ADVANCED NURSING NSG 6001 Questions with
100% Correct Answer Latest Update 2025 Already
Graded A+
Hordeolum
Ans: "STYE"
An acute INFECTION of a glands in the eyelid, may be associated with blepharitis.
- On the lash line
Causes of Hordeolum
Ans: staph aureus is the most common associated organism, can progress to
cellulitis or abcess
- more common in children
Clinical presentation of Hordeolum
Ans: Gradual enlarging localized nodule
- in 2-4 days will start draining
-painful, tender
-lid erythema, warmth, tearing
Treatment of hordeolum
Ans: - warm compresses for 5-10 min TID
- bactricacin or erythromcyin eye ointment
,- Eyelid scrub (same as blepharitis)
- Good hand hygiene
- Monitor for Cellulitis- systemic antibiotics, optho referral
Otitis Externa
Ans: A cellulitis of the EXTERNAL AUDITORY CANAL that may extend into
the auricle
Risk factors for Otitis Externa
Ans: Removal of protective cerumen, vigorous cleaning of external canal,
maceration of skin from accumulation of moisture infection. (Staph,
pseudomonas)
Clinical presentation of Otitis Externa
Ans: Pain of affected ear and auricle, fullness in ear, itching, drainage from ear,
hearing loss, fever
Physical exam of Otits Externa
Ans: Pain and tenderness on palpitation of trigs or manipulation of auricle, ear
canal is red and or swollen, canal is filled with debris and sloughed tissue.
Diagnostics: Culture of drainage if possible
Treatment of Otitis Externa
Ans: - NSAID for pain
- topical anesthetics and corticosteroids for severe pain/swelling
- Topical Abs ( Cortisporin otic suspension, Ciprodex)
- Insert wick into affected ear if needed to ensure medication. gets in.
, - systemic therapy if extends beyond the canal
Otitis Media
Ans: Inflammation and or infection of the middle ear
- inflammation and edema of ET and or adenoids
- narrowing of Eustachian tube, decreased drainage of fluid from the middle ear.
- accumulation of fluid in middle ear ( otitis media with effusion)
Causes of Otitis Media
Ans: Bacterial or viruses (often refluxes from nasopharynx into ear) occurs with
or follows URI, allergic rhinitis, exposure to smoke in young children, ET is short
and more horizontal, bottle feeding, attending daycare, GERD, pacifier use,
craniofacial abnormalities
- Most common organisms: Strep Pneumo, H.Flu, Moraxella Catarrhalis
- most frequent childhood infectious disease
Clinical Presentation of Otitis Media
Ans: Painful ear that is worse lying down, rubbing ear, rhinorrhea, vomiting,
diarrhea, fever, malaise, conductive hearing loss
associated s/s: imbalance, vertigo, mild stuffiness, fullness or popping sensation in
the ear
Diagnostic and Physical exam of Otitis Media
Ans: Diagnostic exam: Weber and Rhinne test, Tympanometry, CBC with Diff
Physical: Vitals, Complete HEENT exam
TM exam: pink or red TM with bulge, loss of landmarks, if fluid present= OM with
100% Correct Answer Latest Update 2025 Already
Graded A+
Hordeolum
Ans: "STYE"
An acute INFECTION of a glands in the eyelid, may be associated with blepharitis.
- On the lash line
Causes of Hordeolum
Ans: staph aureus is the most common associated organism, can progress to
cellulitis or abcess
- more common in children
Clinical presentation of Hordeolum
Ans: Gradual enlarging localized nodule
- in 2-4 days will start draining
-painful, tender
-lid erythema, warmth, tearing
Treatment of hordeolum
Ans: - warm compresses for 5-10 min TID
- bactricacin or erythromcyin eye ointment
,- Eyelid scrub (same as blepharitis)
- Good hand hygiene
- Monitor for Cellulitis- systemic antibiotics, optho referral
Otitis Externa
Ans: A cellulitis of the EXTERNAL AUDITORY CANAL that may extend into
the auricle
Risk factors for Otitis Externa
Ans: Removal of protective cerumen, vigorous cleaning of external canal,
maceration of skin from accumulation of moisture infection. (Staph,
pseudomonas)
Clinical presentation of Otitis Externa
Ans: Pain of affected ear and auricle, fullness in ear, itching, drainage from ear,
hearing loss, fever
Physical exam of Otits Externa
Ans: Pain and tenderness on palpitation of trigs or manipulation of auricle, ear
canal is red and or swollen, canal is filled with debris and sloughed tissue.
Diagnostics: Culture of drainage if possible
Treatment of Otitis Externa
Ans: - NSAID for pain
- topical anesthetics and corticosteroids for severe pain/swelling
- Topical Abs ( Cortisporin otic suspension, Ciprodex)
- Insert wick into affected ear if needed to ensure medication. gets in.
, - systemic therapy if extends beyond the canal
Otitis Media
Ans: Inflammation and or infection of the middle ear
- inflammation and edema of ET and or adenoids
- narrowing of Eustachian tube, decreased drainage of fluid from the middle ear.
- accumulation of fluid in middle ear ( otitis media with effusion)
Causes of Otitis Media
Ans: Bacterial or viruses (often refluxes from nasopharynx into ear) occurs with
or follows URI, allergic rhinitis, exposure to smoke in young children, ET is short
and more horizontal, bottle feeding, attending daycare, GERD, pacifier use,
craniofacial abnormalities
- Most common organisms: Strep Pneumo, H.Flu, Moraxella Catarrhalis
- most frequent childhood infectious disease
Clinical Presentation of Otitis Media
Ans: Painful ear that is worse lying down, rubbing ear, rhinorrhea, vomiting,
diarrhea, fever, malaise, conductive hearing loss
associated s/s: imbalance, vertigo, mild stuffiness, fullness or popping sensation in
the ear
Diagnostic and Physical exam of Otitis Media
Ans: Diagnostic exam: Weber and Rhinne test, Tympanometry, CBC with Diff
Physical: Vitals, Complete HEENT exam
TM exam: pink or red TM with bulge, loss of landmarks, if fluid present= OM with
