NURS 5335 EENT FAMILY NURSING II MODULES 1 & 2 STUDY GUIDE QUESTIONS WITH ANSWERS

NURS 5335 EENT FAMILY NURSING II MODULES 1 & 2
STUDY GUIDE QUESTIONS WITH ANSWERS.


Non-Ulcerative: A/W seborrhea; seen commonly with trisomy 21; affects those with
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psoriasis, seborrhea, eczema, allergies and lice. Chemical and environmental irritants
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contribute

Ulcerative: Involves the lash follicle & the Meibomian glands of the eyelid. May be pustules
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at the base of the hair follicle that crust & bleed. Lashes break easy. -- Correct Answer ✔✔
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Blepharitis
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Blepharitis treatment -- Correct Answer ✔✔ TX: Warm compress; daily lid scrubs;
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erythromycin, quinolone or bacitracin ophthalmic ointment for anterior blepharitis.
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Consider oral ABX for resistance (Doxycycline or Tetracycline)
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Disinfect contacts t




Lid massages
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hordeolum age group? -- Correct Answer ✔✔ More common in children and adolescents
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hordeolum s/s? -- Correct Answer ✔✔ Localized tenderness, erythema, edema of eyelids;
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internal lesions pointing to external or internal eyelid surface; external lesions pointing to
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eyelid margin
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Pain

Ocular rosacea t




Contact dermatitis, t




Atopic Kerato-conjunctivitis,
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Herpes simplex infection,
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Preseptal cellulitis, t

,Acute dacryocystitis, -- Correct Answer ✔✔ differentials of hordeolum
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differentials of hordeolum -- Correct Answer ✔✔ blepharitis t t t t t t t




Sebaceous carcinoma, t




Basal cell carcinoma,
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Squamous cell carcinoma, t t




Dry eye syndrome,
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Conjunctivitis,

blepharitis -- Correct Answer ✔✔ Ocular burning, eyelid margins red w/ scaling or
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crusting
Pain
Itching, tearing, chalazia, recurrent styes, photophobia, small ulceration at eyelid margin,
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broken or absent eyelashes
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hordeolum -- Correct Answer ✔✔ (stye) red, painful pustule that is a localized infection of
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hair follicle at eyelid margin. The most common associated organism is Staphylococcus
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aureus

TX: Warm compress; lid scrubs for recurrent lesions -- Correct Answer ✔✔ Hordeolum
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tx

chalazion -- Correct Answer ✔✔ a nodule or cyst, usually on the upper eyelid, caused by
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an obstruction in a sebaceous gland A granulomatous infection of a Meibomian gland
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Nontender chronic lesions; bump -- Correct Answer ✔✔ Chalazion is More common in
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adults and S?S t t




TX: Warm compress; daily lid scrubs; lid message; intralesional steroid injection --
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Correct Answer ✔✔ Chalazion t t t




Conjunctivitis -- Correct Answer ✔✔ Refer to ophthalmology for t t t t t t t t t




viral herpetic conjunctivitis w/RED FLAGS
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, Inflammation of the conjunctiva covering the front of the eye from a causative agent
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(bacteria, virus, allergen) -- Correct Answer ✔✔ Conjunctivitis
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Conjunctivitis -- Correct Answer ✔✔ Allergic conjunctivitis is seen more in Spring and
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Summer.

Bacterial is seen more in pediatric population.
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Conjunctivitis -- Correct Answer ✔✔ ALLERGIC: Pruritus; conjunctival hyperemia,
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chemosis; a watery or stringy discharge
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BACTERIAL: Photophobia w/ blepharospasm; mucopurulent discharge w/ eyelash
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mattering; edema; hyperemia; preauricular adenopathy only w/ hyperacute disorder
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VIRAL: Acute onset often A/W systemic illness; photophobia or foreign body sensation;
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preauricular adenopathy; hyperemia; chemosis; watery discharge; classic dendritic corneal
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lesion present w/ herpes simplex; periocular lesions present w/ herpes zoster opthalmicus
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ALLERGIC: Conjunctivitis -- Correct Answer ✔✔ Pruritus; conjunctival hyperemia,
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chemosis; watery or stringy discharge
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Topical antihistamine/oral antihistamine or topical vasoconstrictor decongestant
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antihistamine (OTC) drops: o Naphazoline hydrochloride 0.025% (Naphcon-A) o
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Naphazoline- antazoline 0.3% (Vasocon-A) o Levocabastine hydrochloride 0.05%
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(Livostin) o Emedastine 0.05% (Emadine) mast cell stabilizers: o Olopatadine 0.1% (Palatal)
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o Azelastine 0.05% (Optivar) 1st line = prevention; avoid whatever allergen is triggering
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conjunctivitis

BACTERIAL: Conjunctivitis -- Correct Answer ✔✔ Photophobia w/ blepharospasm;
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mucopurulent discharge w/ eyelash mattering; edema; hyperemia; preauricular t t t t t t t t




adenopathy only w/ hyperacute disorder t t t t




Caused by staph, strep, h flu, and m catarrhalis, Pseudomonas (contact lens wearers),
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gonorrhea ****Staph aureus (more common in adults)
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Eye drops or ointment:
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o Polytrim/trimethoprim/polymyxin o Erythromycin o Tobramycin o Gentamicin o
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Sodium sulfacetamide o Ciprofloxacin o Fluoroquinolones-(**1st line for contact users) o
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Ointment over drops for children
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