Exam (elaborations)
Maryville University Nurs 621 - HEENT Exam 1 questions with correct answers
- Institution
- Maryville University Of St. Louis
Maryville University Nurs 621 - HEENT Exam 1 questions with correct answers
[Show more]
Content preview
Maryville University Nurs 621 - HEENT Exam 1questions with correct answers
What are conditions that require immediate referral? Correct 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? Correct
Answer-Irritation, grittiness or scratchiness.
What type of pain will the patient experience if the cornea is the issue?
Correct 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) Correct
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? Correct Answer--making sure the globe is intact.
,-red reflex
-pupils are reactive to light.
-EOM
-Visual acuity.
What is Blepharitis? Correct Answer--Inflammation involving the
structures of the lid margin.
-The most common ocular disease.
What is the presentation of Blepharitis? Correct 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? Correct Answer--Warm compresses 5-
10 mins BID.
-scrub lash with diluted baby shampoo BID.
-Treatment:
Bacitracin, erythromycin, azithromyacin drops.
What is a Hordeolum (stye)? Correct 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? Correct Answer-Acute
Presentation of hordeolum? Correct Answer--Sudden onset
-painful swelling
-pimple/abscess in either upper or lower lid.
-tender lump.
What is a Chalazion? Correct 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? Correct Answer--slow
developing.
-no pain.
-hard mass/nodule within the eye lid (upper eyelid usually)
Is a Chalazion an infection? Correct Answer-No
, What do you do if the Chalazion is persistent? Correct Answer-Refer to
ophthalmology for further evaluation.
What is bacterial conjunctivitis?
Is it contagious? Correct 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?
Correct 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? Correct
Answer-Gram Positive Organisms
-Staphylococcus aureus (most common in adults)
-Streptococcus pneumoniae
Gram Negative Organisms
-Moraxella catarrhalis
-Haemophilius influenzae
-N. gonorrhoeae
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 cracker. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $16.49. You're not tied to anything after your purchase.
Can Stuvia be trusted?
4.6 stars on Google & Trustpilot (+1000 reviews)
71498 documents were sold in the last 30 days
Founded in 2010, the go-to place to buy study notes for 14 years now