Maryville Nurs620 Exam 1 Questions
Answered And Graded
Conditions of the eye that require immediate referral - Correct Answer -severe or
sudden vision loss
-sudden or intense eye pain
-corneal ulceration
-trauma to the eye
-foreign body in the eye
-herpetic infection of the eye- herpes complex- pain itching and rash devop
History questions for the eyes - Correct Answer -Contact lens user- if so what are their
habits for cleaning and wearing?
-Is there pain in the eye or discomfort such as dry and itchying
-photophobia
-difficulty keeping eye open
-timing and character of eye discharge
-any trauma or chemical splash
-any other symptoms such as cold, ear pain, nasal drainage
-family history of eye problems
most important exam if a patient has eye complaint - Correct Answer visual acuity-
have them do with their glasses or contacts on.
Blephritis - Correct Answer inflammation of the eyelid, with redness, scailing, and
crusting of the lid margins and eyelashes.
Subjective- burning, itching, feels likes something is in the eye, crusting of eyelashes
and eyelids.
Blepharitis treatment - Correct Answer Warm compresses
Scrub lash line with diluted baby shampoo BID
Antibiotic eyedrops or ointment if not improving
hordeolum (stye) - Correct Answer -Acute onset, red, tender lump within the eyelid.
-Involved infection or inflammation of the hair follicles along eyelid
-caused by blocked or infected glands
Hordeolum treatment - Correct Answer Warm compresses for 10 minutes-4 times per
day (to draw drainage out)
Teach patient not to squeeze but allow to drain on its own
Daily lid scrubs
Antibiotics only for recurrent or resistant or presence of conjunctivitis:
Erythromycin, polymixin B
, chalazion - Correct Answer -Hordeolum that does not resolve and forms a granulated
tissue
- slow developing, painless, hard mass
-can be pea sized nodules.
-not an infection, its just a blocked gland
Refer to optimologist if they persist.
Difference between a hordeolum and Chalazion - Correct Answer Primary difference is
that a chalazion and hordeolum is that chalazia are a result of inflammation and
hordeola or styes are infectious
Hordeolum = acute, and often has eyelid swelling with it.
chalazion= slow developing
Bacterial conjunctivitis s/s - Correct Answer -redness
-purulent discharge or thick and globular
-unilateral at onset
-eyes glued shut in the morning
-eyelid edema
Can wipe eye in office and if discharge immediately comes back it is a good indication it
is bacterial
Allergic conjuctivitis s/s - Correct Answer -bilateral redness
-watery discharge
-intense itching
-crusty in morning
-history of allergic symptoms
Treatment of allergic conjuctivitis - Correct Answer -cold compresses
-lubricating eye drops
-antihystimines topical & systemic and decongestants, nsaids
viral conjunctivitis s/s - Correct Answer -gritty burning
-morning crusting
-watery discharge
-unilateral onset then bilat 1-2 days
treatment for viral conjunctivitis - Correct Answer -antihistamine
-lubricant drops
-cool compresses
corneal abrasion s/s - Correct Answer -Eye pain
-hesitant or unable to open eye
-foreign body sensation
Answered And Graded
Conditions of the eye that require immediate referral - Correct Answer -severe or
sudden vision loss
-sudden or intense eye pain
-corneal ulceration
-trauma to the eye
-foreign body in the eye
-herpetic infection of the eye- herpes complex- pain itching and rash devop
History questions for the eyes - Correct Answer -Contact lens user- if so what are their
habits for cleaning and wearing?
-Is there pain in the eye or discomfort such as dry and itchying
-photophobia
-difficulty keeping eye open
-timing and character of eye discharge
-any trauma or chemical splash
-any other symptoms such as cold, ear pain, nasal drainage
-family history of eye problems
most important exam if a patient has eye complaint - Correct Answer visual acuity-
have them do with their glasses or contacts on.
Blephritis - Correct Answer inflammation of the eyelid, with redness, scailing, and
crusting of the lid margins and eyelashes.
Subjective- burning, itching, feels likes something is in the eye, crusting of eyelashes
and eyelids.
Blepharitis treatment - Correct Answer Warm compresses
Scrub lash line with diluted baby shampoo BID
Antibiotic eyedrops or ointment if not improving
hordeolum (stye) - Correct Answer -Acute onset, red, tender lump within the eyelid.
-Involved infection or inflammation of the hair follicles along eyelid
-caused by blocked or infected glands
Hordeolum treatment - Correct Answer Warm compresses for 10 minutes-4 times per
day (to draw drainage out)
Teach patient not to squeeze but allow to drain on its own
Daily lid scrubs
Antibiotics only for recurrent or resistant or presence of conjunctivitis:
Erythromycin, polymixin B
, chalazion - Correct Answer -Hordeolum that does not resolve and forms a granulated
tissue
- slow developing, painless, hard mass
-can be pea sized nodules.
-not an infection, its just a blocked gland
Refer to optimologist if they persist.
Difference between a hordeolum and Chalazion - Correct Answer Primary difference is
that a chalazion and hordeolum is that chalazia are a result of inflammation and
hordeola or styes are infectious
Hordeolum = acute, and often has eyelid swelling with it.
chalazion= slow developing
Bacterial conjunctivitis s/s - Correct Answer -redness
-purulent discharge or thick and globular
-unilateral at onset
-eyes glued shut in the morning
-eyelid edema
Can wipe eye in office and if discharge immediately comes back it is a good indication it
is bacterial
Allergic conjuctivitis s/s - Correct Answer -bilateral redness
-watery discharge
-intense itching
-crusty in morning
-history of allergic symptoms
Treatment of allergic conjuctivitis - Correct Answer -cold compresses
-lubricating eye drops
-antihystimines topical & systemic and decongestants, nsaids
viral conjunctivitis s/s - Correct Answer -gritty burning
-morning crusting
-watery discharge
-unilateral onset then bilat 1-2 days
treatment for viral conjunctivitis - Correct Answer -antihistamine
-lubricant drops
-cool compresses
corneal abrasion s/s - Correct Answer -Eye pain
-hesitant or unable to open eye
-foreign body sensation
