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Advanced Nursing NSG 6001 Exam with complete solutions 2024_2025.
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Advanced Nursing NSG 6001 Exam with complete solutions 2024_2025.
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Advanced Nursing NSG 6001 Exam withcomplete solutions 2024/2025
Chalazion - ANSWER-A chronic sterile, lipogranulomatous inflammation lesion of
the meibomian gland.
What causes a Chalazion - ANSWER-meibomian glands secrete the oil layer of
the tear film in the eye. NOT AN INFECTION. More common in adults.
What are the risk factors of a Chalazion - ANSWER-Chronic Blepharitis,
Seborrhea, Viral infection, rosacea
Clinical presentation of Chalazion - ANSWER-Chronic swelling at the inner eye
lid. (NOT ON THE LASH LINE)
Swollen, palpable nodule in lid margin of the eye.
NONTENDER.
Discomfort or irritation due to swelling, feeling of foreign body in the eye,
swelling of the eyelid.
Treatment of Chalazion - ANSWER-Small lesions may not need any treatment.
Usually absorbs spontaneously in 2-8 weeks
Drains through the inner surface of the eyelid
May need intralesion steroid injection
Warm compress 3-5 times per day
Gentle massage of eyelid (do not try and pop it)
Abx not indicated unless lesion is associated with Blepharitis
Optho referral if develops cellulitis or does not respond to treatment.
Patient education for Chalazion - ANSWER-- Patient can wear contact lenses.
They should be cleaned with disinfectant. Disposable lenses do not need to be
discarded any sooner than schedule.
, - Discard eye makeup.
- Good hand hygiene
Hordeolum - ANSWER-"STYE"
An acute INFECTION of a glands in the eyelid, may be associated with blepharitis.
- On the lash line
Causes of Hordeolum - ANSWER-staph aureus is the most common associated
organism, can progress to cellulitis or abcess
- more common in children
Clinical presentation of Hordeolum - ANSWER-Gradual enlarging localized nodule
- in 2-4 days will start draining
-painful, tender
-lid erythema, warmth, tearing
Treatment of hordeolum - ANSWER-- warm compresses for 5-10 min TID
- bactricacin or erythromcyin eye ointment
- Eyelid scrub (same as blepharitis)
- Good hand hygiene
- Monitor for Cellulitis- systemic antibiotics, optho referral
Otitis Externa - ANSWER-A cellulitis of the EXTERNAL AUDITORY CANAL that
may extend into the auricle
Risk factors for Otitis Externa - ANSWER-Removal of protective cerumen,
vigorous cleaning of external canal, maceration of skin from accumulation of
moisture infection. (Staph, pseudomonas)
Clinical presentation of Otitis Externa - ANSWER-Pain of affected ear and auricle,
fullness in ear, itching, drainage from ear, hearing loss, fever
Physical exam of Otits Externa - ANSWER-Pain and tenderness on palpitation of
trigs or manipulation of auricle, ear canal is red and or swollen, canal is filled with
debris and sloughed tissue.
Diagnostics: Culture of drainage if possible
Treatment of Otitis Externa - ANSWER-- NSAID for pain
- topical anesthetics and corticosteroids for severe pain/swelling
- Topical Abs ( Cortisporin otic suspension, Ciprodex)
- Insert wick into affected ear if needed to ensure medication. gets in.
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