Title COMPRE - HANDOUTS - SS (Mr. Aguirre) ✅

COMPREHENSIVE PHASE HANDOUTS SPECIAL SENSES Prepared By: Mr. Rocky Aguirre, RN NOVEMBER 2025 Philippine Nurse Licensure Examination Review REFRACTIVE ERROS ⇨ when ________ entering the eye ________________ on the retina ANATOMY & PHYSIOLOGY ● Refraction: ________________ ● Goal: ____________________ What affects refraction? 1. Cornea 2. Lens 3. Eyeball Myopia Hyperopia Astigmatism Vision Eyeball Refraction Focal pt. Lens ASSESSMENT Visual Acuity Test ● Position ________ away ● Eye glasses on? ________________________ ● Sequence: ________________ ● Read the smallest line she/he can Interpretation: ________________ Normal: ________ Legal blindness: ________ CATARACT ⇨ cloudiness or opacity of the ________. ANATOMY & PHYSIOLOGY ● Colorless, transparent, biconvex structure ● Located between the ________ and ________ ● Contains ________ which are proteins that affect the opacity of the lens. ● 2 main functions: ○ Refraction ○ Accommodation TYPES ● Congenital cataracts ● Senile cataracts ● Traumatic cataracts ● Secondary cataracts ASSESSMENT Slit Lamp Examination ● used to assess ________________ ● an instrument equipped with a special lighting system and a binocular microscope. RN INTERVENTIONS Priority Goal: ________________ 1) Keep the side rails up 2) Assist the client while ambulating 3) Ensure clear pathway 4) Provide adequate lighting MD MANAGEMENT ● Surgical removal of all parts of the lens: ________________________ ● Surgical removal of all parts of the lens, except posterior capsule: ________________________ ○ Use of ultrasonic devices to liquefy the nucleus and cortex, followed by micro suction: ________________________ ○ Use of pencil-like instrument with a supercooled metal tip (-35° C) to extract lens: ________________________ Lens Replacement: ● 1st choice: ________________________ ● 2nd choice: ○ ________________________ ○ ________________________ Pre-op ● Apply eye drops ○ Analgesics (Flurbiprofen sodium 1%) ○ Mydriatic (Tropicamide) Post-op Priority Goal: ________________ ● Position: ________________ ● Keep the eyes ___________ ● Protect the eyes ● Notify HCP if: ○ Signs of bleeding: ________________ ○ Signs of infection: ________________ ○ Signs of increased IOP: ________________ ● Avoid activities that increase IOP TOP RANK REVIEW ACADEMY, INC. Page 1 | 3