NR 602 FINAL EXAM/NR 602 WEEK 8 FINAL EXAM ACTUAL EXAM COMPLETE 130 QUESTIONS AND CORRECT DETAILED ANSWERS WITH RATIONALES
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NR 602 FINAL EXAM/NR 602 WEEK 8 FINAL EXAM ACTUAL EXAM COMPLETE 130 QUESTIONS AND CORRECT DETAILED ANSWERS WITH RATIONALES/NR 602 FINAL EXAM/NR 602 WEEK 8 FINAL EXAM ACTUAL EXAM COMPLETE 130 QUESTIONS AND CORRECT DETAILED ANSWERS WITH RATIONALES
NR 602 FINAL EXAM/NR 602 WEEK 8 FINAL EXAM ACTUAL EXAM COMPLETE 130 QUESTIONS AND
CORRECT DETAILED ANSWERS WITH RATIONALES
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 washing eyelids with baby soap with minimal relief. What is the
diagnosis and treatment? - correct answer-Patient has anterior blepharitis
Treat with erythromycin ointment, ointment has longer contact with eye.
,NR 602 FINAL EXAM/NR 602 WEEK 8 FINAL EXAM ACTUAL EXAM COMPLETE 130 QUESTIONS AND
CORRECT DETAILED ANSWERS WITH RATIONALES
Can use azithromycin ointment x 4 weeks for long term treatment
Can use doxycycline or tetracycline for chronic in kids >8 years or Azithromycin oral for kids <8
What organism is likely to cause viral conjunctivitis? - correct answer--Adenovirus
-HSV
-Herpes
What organism is likely to cause bacterial conjunctivitis? - correct answer--Staph aureus
-strep pneumoniae
-H. Influenza
A 10-year-old patient presents with unilateral conjunctivitis with watery discharge x 2 days
along with itching of the eye. Mother denies any other associated symptoms. What is the
diagnosis and treatment? - correct answer-Viral Conjunctivitis
Patient should apply cold compresses for comfort
*Bacterial conjunctivitis has purulent discharge.
What is herpes keratitis? - correct answer-Herpes viral infection to the eye caused by HSV.
A 19-year-old male presents with blurred vision, watery discharge, photophobia, and eye
redness. Upon exam you note fern-like lines under the woods lamp. What is the diagnosis and
tx? - correct answer-Herpes Keratitis
Tx: Antivirals
A 16-year-old female presents with complaints of sudden onset of red, watery, and painful left
eye. She reports possible foreign body to eye. Upon inspection you visualize a n erythemic
lesion to the eye. When using woods lamp you note a small superficial laceration. What is the
dx and tx? - correct answer-Corneal abrasion, refer to optho emergently or send to ER.
, NR 602 FINAL EXAM/NR 602 WEEK 8 FINAL EXAM ACTUAL EXAM COMPLETE 130 QUESTIONS AND
CORRECT DETAILED ANSWERS WITH RATIONALES
A mother brings her nine-year-old overweight son to the clinic with complaints of pain to the
groin, knee, and right hip. She reports patient has been walking with a limp for the last couple
days but unable to ambulate today. Mother denies any recent trauma. Upon inspection there is
external rotation of the right foot. What is the dx and tx? - correct answer-Slipped capital
femoral epiphysis
Refer to ER, will need surgery.
-most common in adolescent, obese males.
Father presents with his four-year-old son and states that patient has been limping since this
morning and was crying all night complaining of left hip pain. Upon exam you appreciate
decreased range of motion of left hip but no external rotation or signs of trauma. What is the
probable diagnostics, and treatment? - correct answer-Toxic transient syndrome- most
common cause of limp in peds.
Order: CBC, ESR, and X-ray. WBC and ESR will be elevated. X-RAY will be normal.
-advise father that will resolve in 2-6 weeks.
- patient needs bed rest, NWB to left leg, and NSAIDS.
- return if develops fever, swelling, pain that is unrelieved by rest or medication
What degree is scoliosis is considered functional? - correct answer-5-10 degrees, continue to
monitor.
What degree of scoliosis is considered mild? - correct answer-<20 degrees, monitor every 3-4
months
A 13-year-old female presents to the office after having an x-ray order by you for her scoliosis.
The reading on the x-ray reports a 30° curvature. What is the treatment plan? - correct
answer-Milwaukee brace for 23 hours per day
Back exercises
At what point does scoliosis become a surgical case? - correct answer-Curves greater than 45°
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