should pull pinna up and back
28
The
inability to focus on near objects
and loss of color perception such as
blues, greens and violets
is called what?
Pareidolia
Cacophony
Presbyopia
Limerence
29
Forward displacement
of the eye in the orbit is called what?
Mimesis
Sarchisis
Proptosis
Pollinosis
30
This cataract symptom makes it
difficult to drive at night
…
Painful blinking
Changes in color vision
Profound glare
Fog or film over objects
31
Which of these medications should be used for
Glaucoma
to
decrease production of aqueous humor?
Diamox
Miotics
Beta blockers
Carbonic anhydrase inhibitors
Betagen
Timolol
32
A patient with
Closed-Angle (Narrow Angle) Glaucoma
may also complain of what?
Nausea & Vomiting
Colored halos around lights & Fixed pupils
Severe pain & Decreased vision
Reddened sclera & Enlarged pupils
Clear discharge & Reddened sclera
Protruding eyelid & Pupil scarring
33
A patient DX with
Diabetic Retinopathy
can be treated with which of these medications?
Mannitol
Lisinopril
Prinvil
Ace inhibitors
Santilol
Anticonvulsants
34
Which of these show correct patient education for
Conjunctivitis infection control?
I will need to avoid fumes until the infection clears
It’s okay for me to smoke
I should avoid alcoholic beverages
I will isolate my linens from the rest of the family
I should not wear contact lenses
I should avoid wearing glasses to prevent the spread of infection
35
Which of these drugs are a combination of
ONE steroid
and
TWO anti-inflammatories?
Neomycin
Nafarelin
Klor-Con M
Dexamethasone
Polymyxin B
Halcinonide
36
Symptoms
of
cataracts
include what?
Fog or film over objects
Periods where vision goes dark for a few moments and then returns
No pain
Changes in color vision
Profound glare
Slowly developing blurred or hazy vision
37
Cataracts
are typically associated with which of these
risk factors?
A person who’s mother and grandmother both had cataracts (genetics)
A 26 year old football player who takes steroids
An old person (senile)
A body builder on a strictly high protein diet
A man who was DX with diabetes
A person with exposure to ultraviolet light such as sun tanning booths
38
Which of these show correct patient education for
post procedure cataract treatment?
I will avoid bending or stooping
Whenever I go out to dinner I’ll be sure to avoid foods high in sodium
I think it’s best that I reduce activity for a week or two
My husband will remind me to take my antiemetic meds to avoid vomiting
I will try my best to avoid coughing or sneezing
I told my friend I can’t go to the gym to lift weights right now
39
After taking the
Snellen chart
visual exam, it was determined that the patients vision is
20/200
. What does this mean?
Refractive surgery may be needed
Legal blindness
Contacts may be needed
Partial blindness
40
Which of these ophthalmic medications
kill or inhibit growth of bacteria, fungi or viruses?
Gentamicin
Tobrex
Octreotide
Nabilone
Mycostatin
Ranitidine
41
A patient with
Open-Angle Glaucoma
may also complain of what?
Inability to detect colors
Difficulty adjusting to the dark
Overall gritty feeling eyes
Halos around lights
42
What are some
rare cataract surgical complications
every patient should know before surgery?
Macular edema is possible
There can be an increase in intraocular pressure
Hemorrhage is always possible
Corneal tears can happen
Damaged optic nerve
A loss of vitreous fluid
43
What are some expected
objective
findings during your assessment of a patient with
cataracts?
Difficulty with reading
Sensitivity to light
Visible white or gray spot behind the pupil
Vision changes
44
What medications are
given via IV
during emergencies
such as eye trauma and
produce profound diuresis to reduce IOP?
Optic sertraline
Mannitol
Glycerin
Darzalex
Osmotics
Mydriatics
45
During your assessment you find that the patients
upper left eyelid is drooping….
What would you suspect?
Proptosis
Sarchisis
Paresis
Mimesis
Ptosis
Pollinosis
46
What are some expected
subjective
findings during your assessment of a patient with
cataracts?
Changes in color vision
Difficulty telling the time
Blurred vision
Eye redness
47
Which of these ophthalmic medications
control inflammation?
Nadolol
Decadron
Rizatriptan
Maxitrol
48
How does the
auditory canal
prevent small objects from reaching the eardrum or tympanic membrane?
Secretes accismus
Fine hairs
Secretes cerumen
Pinna collects dust particles
49
What are some expected side effects for a patient taking
Cycloplegic Mydriatics?
Fatigue
Increased intraocular pressure
Photophobia - Light sensitivity
Brittle teeth
Hypertension
Dry mouth
50
What are some expected side effects for a patient with
Open-Angle Glaucoma?
Motion sensitivity
Difficulty focusing
Loss of peripheral vision
Headaches
Tired feeling eyes
Loss of central vision
51
This condition is when
venous capillaries dilate
and
develop microscopic aneurysms
that may leak or rupture….
Strabismus
Diabetic Retinopathy
Glaucoma
Amblyopia
52
What are the main side effects patients experience while taking
Osmotic Diuretics?
Diarrhea
Thirst
N & V
Agitation
Headache
Constipation
53
Which of these are possible side effects while taking
Carbonic Anhydrase Inhibitors?
Depression
Malaise
Drowsiness
Pruritus
Diuresis
Paresthesia
54
What is the primary cause of
Diabetic Retinopathy?
Acute eye infections
Poorly controlled diabetes
History of trauma to the eye
Detached optic nerve
