NR 602 ELABORATED EXAM PRACTICE

NR 602 ELABORATED EXAM PRACTICE A mother presents with her 3 month old child and complains of goopy eye that is sometimes matted shut after naps. Upon exam the conjunctiva is clear with some mild crusting to eye lashes. What is the diagnosis and patient teaching? - CORRECT ANSWER-Probable lacrimal duct obstruction. -The baby will likely grow out if it somewhere between six and 12 months. -You can do a daily lacrimal duct massage and warm compresses to help open up the duct. -Watch for Periorbital cellulitis or bacterial conjunctivitis. Nine-year-old patient presents with tender, swollen, erythemic bump to eyelid. What is the diagnosis and patient education? - CORRECT ANSWER-Hordeolum (stye) -warm moist compress - scrub eye lashes with baby shampoo BID - eye will feel better when stye pops, if doesn't will refer to optho. What is blepharitis? - CORRECT ANSWER-inflammation of the eyelid - caused by blocked oil gland, allergies, or excessive bacteria What is the treatment for blepharitis? - CORRECT ANSWER-Cleanse with baby shampoo TID - Warm, moist compress - resistant can prescribe Doxy or Tertracycline but not to pediatrics who don't have adult teeth, can cause discoloration. Pediatrics can have Bactrim. A 9 year old patient presents with acute swelling and erythema to eyelid with flaky, scaly debris to eyelid margins. Patient reports gritty, burning feeling to eyes. She has already attempted warm compresses and