Exam (elaborations)
Maryville University Nurs 621 - HEENT Exam 1questions With Correct Detailed Answers.
- Course
- Institution
Maryville University Nurs 621 - HEENT Exam 1questions With Correct Detailed Answers.
[Show more]
Content preview
Maryville University Nurs 621 - HEENTExam 1questions With Correct Detailed
Answers.
What are conditions that require immediate referral? - ANSWER- -severe or sudden
vision loss.
-sudden or intense eye pain.
-corneal ulceration.
-trauma.
-foreign body
-herpetic infection of the eye
What type of pain does conjunctivitis, stye and dry eyes have? - ANSWER- Irritation,
grittiness or scratchiness.
What type of pain will the patient experience if the cornea is the issue? - ANSWER- -
photophobia (can be severe)
-difficulty keeping eye open.
What 2 things can we ask the patient to help us distinguish between viral, allergic and
bacterial? (in terms of eye complaints) - ANSWER- -Ask about timing of the discharge.
-Ask about the characteristic of the eye discharge.
-Also ask about history of any URI symptoms
What are the basics in terms of physical exam for someone with an eye complaint? -
ANSWER- -making sure the globe is intact.
-red reflex
-pupils are reactive to light.
-EOM
-Visual acuity.
What is Blepharitis? - ANSWER- -Inflammation involving the structures of the lid margin.
-The most common ocular disease.
What is the presentation of Blepharitis? - ANSWER- -redness
-scaling
-crusting of the lid margins and eye lashes.
-pt reports burning, itching, feeling like something is in the eye.
How do you manage Blepharitis? - ANSWER- -Warm compresses 5-10 mins BID.
-scrub lash with diluted baby shampoo BID.
,-Treatment:
Bacitracin, erythromycin, azithromyacin drops.
What is a Hordeolum (stye)? - ANSWER- -an erythematous tender lump within the eye
lid.
-involves infection or inflammation of a hair follicle of the eye lashes along the lid
margin.
- caused by blocked meibomian glad or infection of sebaceous glands of the eyelash.
What is the onset for a Hordeolum? - ANSWER- Acute
Presentation of hordeolum? - ANSWER- -Sudden onset
-painful swelling
-pimple/abscess in either upper or lower lid.
-tender lump.
What is a Chalazion? - ANSWER- -A hordeolum that doesn't resolve and eventually
forms granulation tissue.
-A blocked Meibomian gland.
-Pea-sized nodule within the eyelid, typically top eyelid.
What are the symptoms of a Chalazion? - ANSWER- -slow developing.
-no pain.
-hard mass/nodule within the eye lid (upper eyelid usually)
Is a Chalazion an infection? - ANSWER- No
What do you do if the Chalazion is persistent? - ANSWER- Refer to ophthalmology for
further evaluation.
What is bacterial conjunctivitis?
Is it contagious? - ANSWER- Inflammation and infection of the conjunctiva which is
caused by bacteria.
Yes, highly contagious - direct contact with secretions or contaminated surfaces.
What is the symptomatic presentation of bacterial conjunctivitis? - ANSWER- -redness
-purulent or mucopurulent discharge (thick and globular)
-unilateral at onset
-eyelids "glued" shut in the AM.
-eyelid edema.
What are major pathogens in acute bacterial conjunctivitis? - ANSWER- Gram Positive
Organisms
-Staphylococcus aureus (most common in adults)
-Streptococcus pneumoniae
, Gram Negative Organisms
-Moraxella catarrhalis
-Haemophilius influenzae
-N. gonorrhoeae
What is the diagnostic clue of Chlamydial Conjuctivitis? - ANSWER- A CC that an eye
infection has persisted for >3 weeks despite treatment with topical antibiotics.
How is Chlamydia Conjunctivits trasmitted? - ANSWER- Autoinoculation from infected
genital secretions.
What are the S/S of chlamydial conjunctivitis? - ANSWER- -mucopurulent discharge.
-corneal infiltrates.
-palpable preauricular node is usually present.
Ear infection and rhinitis cold accompany it.
What is the treatment of chlamydial Conjunctivitis? - ANSWER- Doxycycline 100mg BID
x7 days
OR
Azithromyacin 1 gram PO in combination with topicals.
What is the presentation of Allergic Conjunctivitis? - ANSWER- -bilateral redness.
-watery discharge.
-May have stringy or rope-like discharge.
-itching (cardinal sign)
-crusty in the morning.
-history of allergy symptoms.
How do you treat allergic conjunctivitis? - ANSWER- -Cold compresses
-lubricants
-Topical antihistamines, decongestants, NSAIDS and mast cell stabilizers.
--Naphcon-A (Naphazoline + pheniramine) -- antihistamine/decongestant OTC 1gtt QID
PRN up to 8 days.
Zaditor (Ketotifen) - Antihistamine/Mast cell stabilizer - OTC 1 gtt q 8 to 12 hr.
Olopatadine (Patanol) 0.1% or 0.2% solution 1 gtt BID
Ketorolac (Acular) NSAID 1gtt QID
-Systemic Antihistamines.
What is the presentation of Viral Conjunctivitis? - ANSWER- -gritty/burning feeling.
-morning crusting.
-watery to serous discharge during the day.
The benefits of buying summaries with Stuvia:
Guaranteed quality through customer reviews
Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.
Quick and easy check-out
You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.
Focus on what matters
Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!
Frequently asked questions
What do I get when I buy this document?
You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.
Satisfaction guarantee: how does it work?
Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.
Who am I buying these notes from?
Stuvia is a marketplace, so you are not buying this document from us, but from seller Divinehub. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $11.49. You're not tied to anything after your purchase.
Can Stuvia be trusted?
4.6 stars on Google & Trustpilot (+1000 reviews)
75759 documents were sold in the last 30 days
Founded in 2010, the go-to place to buy study notes for 14 years now