UALR Nursing 1320 - Chronic Vision Disorders and
Hearing Loss Questions With Complete Solutions
Objectives: 1. Compare and contrast the care of patients
with glaucoma, cataracts, and macular degeneration. 2.
Evaluate pharmacological therapies prescribed for eye and
vision problems. 3. Teach proper instillation of eye drops. 4.
Recognize the impact of sensory alterations. 5. Prioritize
nursing care of clients with sensory needs.
Assessment of someone with conductive hearing loss Correct
Answer - evidence of obstruction with otoscope
- abnormality of tympanic membrane
- speaking softly
- will have trouble with certain word sounds
- will complain that people mumble
- Rinne test: hears bone conduction better than air conduction
- Weber test: lateralization to affected ear
Assessment of someone with sensorineural hearing loss Correct
Answer - normal appearance of external canal and tympanic
membrane
- tinnitus is common
- occasional dizziness
- speaking loudly
- will complain that people mumble
- will have trouble with certain word sounds
- hearing poorly in loud environment
- Rinne Test: air conduction is better than bone conduction
(same as normal hearing)
- Weber Test: lateralization to unaffected ear.
, At what age can macular degeneration occur? Correct Answer
Any age.
Client educations? Correct Answer - know S/S of bradycardia
- know S/S of hypotension
- know how to apply drops
- know S/S of infection
- report pain or vision changes
Explain open angle glaucoma Correct Answer Aqueous humor
flows through the eye and the angle of drainage is open,
however, the trabecular meshwork becomes less pliable over
time and the level of drainage slows. This leads to a slow,
chronic increase in intraocular pressure that eventually leads to
blindness if not addressed.
How can you solve the problem of sensory deprivation? Correct
Answer Provide sensory input:
- talk to the patient, have a conversation
- provide tactile feedback through touch
- turn on the television to something they'd like
- open the blinds to provide light or turn lights up
- utilize pictures or cards they might have, hang them or get
them out and talk to the patient about them
- provide music they might like
How can you solve the problems of sensory overload? Correct
Answer Get rid of the source of excess stimulation:
- turn down the lights
- turn off the television
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