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NSG 119 FINAL EXAM QUESTIONS WITH CORRECT ANSWERS.
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NSG 119 FINAL EXAM QUESTIONS WITH CORRECT ANSWERS.
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NSG 119 FINAL EXAM QUESTIONS WITHCORRECT ANSWERS
Conductive rhearing rloss r- r✔✔alteration rthe rmiddle rear rand rsound rwaves rare
rblocked rbefore rreaching rthe rinner rear
sensorineural rhearing rloss r- r✔✔alteration rin rthe rinner rear rthat rinvolves rcranial rnerve
rVIII rand ror rcochlea rdamage
presbycusis r- r✔✔sensorineural rhearing rloss ras rresult rof raging
what rare rcauses rof rconductive rhearing rloss r- r✔✔history rof rmiddle rear rinfections.
rolder rage: rotosclerosis
subjective rfindings rof rconductive rhearing r- r✔✔reports rhearing rbetter rin ra rnoisy
renvironment
objective rfindings rof rhearing rloss r- r✔✔1. rpatient rspeaks rsoftly
2. robstruction rin rexternal rcanal
3. rabnormal rtympanic rmembranes r
4. rRinne rtest rreveals rair rconduction ris rless rthan ror requal rto rbone rconduction
what rare rcauses rof rsensorineural rhearing rloss r- r✔✔prolonged rresponse rto rloud
rnoises, rototoxic rmedications rinfectious rprocesses, rage rrelated r(presbycusis-
decreased rability rto rhear rhigh rpitched rsounds)
subjective rfindings rof rsensorineural rhearing rloss r- r✔✔1. rtinnitus r
2. rdizziness r
3. rhears rpoorly rin rnoisy renvironment
objective rfindings rof rsensorineural rhearing rloss r- r✔✔1. rpatient rspeaks rloudly r
2. rotoscopic rexam ris rnormal r3. rRinne rtest rdemonstrates rnormal rresponse rof rair
rconduction ris rgreater rthan rbone rconduction rbut rlength rof rtime ris rdecreased rfor rboth
nursing rcares rand rassessments rfor rhearing rloss r- r✔✔1. rmonitor rthe rpatient's
rfunctional rability r2. rget rthe rpatient's rattention rbefore rspeaking r
3. rstand/sit rfacing rthe rpatient rin ra rwell-lit rroom rwithout rdistractions r
4. rspeak rclearly rand rslowly rwithout rshouting ror rwithout rhands ror rother robjects
rcoving rmouth r
5. rarrange rfor rcommunication rassisted rdevices
ototoxic rmedication rrisks r- r✔✔1. rif ron rmedications rfor rmore rthan r5 rdays r
,2. rif rreduced rrenal rfunction r
3. rolder radults
4 rototoxic rmedications r- r✔✔1. rmultiple rantibiotics-gentamyacin, ramikacin,
rmetroidazole r
2. rdiuretics-furosemide r(Lasix)
3. rNSAIDS-aspirin ror ribuprofen r
4.chemotherapeutic ragents r- rcisplatin
3 rdiagnostic rprocedures rfor rhearing rloss r- r✔✔1. raudiometry-identifies rsensorineural
rand/or rconductive r
2. rtympanogram r3. rotoscopy
spadectomy rfor rconductive rhearing rloss r- r✔✔stapes ris rremoved rand rreplaced rwith ra
rprosthesis. rDone rwhen rotosclerosis rhas rdeveloped rand rbones rof rthe rmiddle rear
rfuse rtogether.
nursing rcares rpost rop rfor rspadectomy r- r✔✔1. rassess rfor rfacial rnerve rdamage r
2. rtreat rvertigo, rnausea, rvomiting r(very rcommon rfollowing rthe rprocedure
patient rteaching rpost rspadectomy r- r✔✔1. rhearing ris rinitially rworse rbut rwill rimprove
rwith rhealing r
2. ravoid rstraining, rcoughing, retc, rair rtravel, rrapid rhead rmovements
tinnitus r- r✔✔continuous rringing ror rnoise rperception rin rthe rear
6 rcauses rof rtinnitus r- r✔✔1. rotosclerosis r(irregular rbone rgrowth raround rossicles)
2. rpresbycusis r
3. rMeniere's
4. rprescription rmedication rand rstreet rdrugs r
5. rexposure rto rloud rnoise r
6. rother rinner rear rproblems
what rinterventions rshould rbe rfocused ron rto rhelp rdeal rwith rtinnitus r- r✔✔1.
rbackground rsound r
2, rnoise rmakers r3. rmusic rduring rsleep r
4. rear rmold rhearing raids ramplify rsounds rto rdrown rout
benign rparoxysmal rvertigo r- r✔✔occurs rin ra rresponse rto ra rchange rin rposition.
rThought rto rbe rdue rto ra rdisturbance rin rthe rsemicircular rcanals rinitiating rsymptoms
rthat rlasts rfor rdays rto rmonths
5 rproblems rthat rcause rvertigo r- r✔✔1. rMénière's rdisease r
2. rlabyrinthitis r
3. racoustic rneuromas r
4. rmotion rsickness r
,5. rdrug rand/or ralcohol ringestion
subjective rmanifestations rof rvertigo r- r✔✔1. rnausea r
2. rvomiting r
3. rtinnitus r
4. rdifficulty rhearing
objective rmanifestations rof rvertigo r- r✔✔1. rtinnitus r
2. rnystagmus r
3. rhearing rloss
4 rpatient rstrategies rto rreduce rvertigo rmanifestations r- r✔✔1. rrestrict rhead rmotion rand
rchange rposition rslowly r
2. rmaintain radequate rhydration, respecially rif rvomiting r(can rbe rcaused rby
rdehydration)
3. rtake rmedications rthat rreduce rthe rvertigo reffects r4. rmaintain ra rsafe, runcluttered
renvironment
Factors rof rCataracts r- r✔✔Age
• rBlunt rtrauma
• rCongenital rfactors
• rRadiation/UV rlight rexposure
• rLong-term rcorticosteroid ruse
• rOcular rinflammation
Clinical rManifestations rof rCataracts r- r✔✔Decrease rin rvision
• rAbnormal rcolor rperception
• rGlaring rof rvision
Diagnostic rAssessment rof rCataracts r- r✔✔Laboratory rAssessment
• rCultures, rconjunctival rswabsImaging rassessment
• rCT, rMRI, rUS rof rretina rand roptic rnerve
Other rDiagnostic rAssessment
• rSlit-lamp rexamination
• rCorneal rstaining
• rTonometry
•Ophthalmoscopy• rFluorescein rangiography
•Electroretinography
• rGonioscopy
Cataracts rIntraoperative rPhase r- r✔✔Corneoscleral rincision
• rCataract rextracted rand rsutured
• rCortex rirrigated rand raspirated
• rCorticosteroid rand ranitbiotic rointment rapplied rwith rprotective rshield
Nursing rManagement rfor rCataracts: r- r✔✔Visual racuity
, • rPsychosocial rimpact rof rvisual rdisability
• rLevel rof rknowledge rof rdisease
• rComfort rand rability rto rcomply rwith rpost-op rtreatment
Cataracts rNursing rManagement rand rDiagnosis r- r✔✔Self-care rdeficits
• rAnxiety
• rPreoperative rgoals
•Make rinformed rdecisions rregarding rtherapeutic roptions
• rExperience rminimal ranxiety
Nursing rManagement rImplementation rfor rCataracts: r- r✔✔Health rpromotion
• rWear rsunglasses
• rAvoid runnecessary rradiation
• rEnsure radequate rantioxidant rvitamins
• rEnsure rgood rnutrition
Primary rAngle-Closure rGlaucoma: r- r✔✔Angle rclosure r↓ rthe rflow rof raqueous rhumor
• rCaused rby rage, rpupil rdilation
• rPossibly rdrug rinduced
Clinical rManifestations rPrimary rOpen rAngle rGlaucoma r- r✔✔Develops rslowly
• rNo rsymptoms
• rUnnoticed runtil rperipheral rvision ris rseverely rcompromised
Glaucoma rIntraocular rPressure r(IOP) r- r✔✔• rIOP relevated rin rglaucoma• rNormal rIOP
r10 rto r21 rmm rHg
• rOpen-angle rglaucoma r22 rto r32 rmm rHg
• rAcute rangle-closure rglaucoma r>50 rmm rHg
Nursing rManagement rand rNursing rImplementation rfor rGlaucoma:Acute rintervention r-
r✔✔• rAdminister rmedication rto rlower rIOP• rFor rsurgical rpatients• rProvide rpost-op
rinstructions• rRelieve rdiscomfort
Glaucoma rNursing rManagement rEvaluation: rExpected routcomes r- r✔✔• rNo rfurther
rloss rof rvision• rCompliance rwith rrecommended rtherapy• rSafe rfunctioning rin rthe
renvironment• rPain rrelief rfrom rdisease rand rsurgery
How rEars rFunction: r- r✔✔Sound rdelivered rthrough rair rto rthe rexternal rear rcanal•
rSound rwaves rstrike rmoveable reardrum, rcreating rvibrations.• rEardrum rconnected rto
rfirst rbony rossicle—allows rsound rto rbe rtransferred rfrom reardrum rto rmalleus, rincus,
rstapes.• rVibrations rmove rfrom rstapes rto rcochlea.• rReceptors rat rcochlea rchange
rvibrations rinto raction rpotentials rwhich rare rconducted rto rbrain ras rnerve rimpulses.•
rNerve rimpulses rprocessed/interpreted rby rbrain
Clinical rManifestations rof rHearing rLoss rand rDeafness: r- r✔✔Early rsigns rof rhearing
rloss roften rgo runnoticed rby rpatient• rPressure rby rothers ris ra rsignificant rfactor rin
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