NURS 620 Exam 1 Test Questions and Correct Answers

Define dry eye. it is a relatively common syndrome in age 40 and older characterized by inadequate tear production. What does dry eye occur as a result of? mechanical obstruction, lacrimal gland malfunction, or mucin deficiency. Name four things a patient with dry eye might present with. a feeling of sand in the eyes especially when blinking. Eyes feel hot, irritated, gritty, and are red. They may c/o blurred vision, lack of tears, excessive tearing, and sensitivity to light. Worsens in smoky or dry environments. Name four potential differential diagnoses of dry eye. conjunctivitis, blepharitis, hormonal changes, or age-related changes. What is epiphora? it is excessive tearing and is often in response to dry eye. It is an especially common complaint in elderly patients and patients with allergies. What causes epiphora? lacrimal malfunction, eye irritation, allergies, infection, trauma, pain, or structural abnormalities, as in ectropion. What might the patient complaints entail for epiphora? excess tears, eye strain with neck, shoulder, and back pain. What are some differential diagnoses for epiphora? allergens, dry eye syndrome, viral or bacterial conjunctivitis, blocked lacrimal duct, glaucoma. What is the most important thing for the clinician to know in the case of eye pain? when to refer the patient to an ophthalmologist. What is important to differentiate when dealing with eye pain? is the pain from the eye itself or from one of the surrounding structures. What is the most common cause of eye pain? trauma. Name some differential diagnoses for eye pain. referred pain, eyelid disorders, conjunctivitis, orbital cellulitis, glaucoma What can cause referred eye pain? trauma, headache, sinusitis, TMJ, herpes zoster ophthalmicus, postherpetic neuralgia, tumors, stroke, or trigeminal neuralgia. Name some eyelid disorders that can cause eye pain. hordeolum (stye), trauma, or blepharitis. Name a diagnosis that is eye pain with swelling. orbital cellulitis. Name a diagnosis that causes pain with eye movement. scleritis, or episcleritis. Name diagnoses that causes deep eye pain. uveitis and glaucoma. What is uveitis? it is an inflammation of the middle layer of the eye (uvea). Symptoms include redness, pain, light sensitivity, blurred vision, and dark floating spots in the field of vision.The most common type is an inflammation of the iris called iritis (anterior uveitis)