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Exam 1 NURS 620 Adult 1 Questions and Complete Solutions Graded A+

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  • Course
  • Maryville NURS 620
  • Institution
  • Maryville NURS 620

Exam 1 NURS 620 Adult 1 Questions and Complete Solutions Graded A+

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  • August 25, 2024
  • 59
  • 2024/2025
  • Exam (elaborations)
  • Questions & answers
  • Maryville NURS 620
  • Maryville NURS 620
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Exam 1 NURS 620
Adult 1 Questions
and Complete
Solutions Graded
A+
Denning [Date] [Course title]

,Blepharitis

Non-ulcerative form associated with seborrhea - Answer: • Tends to affect people with psoriasis,
seborrhea, eczema, allergies, and lice infestations

• Contributing factors: exposure to chemical or environmental irritants, use of eye makeup and contact
lenses



warm compresses, scrub lash with diluted baby shampoo, bacitracin, erythromycin, azithromycin drops



Blepharitis

Ulcerative form - Answer: • Involves the lash follicle and the meibomian glands of the eyelid

• May be pustules at the base of the hair follicles that may crust and bleed

• Lashes become thin and break easily



Hordeolum - Answer: • An ***acutely*** presenting, erythematous, tender lump within the eyelid

• External hordeolum: inflammation/***infection*** of the eyelid margin affecting the hair follicles of
the eyelashes

• Internal hordeolum: inflammation/infection of the meibomian glands



**Treat with warm compresses and opthalmic ATB ointment such as erythromycin for internal
hordeolum**



Chalazion - Answer: • A granulomatous blocked **meibomian gland**, presenting in the form of
painless swelling on the eyelid (a hordoleum that does not resolve)

**slow developing, painless, hard mass (pea sized nodule within the eyelid)***

• Initially may be tender and erythematous before evolving into a nontender lump

• Blepharitis is frequently associated with chalazia



Conjunctivitis - Answer: • Conjunctivitis: inflammation of the conjunctiva covering the front of the eye

Common causes

• Infectious agents: bacterial, viral, or fungal

,• Sexual transmission and ophthalmia neonatorum

• Herpes simplex virus (HSV) I

• Trachoma

• Toxicity (from an inciting agent of some sort)

• Allergy



Conjunctivitis: Diagnostic Tests

******Check visual acuity first******

• Dilated pupil exam for proptosis, optic nerve dysfunction, decreased visual acuity, diplopia, or anterior
chamber inflammation

• Fluorescein staining to rule out corneal involvement or keratitis

• Blue penlight illumination to see corneal scratches, corneal dendrites, or corneal ulceration



Bacterial Conjunctivitis: Subjective/Objective - Answer: • Redness

• Purulent or mucopurulent discharge

• Unilateral at onset

• Eyelids glued shut in morning

• Edematous



Bacterial Conjunctivitis: Treatment - Answer: • Trimethoprim/Polymyxin Unilateral at onset

• Tobramycin 0.3% Edematous

• Ciprofloxacin 0.3%



Viral Conjunctivitis: Subjective/Objective - Answer: • Watery discharge

• Gritty sensation

• Little discomfort

• **Unilateral at onset then usually bilateral*** within 48hrs

• Pre-auricular lymphadenopathy

, Viral Conjunctivitis: Treatment - Answer: • Lubricant drops

• Cool compresses

• Antihistamines



Allergic Conjunctivitis: Subjective/Objective - Answer: • **Bilateral redness**

• Watery, stringy discharge (rope-like)

• **Itching***

• Crusty in morning

• Allergy symptoms



Allergic Conjunctivitis: Treatment - Answer: • Cold compresses

• Lubricants

• Topical antihistamines/decongestants/NSAIDs/mast cell stabilizers (Naphcon A, Zaditor-
antihistamine/mast cell stabilizer)

• Systemic antihistamines



Otitis Media (OM) - Answer: • Otitis media with effusion (OME): transudation of plasma from middle
ear blood vessels, leading to chronic effusion in the ***absence**** of the signs and symptoms of acute
infection; caused by blocked eustachian tube



decreased hearing may result; fluid but no inflammation



• Acute otitis media (AOM): suppurative OM or purulent OM

• Recurrent OM: the clearance of middle ear effusions between acute episodes of otic inflammation

• Chronic OM: inflammation persists more than 3 months, typically related to tympanic membrane
perforation with either intermittent or persistent otic discharge



OME: Subjective - Answer: • Stuffiness, fullness, and a loss of auditory acuity in the affected ear only

• Pain is rare; may describe popping, crackling, or gurgling sounds when chewing, yawning, or blowing
the nose

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