Malcolm Knowles adult learning principles: SATA

self-concept, readiness to learn, motivation to learn, prior experiences, orientation to learning, need to know

Cochlear implant: SATA

Ideal candidates became deaf AFTER acquiring speech and language, For severe to profound sensorineural hearing loss in one or both ears

Nursing/ Interprofessional Management Hearing Loss and Deafness= Assistive devices and techniques: SATA

Specially trained dogs, Closed caption, Alerting systems, Amplification devices, Texting systems

Assess nerves: observing palpebral fissures for symmetry, pupils, & extraocular movements w/ cardinals positions of gaze

Cranial Nerves III, Cranial Nerves IV, Cranial Nerves VI

Primary angle-closure glaucoma Expected Findings: SATA

Colored halos seen around lights, photophobia, Decreased or blurred vision, Rapid onset of elevated IOP (30 mm Hg or >)., Pupils nonreactive to light, Severe pain and nausea

Inner ear= Labyrinthitis: SATA

Sudden onset of vertigo, N/V, An inflammation of the labyrinth, often secondary to otitis media, Tinnitus and possible hearing loss

What is the difference between conductive and sensorineural hearing loss? SATA

sensorineural H.L is caused by damage to the auditory nerve or hair cells, Conductive H.L is d/t a physical obstruction prevent reaching the inner ear

Structures and Functions Visual System Three layers of the eye: SATA

innermost layer - retina (sensory photoreceptors), external layer - sclera (white part of the eye), middle layer - uvea (choroid)

Tests the mobility of the eardrum & structure in the middle ear

Classification of Presbycusis: SATA

Cochlear: stiffness in the basal area, low-frequency H.L, unimpaired speech, Sensory: Loss of high-pitched sounds, Neural: Loss of speech discrimination, Metabolic: hearing loss across all frequency range in audiogram

Inner Ear = Vertigo: SATA

Can last few days to years, Bed rest and meclizine, caused by disruption of the debris located within the semicircular canal, Onset sudden

Goals of patient teaching: SATA

disease prevention, Information regarding all available treatment options, health promotion, management of illness

Acute Otitis Media s/s: SATA

Conductive ear loss, Purulent or bloody drainage if perforation of the eardrum occurs, Headache, Fever, pain, Pressure

Acute Otitis Media Medical management: SATA

antihistamines, Systemic antibiotics, Analgesics, Application of heat for pain

Stages of Psychological Safety: SATA

Inclusion Safety, Contributor Safety, Challenger Safety, Learner Safety

Prostaglandin analogs (bimatoprost and latanoprost) : SATA

Do not instill this medication if the corneal is not intact, Can cause the iris to change color by darkening with long-term use

External Otitis: Nursing diagnosis: PAIN s/s SATA

Increase in BP and pulse, elevations in temp are sometime seen in the presence of an ear infection

Ototoxic Medications: SATA

Diuretics, Chemo Agents, Antibiotics, NSAIDS

Diagnostic Test Done to detect central and peripheral disease of the vestibular system Detects and records nystagmus

 Electronystagmography (ENG)

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NSG 239 Exam1 part 2

100 termsStudBud Administration31 plays

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Questions 100

Answers

1
During an emergency, RN is allowed to write a DNR/AND (Allow Natural Death) order
True
False
2
Malcolm Knowles adult learning principles: SATA
self-concept
readiness to learn
motivation to learn
prior experiences
orientation to learning
need to know
3
Client taking Cisplatin needs
Frequent neuro test
Frequent eye test
Frequent hearing test
Frequent GCS test
4
Paresis is the term that means diminished muscle strength.
True
False
5
Sudden hearing loss that usually affects just one ear is a Medical emergency
True
False
6
Cochlear implant: SATA
Ideal candidates became deaf BEFORE acquiring speech and language
Ideal candidates became deaf AFTER acquiring speech and language
For mild to moderate sensorineural hearing loss in one or both ears
For severe to profound sensorineural hearing loss in one or both ears
7
Nursing/ Interprofessional Management Hearing Loss and Deafness= Assistive devices and techniques: SATA
Life Alert
Specially trained dogs
Closed caption
Alerting systems
Amplification devices
Texting systems
8
Bone conduction testing measures the integrity of the sensorineural structures: cochlea, eighth nerve, brainstem nuclei
True
False
9
Macular Degeneration is Loss of central vision and can be wet or dry.
True
False
10
Assess nerves: observing palpebral fissures for symmetry, pupils, & extraocular movements w/ cardinals positions of gaze
Cranial Nerves III
Cranial Nerves IV
Oculomotor, Optic,Trochlear, & Abducens
Cranial Nerves VI
11
A.D for mental health treatmnt is written,legally binding document expressing one's wishes to accept/refuse M.H treatmnt
True
False
12
Primary angle-closure glaucoma Expected Findings: SATA
Colored halos seen around lights
photophobia
Decreased or blurred vision
Rapid onset of elevated IOP (30 mm Hg or >).
Pupils nonreactive to light
Severe pain and nausea
13
Inner ear= Labyrinthitis: SATA
Episodic vertigo, tinnitus and fluctuating sensorineural hearing loss
Sudden onset of vertigo
N/V
Benign paroxysmal positional vertigo
An inflammation of the labyrinth, often secondary to otitis media
Tinnitus and possible hearing loss
14
Glaucoma: Wait 5-10 min between eye drops if > 1 med prescribed
True
False
15
What is the difference between conductive and sensorineural hearing loss? SATA
Air conduction
sensorineural H.L is caused by damage to the auditory nerve or hair cells
Conductive H.L is d/t a physical obstruction prevent reaching the inner ear
Bone conduction
16
MRI Allows more detailed imaging: Soft tissue
False
True
17
Structures and Functions Visual System Three layers of the eye: SATA
lens -located behind the iris -bend light rays so that they focus on retina
innermost layer - retina (sensory photoreceptors)
conjunctiva -transparent mucous membrane, covers inner surfaces of eyelids
external layer - sclera (white part of the eye)
middle layer - uvea (choroid)
cornea - transparent layer that allows light to enter the eye
18
Which regulation outline the rights of individuals in health care settings?
HIPAA
Patient Self Determination Act
Patient Care Partnership
National Patient Safety Foundation Ask Me 3
19
Tonometer is a device used in glaucoma screening to record intraocular pressure. "Puff in the eyes"
True
False
20
Tympanometry
Tests the mobility of the eardrum & structure in the middle ear
Visualize internal structures of the ear
Allows more detailed imaging
Detects and records nystagmus (involuntary eye movements)
21
Quadriceps Reflex is tested directly below the patella. Extension of the lower leg is NOT the expected response.
False
True
22
Avoidance of continued exposure to noise levels greater than 70 dB is essential
False
True
23
Classification of Presbycusis: SATA
Cochlear: stiffness in the basal area, low-frequency H.L, unimpaired speech
Sensory: Loss of high-pitched sounds
Neural: Loss of speech discrimination
Metabolic: hearing loss across all frequency range in audiogram
24
Used to determine the drainage angle of the anterior chamber of the eye
Ultrasonography
Tonometry
Visual assessment
Gonioscopy
25
Triceps Reflex is assessed directly above the elbow. The normal response is extension of the forearm.
False
True
26
These neurons are located in the peripheral nervous system. Movement must be translated into action by these neurons.
Middle Motor Neurons
Lower Motor Neurons
Adjacent Motor Neurons
Upper Motor Neurons
27
Inner Ear = Vertigo: SATA
Can last few days to years
Bed rest and meclizine
Bedrest in darkened environment
N/V
caused by disruption of the debris located within the semicircular canal
Onset sudden
28
Tinnitus: Most commonly caused by noise, May be first symptom of hearing loss
False
True
29
The term Ataxia means uncoordinated or unsteady gait
False
True
30
Suggest hearing aid with Conductive hearing loss
True
False
31
Goals of patient teaching: SATA
disease prevention
Information regarding all available treatment options
health promotion
management of illness
32
Patient with sulfa allergy should NOT take Carbonic anhydrase inhibitors to decrease IOP by reducing aqueous humor
True
False
33
Vitamin B1 (thiamine) is essential for healthy vision.Helps cataracts, diabetic retinopathy, uveitis, and dry eyes
False
True
34
Primary Open Angle Glaucoma is a Medical Emergency!!!!!
True
False
35
Acute Otitis Media s/s: SATA
Conductive ear loss
Purulent or bloody drainage if perforation of the eardrum occurs
Headache
Fever
pain
Pressure
36
The most common cause of bilateral hearing loss in young adults
Otosclerosis
noise level exposure
Meniere's disease
Tumors or neoplasms
37
Acute Otitis Media Medical management: SATA
antihistamines
Systemic antibiotics
Application of cold for pain
Topical Antibiotics
Analgesics
Application of heat for pain
38
Air conduction testing measures the integrity of the entire hearing apparatus from external ear to auditory cortex
True
False
39
Acute Otitis Media Surgical management: Myringotomy, placement of a grommer to equalize pressure
True
False
40
Durable power of attorney remains legal if a pt being represented can't think for themselves
True
False
41
Stages of Psychological Safety: SATA
Inclusion Safety
Contributor Safety
Challenger Safety
Learner Safety
42
Mastoiditis: Usually caused by untreated acute otitis media
True
False
43
Hearing loss caused by noise is NOT reversible
False
True
44
Prostaglandin analogs (bimatoprost and latanoprost) : SATA
can be absorbed systemically ad cause bronchoconstriction and hypoglycemia.
Do not instill this medication if the corneal is not intact
Can cause the iris to change color by darkening with long-term use
dilates the pupils to improve the fluid flow to the site of absorption
45
MEDICATIONS: the primary intervention for treating glaucoma
False
True
46
External Otitis: Nursing diagnosis: PAIN s/s SATA
inflammation of the outer ear with extension into the ear canal
Scan clear drainage from ear canal
Increase in BP and pulse
elevations in temp are sometime seen in the presence of an ear infection
47
fluorescein dye placed in the eyes using a slit lamp helps diagnose Corneal Abrasion
True
False
48
conduction deafness, sound is heard better on the affected side, nerve deafness, sound is heard loudly in unaffected ear
False
True
49
Clinical Reasoning vs. Clinical Judgement: Judgment suggests that that's the final decision; reasoning is the process.
False
True
50
Ototoxic Medications: SATA
Diuretics
Chemo Agents
Antibiotics
NSAIDS
51
Diagnostic Test Done to detect central and peripheral disease of the vestibular system Detects and records nystagmus
 Electronystagmography (ENG)
Computed Tomography (CT)
Magnetic Resonance Imaging (MRI)
Tympanometry
52
The expected reference range for IOP is 10-21 mm/hg
False
True
53
Client with impaired olfactory senses does not need to stop using strong chemicals ammonia or gas.
True
False
54
Rinne and Weber tests both use 512-Hz tuning forks to test how you respond to sounds and vibrations near your ears.
False
True
55
This is the term for rapid, sudden jerking or a short series of jerks at fairly regular interval
Hypotonia
Hypertonia
Ataxia
Myoclonus
56
Components of Culture: SATA
Nationality
Race
Gender
Ethnicity
Spirituality
Age
57
Tinnitus from Tumors or neoplasms, epilepsy, damage to CN VIII are found in the?
External Ear
inner ear
Retococlear area
Middle ear
58
Pilocarpine is considered a second-line drug for POAG
False
True
59
Challenges and Barriers of Nursing Informatics: SATA
Resistance to Technology Adoption
Demanding technical support and maintenance
Data Security and Privacy Concerns
Training and Education Needs
Interpersonal Issues
Interoperability Issues
60
What are the 4 steps of clinical judgment?
Evaluate hypotheses
Form hypotheses
Form Solutions
Prioritize hypotheses
Generate solutions
Take Action(s)
61
Functions Auditory System: SATA
Hearing, balance, and equilibrium
Improve arousal and awareness state in patients
Transmission of sound
Ultimate target of afferent auditory information is the auditory cortex.
62
Health Care Disparities: SATA
Resources (uninsured/ working poor)
Differences in Pt access / availability of appropriate health care services
Cultural variables
Geographic location
63
Planning:set clear measurable goals • select teaching strategy: SATA
discussion
teach-back
use of teaching resources
demonstration
64
It is the lobe of the brain responsible for sensation & "p"ain.
Parietal lobe
Frontal Lobe
Occipital Lobe
Temporal Lobe
65
Prochaska Stages of Change is frequently used to help patients stop smoking, manage diabetes, and lose weight
True
False
66
Expected Findings for POAG: SATA
Decreased accommodation
Mild eye pain
Headache
Loss of peripheral vision
Halos seen around lights
Elevated IOP (>21 mm Hg: usually 22-32)
67
Otosclerosis s/s: SATA
Poor air conduction
Tympanum takes on a reddish blush ( Flamingo's flush sign)
Poor bone conduction
Tympanum takes on a reddish blush (Schwartz’s sign)
68
Test Cerebellar func (posture & "bell"ance) by askin client to stand in a stable position w/their eyes closed.
Romberg test
ASIA
Gait Test
NIHSS
69
Future Trends of Nursing Informatics: SATA
Precision Medicine
Artificial Intelligence and Machine Learning
Blockchain Technology
Wearable Technology Integration
70
National Patient Safety Foundation Ask Me 3: SATA
Why is it important for me to do this?
What is my main problem?
What do I need to do?
How often do I visit my doctor?
71
Sensorineural hearing loss caused by: SATA
Prolonged exposure to loud noise damages the hair cells in the cochlea
Aging (presbycusis)
Impairment of the inner ear
Congenital and hereditary factors
Meniere’s disease
Vestibulocochlear nerve (CN VIII) damage
72
Conductive hearing loss : SATA
Patients actually hear better in noisy environments
Hearing aids make sounds louder but not clearer
Sound transmission to inner ear impaired
Results in ability to hear sound but inability
73
Conductive hearing loss: Patient often speaks softly
False
True
74
Sensorineural hearing loss: SATA
Results in ability to hear sound but inability to understand speech
Hearing aids make sounds louder but not clearer
Sound transmission to inner ear impaired
Can lead to misunderstanding by others
75
Elements of an effective teaching plan: SATA
Implementation of the teaching
Development of learning goals with the patient
disease prevention
Identification of teaching needs
Evaluation of patient's learning
Assessment of the patient's ability and readiness to learn
76
Auditory D/O Inner Ear: Expected Findings: SATA
Tinnitus
Alterations in balance
Dizziness or vertigo
Vomiting
Nystagmus
Hearing loss
77
Clinical Manifestations of Cataracts: SATA
Yellowing of colors
Decrease in vision, clouded, blurred or dim
Abnormal color perception
Double vision in a single eye
Halo vision around light sources
Glaring of vision --- Increased night vision difficulty
78
Treatment: Labyrinthitis: SATA
Bedrest in darkened environment
Systemic antibiotics
Bed rest and meclizine
Meclizine or dimenhydrinate
79
These miotic medications constrict the pupil and allows for improved circulation and outflow of the aqueous humor.
Adrenergic agonists (apraclonidine, brimonidine tartrate)
Cholinergic agents (carbachol, echothiophate, pilocarpine)
Prostaglandin analogs (bimatoprost and latanoprost)
Systemic osmotic (IV mannitol, oral glycerin)
80
Inner Ear factors that cause tinnitus: SATA
age related hearing loss
Meniere's disease
noise level exposure
medications
81
Hearing Aids provide amplification, sound lateralization, speech discrimination
True
False
82
Ototoxic substances—industrial chemicals that cause Hearing Loss and Deafness: SATA
mercury
Hypochlorite (Bleach)
carbon disulfide
Toluene
83
Clients with impaired Tactile senses do not need to avoid hot temperatures.
False
True
84
Risk Factors for Middle Ear Auditory Deviations: SATA
Changes in air pressure (scuba diving; flying)
Trauma
Recurrent colds and otitis media
Enlarged adenoids
85
lobe of the brain responsible for personality, behavior,emotions, & intellectual functions.It keeps you from"forgetting"
Occipital lobe
Frontal Lobe
Temporal lobe
Parietal Lobe
86
Prochaska Stages of Change: SATA
action
termination
contemplation
preparation
maintenance
precontemplation
87
Middle ear disorders that cause tinnitus: SATA
vascular/circulation disorders
Impacted ear wax
Meniere's disease
Otosclerosis
88
This assessment includes level of consciousness, motor function, pupillary response, & vital signs
Neurologic Re-check
Discombobulated Check
GCS
Neurologic check
89
Auditory Deviations: Middle Ear: Expected Findings SATA
Red, inflamed ear canal and tympanic membrane
Hearing loss
Feeling of fullness and/or pain
fever
Bulging TM
Fluid and/or bubbles behind TM
90
Key Components of Nursing Informatics: SATA
Telehealth and Remote Monitoring
Clinical Decision Support Systems (CDSS)
Mobile Health (mHealth) Applications
Electronic Health Records (EHR)
91
an osmotic diuretic used in the emergency treatment for primary angel-closure glaucoma to quickly decrease IOP
Adrenergic agonists ( brimonidine tartrate, dipivefrin hydrochloride)
IV Mannitol
Carbonic anhydrase inhibitors (acetazolamide, dorzolamide, brinzolamide)
Beta Blockers (timolol)
92
Teaching/Learning process: SATA
Can never be delegated to the UAP
Preventsreadmissions, visits to the ED, complications and promotes recovery
Teaching patients is a challenging but rewarding role for nurses
Empowers patients; increases self-efficacy
93
Assistive devices and techniques for Hearing Loss and Deafness: SATA
Lip reading
Visual cues associated w/ speech facilitates 40% understanding spoken words
Sign language
FYI: Sign language is NOT universal
Cochlear implant
Implantable hearing device or aid
94
If DNR is expired: Initiate CPR
False
True
95
The terms means absence of a reflex which occurs with a lower motor neuron condition (spinal cord injury)
Ataxia
Atrophy
Hyporeflexia
Myoclonus
96
Diagnostic Test Visualize internal structures of the ear
Electronystagmography (ENG)
Tympanometry
Computed Tomography (CT)
Magnetic Resonance Imaging (MRI)
97
Prescribed eye medication is beneficial if used every 12 hours.
True
False
98
Use the Confusion Assessment Method (CAM) to assess for Delirium
True
False
99
Beta Blockers (timolol) * first line drug for POAG to decrease IOP by reducing aqueous humor production
False
True
100
Hearing loss may be denied or undetected until moderate losses have occurred
False
True

NSG 239 Exam1 part 2 Flashcards | StudBud