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NUR 317 Exam #1 Questions And Answers
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NUR 317 Exam #1 Questions And AnswersWhat is the pre-operative assessment priority for cataracts? -Answer -hx and physical
assessment
- eye drops
. nonsteroidal anti-inflammatory
- dilating
- dark glasses minimize photophobia
- monitor for systemic toxicity
- dilation
- mydriatic
- (alpha adrenergic agonist)-pupil dilation, contracting iris dilator muscle
- cyclopegic: anticholingeric agent: block effect of acetylocholine of the iris muscle
Post-op instructions for cataract -Answer -outpatient procedure unless complications
occur
antibiotic and corticosteroid eye drops
limiting activities
should have little or no pain
remain free of infection and other complications
follow up visits
modify activities and environment
Complications of cataract surgery - Answer - severe pain- call HCP since this can
indicate hemorrhage, infection or increased IOP
some experience significant visual impairment post op until weeks later when usable
level of visual acuity is achieved
, . include patients who don't have an IOL implanted at the time of surgery and those with
poor vision in their unoperated eye
Nursing interventions for Menieres disease - Answer Nonsurgical:
- bedrest
- slow head movements
- dietary: salt and fluid restrictions
- diuretics, antihistamines, antiemetics, and sedatives
Surgical:
- labyrinthectomy (hearing is sacrificed)
- endolymothatic decompression: drain placed (vertigo and hearing improved)
Identify common physiological assessment changes in the older adult population a.
Integumentary system: i. Skin, lesions b. Head and neck: i. Facial features, visual acuity,
auditory changes, smell diminished, salivary secretion c. Thorax and lungs: i.
Respiratory muscle strength decreases, anteroposterior diameter of thorax increases
d. Heart and vascular system: i. Decreased contractile strength of the myocardium
results in decreased cardiac output e. Breasts:
i. Estrogen production reduces the ilk ducts of the breasts are replaced by fat; breast
tissue less firm
f. Gastrointestinal system and abdomen
- decreased movement of GI tract
- acid production reduced
- constipation increases
- liver function reduces
- sensation reduces
- nutrients absorption reduces
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