MARYVILLE NURS620 EXAM 1
LATEST ACTUAL STUDY QUESTIONS
AND ANSWERS
Conditions of the eye that require immediate referral - 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 - 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 - ANSWER-visual acuity-
have them do with their glasses or contacts on.
Blephritis - 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 - ANSWER-Warm compresses
Scrub lash line with diluted baby shampoo BID
, Antibiotic eyedrops or ointment if not improving
hordeolum (stye) - 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 - 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 - 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 - 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 - ANSWER--redness
-purulent discharge or thick and globular
-unilateral at onset
-eyes glued shut in the morning
-eyelid edema
LATEST ACTUAL STUDY QUESTIONS
AND ANSWERS
Conditions of the eye that require immediate referral - 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 - 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 - ANSWER-visual acuity-
have them do with their glasses or contacts on.
Blephritis - 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 - ANSWER-Warm compresses
Scrub lash line with diluted baby shampoo BID
, Antibiotic eyedrops or ointment if not improving
hordeolum (stye) - 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 - 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 - 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 - 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 - ANSWER--redness
-purulent discharge or thick and globular
-unilateral at onset
-eyes glued shut in the morning
-eyelid edema
