Exam (elaborations)
TIMBY (MED-SURG) CHAPTER 42 SENSORY
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TIMBY (MED-SURG) CHAPTER 42 SENSORY
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TIMBY (MED-SURG) CHAPTER 42 SENSORYWhat is normal vision? - Answers- Emmetropia
Light rays focus in the body *BEFORE* they reach the retina.
-*Elongated* eyeball
-*Excessive length* of the eye - Answers- *Myopia*: Nearsightedness
Light rays focus at the point *BEHIND* the retina
-Eyeball is *shorter* - Answers- *Hyperopia*: Farsightedness
What do you use to irrigate your eye? - Answers- -Normal *Saline*
-Tap *Water*
When you irrigate your eye, how do you want it to flow? - Answers- Inner to Outer
Do you put contact lenses in your mouth to clean them? - Answers- No
1st step to take if someone has a foreign object their eye before you send them to get
medical treatment - Answers- Loosely patch both eyes
Refer to: *Ophthalmologist*
When entering a room of someone who is blind or has both eyes patched what's the
first thing you do? - Answers- Introduce yourself
What is a hordeolum? - Answers- stye
Client teaching for Stye & Conjunctivitis: - Answers- Wash your hands with soap
Use Warm compresses
Wash laundry separately
Throw your makeup away regularly
Use a new tissue
What can a nurse do to help a person who is blind?
Nursing Diagnoses: *Disturbed Sensory Perception- Visual related to impaired vision* -
Answers- -Mealtime: Position of clock
-Introduce every time enter and leave room
-Guide by holding elbow
What eye disorder has a white spot behind the pupil? - Answers- Cataracts
1st S/S of Cataracts - Answers- Halos around lights
, Postop Cataracts surgery teachings - Answers- -Wear protective *eye shield for 24
hours*
-Wear *Sunglasses for 1 week*
-1st week: Avoid *Strenuous Activity, Heavy Lifting, Bending, Stooping, and Coughing*
-Immersing Eyes in *water* (NO swimming)
-eye drops
What is the most common cause of *Hordeolum*/Sty? - Answers- *Staph*lococcus
Aureus
How do you instill *eye drops*? - Answers- In the *Conjunctival Sac*
-Pull Eye down to get to Conjunctival Sac
-DON'T touch tip to eye
-apply a thin ribbon from inner to outer
How do you instill *eye ointment*? - Answers- Inner to Outward
Which Glaucoma occurs when structures in the drainage system *degenerates and
exits channels for aqueous fluid becomes blocked*/ *Obstruction* - Answers- Open-
Angle Glaucoma
What do you do when exiting a room of someone who is blind or has both eyes
patched? - Answers- Let them know you are leaving the room
What do you do before touching someone who is blind? - Answers- Talk to them first &
let them know you are about to touch them
When guiding a blind person what do you do? - Answers- Allow them hold on to the
nurse's elbow while they walk
Erosion of the cornea tissue - Answers- Cornea Ulcer
How long does Open-Angle Glaucoma people have to take eye drops? - Answers- For
*Life*
Glaucoma patient can't take what type of drug? - Answers- *Atropine*
Notify: Physician (MD)
S/S with Acute Angle-Closure Glaucoma - Answers- -*Painful* eyes
-*Sightless* eyes
Due to increase IOP
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