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EXAM 3 ;Medical Surgical Nursing II ACTUAL EXAM 2025 TEST COMPREHENSIVE QUESTIONS AND VERIFIED ANSWERS (DETAILED & ELABORATED) 100% SOLVED 2025!!

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EXAM 3 ;Medical Surgical Nursing II ACTUAL EXAM 2025 TEST COMPREHENSIVE QUESTIONS AND VERIFIED ANSWERS (DETAILED & ELABORATED) 100% SOLVED 2025!!

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EXAM 3 ;Medical Surgical Nursing II ACTUAL EXAM 2025 TEST
COMPREHENSIVE QUESTIONS AND VERIFIED ANSWERS
(DETAILED & ELABORATED) 100% SOLVED 2025!!




Hordeolum (stye) - ANSWER✔✔-Ø Infection (usually staphylococcal) of the sweat

glands or the eyelid sebaceous gland; internal or external stye.


Ø Red, swollen, tender area on the skin surface of eyelid.


Ø Management: applying warm compresses & antibacterial


ointments.


Chalazion - ANSWER✔✔-Inflammation of sebaceous gland in the eyelid


Being with redness, tenderness, followed by a gradual painless swelling.


Management: applying warm compresses & local corticosteroid injection. Surgical

removal if vision is affected or cosmetically displeasing.


Conjunctival Disorders: Hemorrhage - ANSWER✔✔-bright red eye, no pain, no visual

impairment. Resolve spontaneously.


Conjunctivitis (pink eye) - ANSWER✔✔-inflammation or infection of the conjunctiva.




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,Ø Edema, "blood shot" eye appearance, tears & discharge. Foreign body, scratching or

burning sensation, itching, photophobia.


Ø Caused by bacteria, viruses, fungus and parasites.


Ø Topical antibiotics required for bacterial conjunctivitis.


Ø Viral conjunctivitis is not responsive to any treatment. Very contagious. Education

about frequent hand hygiene is essential.


Trachoma - ANSWER✔✔-Chronic conjunctivitis caused by Chlamydia trachomatis,

leading cause of preventable blindness. Almost always BOTH eyes. Mild itching and

irritation of the eyes and eyelids. Oral or topical antibiotics required.


Nursing Care for Conjunctival Disorders - ANSWER✔✔-Focus on infection control


Education about good hand hygiene


Avoid touching face/eyes


Avoid sharing washcloths and towels with others.


Complete the entire course of antibiotic eyedrops or ointments.


Educate on above and aseptic technique


Myopia - ANSWER✔✔-Nearsightedness




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,Light rays refract in front of the retina


Hyperopia - ANSWER✔✔-Farsightedness




Light rays refract behind the retina


Presbyopia - ANSWER✔✔-Age related farsightedness




Loss of accommodative power in the lens interferes with the ability to adequately focus


Astigmatism - ANSWER✔✔-uneven curvature of cornea causing blurring of vision


Emmetropia - ANSWER✔✔-normal vision


LASIK - ANSWER✔✔-refractive surgical correction




Laser assisted in situ keratomileusis




Reshaping of cornea


Keratoconus and corneal opacities - ANSWER✔✔-Degeneration of


the corneal tissue resulting in




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, abnormal corneal shape


blurred vision is a


prominent symptom.


Phototherapeutic keratectomy (PTK) - ANSWER✔✔-(laser procedure used to treat

diseased corneal tissue by removing or reducing corneal opacities)


Post-operative care for Phototherapeutic keratectomy (PTK) - ANSWER✔✔-Ø Oral

analgesics


Ø Apply a pressure patch or therapeutic soft contact lens.


Ø Antibiotic, corticosteroids ointments, NSAIDs


Penetrating keratoplasty (PKP) - ANSWER✔✔-cadaver corneal

transplantation/grafting


Post-operative care for Penetrating keratoplasty (PKP) - ANSWER✔✔-Ø Apply

pressure eye patch (during the day for the first 3-5 days) and eye shield (at night for the

first month).


Ø Antibiotic ointment, corticosteroid drops as prescribed.


Nursing priorities and education for corneal disorders - ANSWER✔✔-Ø Nursing

priority: instill anti-infective therapy eye drops every hour for the first 24 hours.


Ø Do Not to use an ice pack on the eye.



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