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Adult I NURS 620/621 Exam 1 Questions With Correct Answers.
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Adult I NURS 620/621 Exam 1 Questions With Correct Answers.
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Adult I NURS 620/621 Exam 1 QuestionsWith Correct Answers.
Non-ulcerative form of blephritis associated with - ANSWER- Tends to affect people
with psoriasis, seborrhea, eczema, allergies, and lice infestations
Contributing factors associated with non-ulcerative blepharitis: - ANSWER- exposure to
chemical or environmental irritants, use of eye makeup and contact lenses
Ulcerative form of blephritis - ANSWER- Involves the lash follicle and the meibomian
glands of the eyelid, pustules at the base of the hair follicles that may crust and bleed,
Lashes become thin and break easily
Hordeolum - ANSWER- An acute, erythematous, tender lump within the eyelid
External hordeolum: - ANSWER- inflammation/infection of the eyelid margin affecting
the hair follicles of the eyelashes
Internal hordeolum: - ANSWER- inflammation/infection of the meibomian glands
Chalazion - ANSWER- A granulomatous infection of a meibomian gland, presenting in
the form of painless swelling on the eyelid, initially may be tender and erythematous
before evolving into a nontender lump
Blepharitis is frequently associated with - ANSWER- chalazia
Conjunctivitis - ANSWER- inflammation of the conjunctiva covering the front of the eye
Common causes conjunctivitis (5) - ANSWER- Infectious agents: bacterial, viral, or
fungal Sexual transmission and ophthalmia neonatorum, Herpes simplex virus (HSV) I,
Trachoma, Allergy
Conjunctivitis: Diagnostic Tests (4) - ANSWER- 1. visual acuity 2. Dilated pupil exam 3.
Fluorescein staining to rule out corneal involvement or keratitis 4. blue penlight
illumination to see corneal scratches, corneal dendrites, or corneal ulceration
Bacterial Conjunctivitis: Subjective/Objective - ANSWER- 1. Redness 2. Purulent or
mucopurulent discharge
3. Unilateral at onset
4. Eyelids glued shut in morning 5. 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 Itching Crusty in morning Allergy symptoms
Allergic Conjunctivitis: Treatment - ANSWER- Cold compresses Lubricants Topical
antihistamines/decongestants/NSAIDs/mast cell stabilizers Systemic antihistamines
Otitis media with effusion (OME): - ANSWER- transudation of plasma from middle ear
blood vessels, leading to chronic effusion in the absence of the signs and symptoms of
acute infection
Acute otitis media (AOM) types - ANSWER- suppurative OM or purulent OM
Recurrent OM: - ANSWER- the clearance of middle ear effusions between acute
episodes of otic inflammation
Chronic OM: - ANSWER- inflammation persists more than 3 months, typically related to
tympanic membrane perforation with either intermittent or persistent otic discharge
OME (effusion): Subjective (4) - ANSWER- 1.Stuffiness, fullness, and a loss of auditory
acuity in the affected ear only 2.Pain is rare; 3. may describe popping, crackling, or
gurgling sounds when chewing, yawning, or blowing the nose 4. Rare vertigo
OME effusion: Objective (3) - ANSWER- 1.Mucous membranes of nasal and oral
cavities edematous 2.Eardrum may be dull but usually is not bulging, 3.eardrum mobility
typically decreases on pneumatic otoscopy
AOM: Subjective - ANSWER- Marked "deep" ear pain and fever Unilateral hearing loss
Otic discharge Recent history of upper respiratory infection Possible dizziness (space
disorientation), vertigo, tinnitus (ringing in the ears), or N/V
AOM: Objective symptoms - ANSWER- Tympanic membrane amber, yellow-orange,
pinkish gray to fiery red in color
2.Tympanic membrane typically full or bulging in acute cases, 3.absent or obscured
bony landmarks and cone light reflex
AOM management (3) - ANSWER- 1. 10-day course of antibiotic such as amoxicillin
(80-90 mg/kg/day) 2. If antibiotics have been used in the last month, consider a beta-
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