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NUR 317 exam #1 Questions and Correct Answers | Latest Update

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What is the pre-operative assessment priority for cataracts?  -hx and physical assessment  - eye drops  ... nonsteroidal anti-inflammatory  - dilating  - dark glasses minimize photophobia  - monitor for systemic toxicity  - dilation  - mydriatic  - (alpha a...

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  • October 6, 2024
  • 23
  • 2024/2025
  • Exam (elaborations)
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Best Grades | Must Pass | Latest Update | Correct Answers | 2024/ 2025


NUR 317 exam #1 Questions and Correct
Answers | Latest Update
What is the pre-operative assessment priority for cataracts?


 -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


 - outpatient procedure unless complications occur

- antibiotic and corticosteroid eye drops


- limiting activities


- should have little or no pain




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, Best Grades | Must Pass | Latest Update | Correct Answers | 2024/ 2025

- remain free of infection and other complications


- follow up visits


- modify activities and environment




Complications of cataract surgery


 - intense pain - notify HCP because this may indicate hemorrhage,

infection, or increased IOP

- some have significant visual impairment after surgery (need several weeks to achieve usable

level of visual acuity)


... include patients who dont have an IOL implanted at the time of surgery and those with poor

vision in their unoperated eye




Nursing interventions for Menieres disease


 Nonsurgical:

- bedrest


- slow head movements


- dietary: salt and fluid restrictions


- diuretics, antihistamines, antiemetics, and sedatives




Surgical:



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, Best Grades | Must Pass | Latest Update | Correct Answers | 2024/ 2025

- labyrinthectomy (hearing is sacrificed)


- endolymothatic decompression: drain placed (vertigo and hearing improved)




Recognize 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 diminishes, the ilk ducts of the breasts are placed by fat, breast tissue

becomes less firm




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