Eye review

Question 1

subjective data for entropion?

Answer 1

“feels like there is something in my eye”

Question 2

can surgery correct entropion ?

Answer 2

yes

Question 3

with entropion how does how does the cornea present itself?

Answer 3

red

Question 4

nursing care for entropion

Answer 4

• eye drops

- antibiotics

Question 5

what is an ectropion

Answer 5

the turning outward and sagging of the eyelid

Question 6

what causes an extrapion?

Answer 6

muscle relaxation and weakness caused by aging

Question 7

with an ectropion air gets in the cornea causing __________

Answer 7

dryness

Question 8

Patient presents with constant ______ and sagging lower eyelid

Answer 8

tears

Question 9

surgery can restore_______

Answer 9

eyelid alignment

Question 10

What is a hordeolum?

Answer 10

stye… infection of the eyelid sweat gland or eyelid sebaceous gland

Question 11

a stye looks _______ and is painful

Answer 11

red

Question 12

nursing care for a stye includes…

Answer 12

• eye compress

- antibacterial ointment

Question 13

Nursing intervenes for a stye….

Answer 13

• teach patient how to apply compress

- remove the ointment from eyes before driving or operating machinery

Question 14

what is a chalazion?

Answer 14

is an inflammation of a sebaceous gland in the eye lid

Question 15

Is there pain felt with a chalazion?

Answer 15

No, painless swelling

Question 16

Subjective for chalazion

Answer 16

• light sensitivity
• eye fatigue
• excessive tears

Question 17

what is a keratoconjunctivitis sicca?

Answer 17

dry eye syndrome

Question 18

what drugs decrease tear production?

Answer 18

• antihistamine
• beta androgenic blocking agents
• anticholinergics
• cosmetic surgery

Question 19

cyclosporine

Answer 19

(restasis) ….increases tear production

Question 20

artificial tears are used with dry eye syndrome to

Answer 20

reduce daytime dryness

Question 21

what is Conjunctivitis?

Answer 21

inflammation with or without infection of the conjunctiva

Question 22

what are the two types of conjunctivitis ?

Answer 22

allergic and bacterial

Question 23

allergic conjunctivitis manifestation…

Answer 23

burning !

blood shot eye appearance, excessive tears and itching

Question 24

Management of allergic conjunctivitis includes…

Answer 24

…

Question 25

Management of allergic conjunctivitis includes...

Answer 25

vasoconstritor and corticosteroid eyedrops

Question 26

Bacterial conjunctivitis manifestations

Answer 26

- vessel dialation - edema - tears - discharge - discharge is watery then turns thicker w/ mucus

Question 27

treatment of conjunctivitis

Answer 27

ophthalmic antibiotics

Question 28

Nursing intervention of conjunctivitis

Answer 28

- preventing spread to the other eye - remind to wash hands - do not touch un affected eye before washing hands - avoid sharing was cloths - dont try on others make-up - dont share eyeglasses - use eyedrops in both eyes

Question 29

What is a trachoma?

Answer 29

Chronic conjunctivitis caused by clamydia trachomatis

Question 30

trachoma resembles which eye condition?

Answer 30

bacterial conjunctivitis

Question 31

most effective medication used for trachoma is

Answer 31

azithromycin (Zithromax)

Question 32

Corneal abrasion

Answer 32

a scratch or scrape injury to the cornea

Question 33

What can cause a corneal abrasion?

Answer 33

- foreign body - trauma - contacts - malnutrition - dry eye syndrome - some cancer therapies

Question 34

Corneal ulceration

Answer 34

deeper injury to the cornea....medical emergency that can permanently impair vision

Question 35

The patient with corneal disorder has

Answer 35

pain, reduced vision, photophobia and eye secretions | - hazy look

Question 36

nursing priority for corneal disorder

Answer 36

- begin drug therapy | - prevent infection

Question 37

nursing interventions

Answer 37

- antibiotics and make sure they are compliant | - eye drops only go i in the infected eye and not both

Question 38

cataract is a

Answer 38

lens opacity that distorts the image

Question 39

cataracts can be present at birth or develop...

Answer 39

at anytime

Question 40

cataracts can cause...

Answer 40

blindness

Question 41

assessment of cataract

Answer 41

- age - family history - recent/ past eye trauma - radioactive exposure - prolonged corticosteroid, beta blockers and biotic drugs -

Question 42

subjective

Answer 42

- decreased color perception | - may express that their vision is blurry

Question 43

does cataracts caused pain ?

Answer 43

no pain or redness associated with age related cataracts

Question 44

Can vision be restored when the cataract is removed ?

Answer 44

yes

Question 45

what is the only cure for cataracts ?

Answer 45

surgery

Question 46

glaucoma is

Answer 46

a group of eye disorders resulting Inntraocular pressure

Question 47

a patient with glaucoma usually has pain and has a dull...

Answer 47

headache over the affected eye

Question 48

an intraocular pressure above 20 is

Answer 48

to be alarmed

Question 49

primary glaucoma...

Answer 49

most common | - develops slowly and has no manifestation in early stages

Question 50

physical assessment/manifestations of glaucoma

Answer 50

- los of visual fields - sudden severe pain around the eyes that radiates over the face - seeing halos - vomiting

Question 51

diagnostic assessment of IOP measured by

Answer 51

tonometry

Question 52

open angles glaucoma tonometry reading should be between

Answer 52

22-32

Question 53

angle closure glaucoma tonometry reading may be

Answer 53

30 mm Hg or higher

Question 54

glaucoma is a common cause of

Answer 54

Blindness in North America

Question 55

glaucoma intervention

Answer 55

- drug therapy to decrease IOP

Question 56

Patient teaching for glaucoma drug therapy

Answer 56

- take medications as prescribed and on time - wait 5-10 min if taking more than 1 eye drop to prevent washing out effect. - do not skip doses

Question 57

What would you want to reinforce to a patient with a patient taking multiple eye drops

Answer 57

- identifying through different textures - using large labels - brighter colors - use rubber band system

Question 58

Macular degeneration is

Answer 58

the deterioration of the macula and can be age related and exudative

Question 59

____ AMD is the most common

Answer 59

dry

Question 60

dry amd manifestationa

Answer 60

- decreased central vision - mild blurring visual distortion at first - affects adl's

Question 61

dry AMD processes fastest amongst

Answer 61

smokers

Question 62

risk factors for AMD include

Answer 62

``` hypertension female short stature family history long term diet poor in vitamin E and carotene ```

Question 63

exudative macular degeneration can occur

Answer 63

at any age and in one or both eyes

Question 64

patients with EMD has a

Answer 64

sudden decrease in vision after a detachment of pigment epithelium in the macula

Question 65

does dry AMD have a cure?

Answer 65

No, treatment is focused on slowing down vision loss

Question 66

what dietary intakes slow the progression of dry AMD?

Answer 66

- vitamin B 12 - antioxidants - carotenoids lutein ans zeaxanthin

Question 67

Retinal holes can be caused by

Answer 67

trauma and aging

Question 68

retinal tears are characterized by

Answer 68

jagged and irregular shaped break in the retina

Question 69

retinal detachment

Answer 69

separation of the retina from the epithelium

Question 70

retinal detachment can be sudden and

Answer 70

painless

Question 71

subjective for retinal detachment...

Answer 71

sudden bright, flashes of l | - floating dark spots ight

Question 72

myopia

Answer 72

near sightedness

Question 73

presbyopia

Answer 73

age related vision loss

Question 74

patients decrease floaters as

Answer 74

seeing little things crawling ( bleeding behind the eye

Question 75

hyperopia aka micro myopia

Answer 75

far sightedness

Question 76

astigmatism

Answer 76

combination of both

Question 77

eye trauma is diagnosed with what

Answer 77

a CT scan or bedside ultrasound

Question 78

if a person works in construction and has metal in their eye you cannot do an MRI why?

Answer 78

the radiation will pull out the eye