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Nur 234 Final Exam Questions And Accurate Answers
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Nur 234 Final Exam Questions AndAccurate Answers
When does primary prevention for the health of one's eyes become most important?
ANSWER In the womb or before pregnancy ask if they have a history of rubella or if they
have received their vaccinations
Why is it important that a woman receives her rubella vaccination before pregnancy? -
ANSWER If the woman contracts rubella while pregnant the virus can pass through the
placenta and cause congenital diseases such as deafness and blindness
What are patient teachings regarding the rubella vaccine? - ANSWER get the vaccine
before becoming pregnant if it was not giving as a child
Wait for three months after vaccination to conceive. This is because the placenta forms
at three months and does provide more protection for the fetus against any remaining
residue from the vaccine.
What is an example of prophylactic antibiotic therapy for the primary prevention of eye
health? - ANSWER Use of eye prophylaxis, erythromycin protects the newborn baby
from gonorrhea and chlamydia as it passes through the mothers vaginal canal; thus
preventing blindness.
What is an important principle when giving general eye care? - ANSWER Always clean
from inner canthus to outer canthus to prevent dirt from being pushed into the inner
canthus.
Way to prevent everyday eye damage ? (primary prevention) - ANSWER Limit eye strain
allow rest periods between reading or looking at screens
Have UVA/UVB filters on our screen to minimize the UVA/UVB exposure
When you are reading have adequate lighting
,Wear sunshades with UVA/UVB protection to protect eyes when outside.(Side note:
Prolonged or excessive UVA/UVB exposure is a common cause for the development of
cataracts.)
Avoid rubbing eyes try to allow them to tear up instead
What is secondary prevention of eye health? - ANSWER Screening such as your annual
eye exam
Snellen's: test for visual acuity
Ishihara :test for color blindness
Tonometry : Measures intraocular pressure ( Normal value is 12-21 mmhg)
Slit lamp exam- instillation of drop slit, which dilates the pupil to view inner structures of
the eyes
Gonnometerty-measurement of the angel of opening in the eye-helps to determine either
open or close angle glaucoma
Acute treatment could be secondary or tertiary- application of medications, general
post-operative care
What are some nursing considerations when treating a visually impaired patient?-
ANSWER Always apply drops before ointments
Avoid increase in intraocular pressure and use and eye shield and eye patches
Avoid non verbal communication
Talk before touch, announce your presents when you enter a room
Orient the client to their new surroundings and provide a kinesthetically identifiable call
bell.
Use mobility aids, stand on the imparied side
Walk slightly ahead of them, allow them to hold you but don't grab them so that they feel
incontrol
Describe where you are going and your surroundings.
Describe their plates and where things are located using whatever method of direction
they are most comfortable with.
, Nursing considerations regarding tertiary care (long term care) of a visually impaired
patient? - ANSWER Encourage the patient to train on the braille method of reading
Train brail before they are fully blind if possible
Attach bells to pets to prevent falls or tripping
Nursing considerations when caring for a visually impaired post op patient? -ANWEWR
Avoid any kind of bearing down, to prevent increase intraocular pressure
Use measure to prevent constipation such as (Increase fluids,Ambulation, Fiber, PRN
stool softeners)
Protective eye gear: eye patches or eyes shield
Infection control; wash hands and dont touch eyes
Report: drainage, puss, pain pressure.
What is the difference between an eye shield and eye patch? - ANSWER Eye Patches are
occlusive, pt cannot see
Eyeshield if the disorder can be corrected especially when sleeping. Prevents rubbing
eyes.
What are cataracts? - ANSWER Gradual and painless opacification of the crystalline
lens of the eye
What are the types of cataracts? - ANSWER Congenital,senile,toxic exposure/chemical,
and traumatic
What is a congenital cataract? - ANSWER Secondary to infectious diseases such as
rubella and measles passing through the placenta causing congenital cataracts
What is a senile cataract? - ANSWER Non modifible, most common and highest risk.
Exposure to heat or UVA/UVB causing opacity over time
What is a toxic exposure or chemical cataract - ANSWER UVA/UVB
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