Study Guide Exam 3- NUR2356 (1).docx - Module 7 1...

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Module 7 1. Safety (fall prevention, fire, home care safety) a. Fall prevention i. Remove clutter ii. Ensure adequate lighting iii. Install handrails in the shower iv. Utilize non-skid socks b. Fire Safety i. R.A.C.E – rescue, alarm, contain, extinguish ii. P.A.C.E – Pull, aim, squeeze, sweep c. Home care safety i. Poisoning – exposure mainly due to improper storage of items ii. Carbon Monoxide – Know s/s, usually occurs in cold months, install detectors iii. Toxins from work environments – dust particles, chemical contact with skin iv. Burns – Scald, Warming, sunburn, contact burn, chemical burn v. Fires – Home oxygen equipment leading cause of fires vi. Suffocation – Mainly infants and chocking vii. Firearms – Educate and keep locked 2. Communication, especially with impaired patients: a. hearing aids, sign language, lip-reading, CC b. Speak directly to the patient c. Always knock and announce yourself when entering the room 3. Glaucoma Increased IOP more than 20 mm hg compression of blood vessels and photoreceptors and nerve fibers. Hypoxia-necrosis-loss of vision. Signs and Symptoms: a) Acute angle closure i) Sudden severe pain around the eye radiating over face, Headache or brow pain, nausea, and vomiting. ii) Can also cause seeing colored halos around lights and blurred vision with decreased light perception. b) Open angle: corneal thinness, painless Edu: common in AA, MA, Types: a) Open angle: most common, occurs over time, goes unnoticed because central vision is not usually affected until later. b) Closed angle: **Medical Emergency** Interventions: drug therapy to reduce IOP and patient education, Laser trabeculoplasty, trabeculectomy 4. Cataracts (symptoms, signs, education, interventions, surgical interventions, etc)
Opacity of lens of eye that lies behind iris. Most are r/t age. Distorts images. S&S: a) Blurred vision, decreased color perception, may think glasses are smudged, double vision, problem w/ ADL’s, w/o surgical intervention blindness follows, affects reading/driving b) No pain or eye redness is associated with age-related cataracts formation. Edu: a) Surgery is the only cure for cataracts b) Education how to instill eye drops c) Education on how to take care of the eyes after cataract surgery interventions: a) Recognition when ADL’s cannot be performed safely/independently, b) Don’t bend @ waist, lift 10+ lbs, sneeze/cough, blow nose, strain, no sex, avoid vomit, no tight shirt collars Surgical Interventions: Cataract surgery (antibiotic/steroids after surgery) Post-operative and pre-operative care Types: a) Age-related: Lens and water loss and fiber compaction b) Traumatic: Blunt injuries to eye or head, penetrating eye injury, foreign bodies in eye, radiation exposure c) Toxic: corticosteroids, miotic agents, phenothiazine derivatives d) Associated: Diabetes mellitus, hypoparathyroidism, down syndrome, chronic sunlight exposure e) Complicated: Glaucoma, retinal detachment 5. Audition testing: audiometry – determines the type of hearing loss and assists in planning/interventions Module 8 1. Healing process stages (Primary, secondary, Tertiary)

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