A nurse should include which instructions when teaching a patient ...

[mydiamond]

A nurse should include which instructions when teaching a patient with repeated hordeolum how to prevent further infection?
 
  a. Apply cold compresses at the first sign of recurrence.
  b. Discard all open or used cosmetics applied near the eyes.
  c. Wash the scalp and eyebrows with an antiseborrheic shampoo.
  d. Be examined for recurrent sexually transmitted infections (STIs).

Question 2

The nurse developing a teaching plan for a patient with herpes simplex keratitis should include which instruction?
 
  a. Apply antibiotic drops to the eye several times daily.
  b. Wash hands frequently and avoid touching the eyes.
  c. Apply a new occlusive dressing to the affected eye at bedtime.
  d. Use corticosteroid ophthalmic ointment to decrease inflammation.

[eliasc0401]

Answer to Question 1

ANS: B
Hordeolum (styes) are commonly caused by Staphylococcus aureus, which may be present in cosmetics that the patient is using. Warm compresses are recommended to treat hordeolum. Antiseborrheic shampoos are recommended for seborrheic blepharitis. Patients with adult inclusion conjunctivitis, which is caused by Chlamydia trachomatis, should be referred for sexually transmitted infection (STI) testing.

Answer to Question 2

ANS: B
The best way to avoid the spread of infection from one eye to another is to avoid rubbing or touching the eyes and to use careful hand washing when touching the eyes is unavoidable. Occlusive dressings are not used for herpes keratitis. Herpes simplex is a virus and antibiotic drops will not be prescribed. Topical corticosteroids are immunosuppressive and typically are not ordered because they can contribute to a longer course of infection and more complications.

[mydiamond]

Excellent

[dawsa925]

TYSM