Nurs 130 Exam 2 Questions and Answers Top Graded 2024
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Course
Nurs 130
Institution
Nurs 130
Risk factors for visual impairment - ANSWERS-- all populations are at risk
- highest risk is older adults
- medications
- complications from medical conditions
-genetics
-lifestyle choices
Diversional activities for visual loss - ANSWERS-- Driving safety
- do not drive during rush hour
- ...
Nurs 130 Exam 2 Questions and
Answers Top Graded 2024
Risk factors for visual impairment - ANSWERS-- all populations are at risk
- highest risk is older adults
- medications
- complications from medical conditions
-genetics
-lifestyle choices
Diversional activities for visual loss - ANSWERS-- Driving safety
- do not drive during rush hour
- avoid interstate highways
-carry a cell phone
- avoid driving late at night
Board games, big cards, and remotes with large buttons are helpful
Use of a sighted guide - ANSWERS-Gives confidence to patients and ensures safe
mobility.
Assessment regarding ability to perform self-care in visually impaired - ANSWERS--
thorough health history
- assess visual acuity
- functional ability
- ability of IADLs (driving, writing checks)
- How clients adapt to environment to maintain safety
Interventions to promote self-care in visually impaired - ANSWERS-- Increase amount
of light
- eliminate throw rugs
- use phones with large numbers and autodial
- Large print books and talking devices (clocks, watches)
Health promotion for visually impaired - ANSWERS-- assess daily routine
- eye care
- adherence with health screening
- Wear sunglasses while in the sun and protective eyewear while working in areas with
risk for eye injury
- avoid rubbing eyes
- eye examination regularly, after age 40
Effective communication methods for patients with hearing problems - ANSWERS-- do
not approach from behind
,- quiet environment
- make sure hearing aids are in place and working
- articulate clearly
- don't shout
- talk in best hearing ear
Behaviors in hearing impaired older adult - ANSWERS-- focusing on lip movement
- leaning in towards the nurse
Conductive hearing loss and how to recognize - ANSWERS-- excessive cerumen
occluding ear canal. Interrupts sound waves as they travel
- patient often hears better in noisy environment, speaks softly, holes in tympanic
membrane, air conduction of sound less than bone conduction
Sensorineural hearing loss and how to recognize - ANSWERS-- caused by exposure to
excess and prolonged noise or metabolic systemic alterations
- alteration in inner ear
- sound is heard better in normal ear, use tuning fork. Speaks loudly, air conduction is
greater than bone conduction
Conductive hearing loss interventions - ANSWERS-- instill a softening agent such as
0.5 to 1 mL of warm mineral oil followed by irrigation of a solution of 3% hydrogen
peroxide to remove impacted cerumen
Sensorineural hearing loss interventions - ANSWERS-- conduct hearing assessment
- assess ability to hear various frequencies
Those at risk of hearing loss - ANSWERS-- older population
- people in certain occupations
- genetics
- different lifestyle choices
Health promotion for hearing loss - ANSWERS-- don't use cotton swabs in ear
- wear ear protection during exposure to loud noise
- blow nose gently
- keep volume low when wearing headphones
Sensory overload - ANSWERS-Prevents the brain from responding appropriately to or
ignoring certain stimuli
How to recognize sensory overload - ANSWERS-- racing thoughts
- attention is scattered
- anxiety and restlessness
, Nursing interventions for sensory overload - ANSWERS-- organize plan of care
- prevent fatigue by combining activities into one visit
- try to control extraneous noise
- orient patient to environment
- sensory overload varies based on person because it is individualized
Timolol adverse effects - ANSWERS-bradycardia
hypotension
effects of heart and lungs are of greatest concern
Pt. Teaching for timolol - ANSWERS-- notify provider if swelling, redness, drainage,
sensitivity to light, or eye discomfort occurs
Timolol contraindications and precautions - ANSWERS-- asthma
- COPD
- sinus bradycardia
- AV block
- Cardiac failure
-Diabetes mellitus
Brimonidine pt. teaching to minimize adverse effects - ANSWERS-- report adverse
effects such as tachycardia, persistent headache, eye pain, swelling, extreme light
sensitivity, and vision changes
- take med as prescribed, don't stop abruptly
Precautions with brominidine - ANSWERS-- Remove contact lenses before
administering
- don't put them in until 15 minutes after so the medication isn't absorbed into the lens
- Antihypertensive medications can intensify hypotension
- MAOI's can cause hypertensive crisis
Pt. teaching for cataract surgery post op - ANSWERS-wear sunglasses outside and in
brightly lit areas
- avoid sexual intercourse, bending over at the waist (increases intraocular pressure),
cooking, cleaning, driving, playing sports, and tilting head back to wash hair.
Infections and complications post op cataract surgery - ANSWERS-- report nausea and
vomiting because it can indicate intraocular pressure or hemorrhage
- report yellow or green drainage
- lid swelling, bleeding, flashing lights, and floating objects
Pt. teaching post op for glaucoma surgery - ANSWERS-- wear sunglasses outside
- report signs of infection
- avoid activities such as straining, coughing, sneezing, bending over
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