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NUR 234 Final Exam Questions And 100% Correct Answers
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NUR 234 Final Exam Questions And 100%Correct Answers
At what age is primary prevention of eye health most crucial? - ANSWER In utero or
before pregnancy ask if they have had a history of rubella or have received their
vaccinations
Why should it be that a woman has to get her rubella vaccination in advance of the
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 to conceive after taking the vaccine. Because at three months,
the placenta is complete and will offer extra protection to the fetus from any
reminiscence of the vaccine taken.
What is an example of the use of prophylactic antibiotic therapy for primary prevention
related to eye health? - ANSWER Use of an eye prophylaxis erythromycin which protects
the new born baby from gonorrhea and chlamydia as it passes through the mother's
vaginal canal, this prevents blindness.
What is an important principle while doing general eye care? - ANSWER Always clean
from inner canthus to outer canthus to avoid pushing dirt into the inner canthus.
How to prevent daily eye damage? (primary prevention) - ANSWER Reduce eye strain -
allow periods of rest between reading or viewing screens
Fit UVA/UVB filters on our screen to minimize the UVA/UVB exposure
When you are reading ensure adequate lighting
Wearing sunshades with UVA/UVB protection when outdoors can help protect the eyes.
,*Note: Prolonged or excessive UVA/UVB exposure is a common cause for the
development of cataracts.
Avoid rubbing of 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 that dilates the pupil to visualize the inner
structures of the eyes
Gonnometetry : measurement of the angle of opening in the eye (diagnostic for either
open or close angle glaucoma)
Acute treatment may be secondary or tertiary, instillation of medications along with
general post operative care
What are some nursing considerations when treating a visually impaired patient? -
ANSWER Always instill drops before ointments
Avoid increased in intraocular pressure and use and eye shield and eye patches
Avoid nonverbal 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 impaired side
Walk slightly ahead of them allow them to hold you but don't grab them so that they feel
in control
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 dealing with a visually impaired post op patient? -
ANSWER Avoid any form of bearing down to prevent increased intraocular pressure
Utilize 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
exposure,chemical,or radiation
Related to work such as construction or farm workers( being outside often).
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