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5 Written Questions

5 Matching Questions

  1. CN XI
  2. a patient with chronic glaucoma
  3. sympathetic nervous system
  4. myringotomy
  5. nursing intervention for a patient with IOP
  1. a referred to as fight and flight or adrenergic system due to adrenalin; causes BP elevation, HR elevation, pupil to dilate, blood goes to core (used for survival)
  2. b an incision in the typanum to release the increased pressure and exudate from the middle ear
  3. c make sure they don't lay on the operative side and not with the head down, no coughing or vomiting and we don't want the patient to shave because of the pulling or pressure to the area
  4. d spinal accessory (motor) (sternomastoid and trapezius)
  5. e will receive miotic drugs(Pilocarpine) to constrict the pupils and make it easier to drain the canal of Schlemm which allows the aqueous humor to drain

5 Multiple Choice Questions

  1. protect from injury, do not restrain, maintain airway, observe and record seizure, postictal phase (they sleep)
  2. inner ear issue, signs are "drop attacks" where they fall to the floor; nausea and vomiting, tinnitus; believed to be a problem with the endolymph and perilymph (treatment is to restrict fluids or low sodium diet); given antiemetics for N&V (Benadryl, Antivert); surgery is viable option; if untreated they will lose hearing in affected side
  3. client needs to be supine with head turned to the affected side, placed on the conjunctival sac, place pressure on the inner canthus (keeps med from going out into the systemic circulation)
  4. assess for iodine allergy because it works better with contrast or iodine (is an x-ray)
  5. more severe form, the majority of patients with eyes affected become functionally blind; has a more rapid onset and is noted by the development of abnormal blood vessels in or near the macula.

5 True/False Questions

  1. correct way to walk a blind patientplace a patch on both eyes; bedrest, affected eye receives cycloplegics and mydriatics

          

  2. mydriaticsan inflammation or infection of the cornea that can be caused by a variety of microorganisms or by other factors; may involve the conjunctiva and/or the cornea

          

  3. otitis media with effusiongroup of hereditary degenerative retinal diseases marked by defective night vision followed by a progressive loss of the field of vision; rod and cone photoreceptor degeneration is followed by degenerative changes in retinal neurons and the optic blood vessels and nerve head; no specific therapy available, but guidance and counseling can be provided

          

  4. parasympathetic nervous systemmaintenance system (called the cholinergic system because the neurotransmitter is attributed to choline); "feed and breed", sounds like colon; slows peristalsis, slows HR, BP drops, pupils constrict

          

  5. types of seizuresgrand mal, petit mal (absence), myoclonic, febrile, partial seizure, status epilepticus (medical emergency)

          

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