NSG 554 - Nurse Practitioners in Primary Care I
Exam 2
Question:
Which patients should be referred immediately to an ophthalmologist after eye injury and initial treatment? (Select all that apply.)
- A patient who was sprayed by lawn chemicals
- A patient who works in a metal fabrication shop
- A patient with a corneal abrasion
- A patient with a full-thickness corneal laceration
- A patient with irritation secondary to wood dust
Answer:
- A patient who was sprayed by lawn chemicals
- A patient who works in a metal fabrication shop
- A patient with a full-thickness corneal laceration
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Question:
An adult patient with a history of recurrent sinusitis and allergic rhinitis reports chronic tearing in one eye, ocular discharge, and eyelid crusting. The provider suspects nasolacrimal duct obstruction. Which initial treatment will the provider recommend?
- Antibiotic eye drops
- Nasolacrimal duct probing
- Systemic antibiotics
- Warm compresses
Answer:
- Warm compresses
This is most likely acquired nasolacrimal duct obstruction
Question:
A patient is diagnosed with dacryocystitis. The provider notes a painful lacrimal sac abscess that appears to be coming to a head. Which treatment will be useful initially?
- Eyelid scrubs with baby shampoo
- Incision and drainage
- Lacrimal bypass surgery
- Topical antibiotic ointment
Answer:
- Incision and drainage
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Question:
Which is the most common cause of orbital cellulitis in all age groups?
- Bacteremic spread from remote infections
- Inoculation from local trauma or bug bites
- Local spread from the ethmoid sinus
- Paranasal sinus inoculation
Answer:
- Local spread from the ethmoid sinus
Question:
A child's optic assessment data include unilateral eyelid edema, warmth, and erythema but no pain with ocular movement is reported. Which characteristic is most likely true about this child's infection?
- Decreased visual acuity may occur.
- Increased intraocular pressure will be present.
- Optic nerve compromise is a complication.
- The eye is typically spared without conjunctivitis.
Answer:
- The eye is typically spared without conjunctivitis.
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Question:
A patient is experiencing eyelid swelling with erythema and warmth and reports pain with eye movement. Which diagnostic tests will be performed to confirm a diagnosis of orbital cellulitis? (Select all that apply.)
- Blood cultures
- Complete blood count
- CT scan of orbits
- Lumbar puncture
- Visual acuity testing
Answer:
- Complete blood count
- CT scan of orbits
Question:
A patient has an elevated, yellowish-white lesion adjacent to the cornea at the 3 o'clock position of the right eye. The provider notes pinkish inflammation with dilated blood vessels surrounding the lesion. What information will the provider provide the patient about this lesion?
- Artificial tear drops are contraindicated.
- Spontaneous bleeding is likely.
- UVB eye protection is especially important.
- Visine may be used for symptomatic relief.
Answer:
- UVB eye protection is especially important.
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