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NR 602 FINAL EXAM/NR 602 WEEK 8 FINAL EXAM 2024 ACTUAL EXAM COMPLETE 150 QUESTIONS AND CORRECT DETAILED ANSWERS WITH RATIONALES $10.49   Add to cart

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NR 602 FINAL EXAM/NR 602 WEEK 8 FINAL EXAM 2024 ACTUAL EXAM COMPLETE 150 QUESTIONS AND CORRECT DETAILED ANSWERS WITH RATIONALES

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NR 602 FINAL EXAM/NR 602 WEEK 8 FINAL EXAM 2024 ACTUAL EXAM COMPLETE 150 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 c...

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  • September 18, 2024
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  • 2024/2025
  • Exam (elaborations)
  • Questions & answers
  • 2024/2025
  • 2024/2025
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EmillyCharlotte
TITLE: EMILLYCHARLOTTE 2024/2025 ACADEMIC PERIOD
OWNER: EMILLYCHARLOTTE
COPYRIGHT STATEMENT: ©2024 EMILLYCHARLOTTE. ALL RIGHTS RESERVED
FIRST PUBLISHED: SEPTEMBER 2024

NR 602 FINAL EXAM/NR 602 WEEK 8 FINAL
EXAM 2024 ACTUAL EXAM COMPLETE 150
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? - 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? - 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? - Answer✔️✔️-inflammation of the eyelid

,TITLE: EMILLYCHARLOTTE 2024/2025 ACADEMIC PERIOD
OWNER: EMILLYCHARLOTTE
COPYRIGHT STATEMENT: ©2024 EMILLYCHARLOTTE. ALL RIGHTS RESERVED
FIRST PUBLISHED: SEPTEMBER 2024



- caused by blocked oil gland, allergies, or excessive bacteria

What is the treatment for blepharitis? - 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? - Answer✔️✔️-Patient has anterior blepharitis



Treat with erythromycin ointment, ointment has longer contact with eye.



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? - Answer✔️✔️--Adenovirus

-HSV

-Herpes

,TITLE: EMILLYCHARLOTTE 2024/2025 ACADEMIC PERIOD
OWNER: EMILLYCHARLOTTE
COPYRIGHT STATEMENT: ©2024 EMILLYCHARLOTTE. ALL RIGHTS RESERVED
FIRST PUBLISHED: SEPTEMBER 2024

What organism is likely to cause bacterial conjunctivitis? - 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? - Answer✔️✔️-Viral Conjunctivitis



Patient should apply cold compresses for comfort



*Bacterial conjunctivitis has purulent discharge.

What is herpes keratitis? - 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? - 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? - Answer✔️✔️-Corneal abrasion, refer to optho

emergently or send to ER.

, TITLE: EMILLYCHARLOTTE 2024/2025 ACADEMIC PERIOD
OWNER: EMILLYCHARLOTTE
COPYRIGHT STATEMENT: ©2024 EMILLYCHARLOTTE. ALL RIGHTS RESERVED
FIRST PUBLISHED: SEPTEMBER 2024
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? -

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? - 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

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