Sensory game questions

Question 1

The nurse is developing a teaching plan for a client with glaucoma. Which instruction should the nurse include in the plan of care?

Answer 1

Eye medication will need to be administered for life

Question 2

What is cranial nerve #8 responsible for?

Answer 2

Auditory (vestibulocochlear) is responsible for balance and hearing

Question 3

What clinical manifestations are associated with hearing loss?

Answer 3

• Ineffective communication
• Decreased intention
• Withdrawal
• Suspicion
• Loss of self esteem and insecurity

Question 4

How do you check if a patient with hearing loss understood what you were communicating to them?

Answer 4

Have the patient teach back. Also have a family/friend at bedside to get education

Question 5

What part of the ear is affected if the patient has conductive hearing loss?

Answer 5

Outer and middle ear

Question 6

What part of the ear is affected if the patient has sensorineural hearing loss?

Answer 6

Inner ear damage (nerve pathways)

Question 7

What are two of the priority symptoms that we are assessing for with hearing loss that is caused by compression of cranial nerve 8?

Answer 7

Tinnitus and vertigo

Question 8

What is tinnitus and what is your priority assessment for the patient suffering with tinnitus?

Answer 8

Ringing of the ears can cause suicidal ideation

Question 9

What is vertigo and what is your priority assessment for the patient suffering with vertigo?

Answer 9

Room is spinning while patient is still. High fall risk

Question 10

What are some of the causes of conductive hearing loss?

Answer 10

• Otitis media with effusion
• Poor Eustachian tube function
• impacted cerulean
• Tumors
• Objects present
• Middle ear disease
• Otosclerosis

Question 11

What are some of the causes of sensorineural hearing loss?

Answer 11

• Illness
• Genetics
• Loud noises
• Ototoxicity
• Aging

Question 12

What meds cause Ototoxicity in sensorineural hearing loss?

Answer 12

• Vancomycin
• Gentamycin
• Cisplatin
• Aspirin
• Furosemide
  -Quinine

Question 13

True or false: sensorineural is permanent hearing loss that cannot be fixed by surgery or medicine?

Answer 13

True

Question 14

What is Menieres disease?

Answer 14

Refers to the dilation of the endolymphatic system by overproduction or decrease reabsorption of endolymphatic fluid
(Basically too much fluid causing pressure on cranial nerve 8)

Question 15

What treatments can be done for a patient with menieres disease?

Answer 15

• Mild diuretics
• Vestibular rehabilitation
• Surgery

Question 16

What communication technique is most effective for a patient with hearing loss?

Answer 16

Talk low and slow
Can also use written instructions for patient

Question 17

What part of the eye do you administer eye drops?

Answer 17

Nasolacrimal duct/Conjuctival sac

Question 18

How long do you hold pressure on the inner eye after administering eye drops?

Answer 18

15 seconds

Question 19

Why do you want to apply pressure to the nasolacrimal duct/conjuctiva after administering eye drops?

Answer 19

To prevent systemic absorption (Decrease of BP and HR)

Question 20

What are the four leading causes of blindness?

Answer 20

• Age related macular degeneration
• Cataracts
• Diabetic retinopathy
• Glaucoma

Question 21

What is cranial nerve 2 responsible for?

Answer 21

Optic nerve is responsible for visual acuity

Question 22

What is cranial nerve 3 responsible for?

Answer 22

Oculomotor is responsible for opening of eyelids, eye movement

Question 23

What is cranial nerve 4 responsible for?

Answer 23

Trochlear nerve is responsible for eye movement downward/medial

Question 24

What is cranial nerve 6 responsible for?

Answer 24

Abductees nerve is responsible for eye movement lateral

Question 25

What is cranial nerve 7 responsible for?

Answer 25

Facial nerve is responsible for facial muscle movement (except chewing) and eyelid closing

Question 26

What is cataract defined as?

Answer 26

Opacification of the lens

Question 27

What is the number one risk factors for cataracts?

Answer 27

Age is the number one risk factor followed by DM, UV light, use of corticosteroids and trauma

Question 28

What safety education do you want to provide the patient diagnoses with cataracts?

Answer 28

Do not drive at night because of low visibility from light not being able to go through. Glow or halo around light sources

Question 29

What is the treatment for cataracts?

Answer 29

Surgery

Question 30

If the patient has any unexpected complications after cataract surgery, what should you do?

Answer 30

Call the surgeon even if it is just pain

Question 31

What part of the vision does glaucoma affect?

Answer 31

Peripheral vision

Question 32

What is the difference between open and closed glaucoma?

Answer 32

Open is gradual IOP build up. Closed is a rapid buildup (24-48 hours to fix before permanent damage)

Question 33

What part of the vision does macular degeneration affect?

Answer 33

Central vision

Question 34

What is the difference between dry and wet macular degeneration?

Answer 34

Dry is drusen buildup that is gradual Wet is drusen with hemorrhage and neovascularization that is rapid

Question 35

Is there a cure for macular degeneration?

Answer 35

No cure just slowing of progression

Question 36

For a type 1 diabetic when should they have an eye appointment?

Answer 36

Within 5 years of diagnosis and then yearly

Question 37

For a type 2 diabetic when should they have an eye appointment?

Answer 37

Upon diagnosis and then yearly