Author Question: A patient with a hordeolum (sty) asks what caused the disorder. What is the nurse's best response? ... (Read 66 times)

naturalchemist · **on:** Jun 25, 2018

A patient with a hordeolum (sty) asks what caused the disorder. What is the nurse's best response?

1. This may be due to the dandruff on your scalp and eyebrows.
2. This is possibly a side-effect of a medication you are taking.
3. It is a result of eversion of the eyelid and associated with the aging process.
4. It may be due to squinting when you are in the sun and not wearing sunglasses.

Question 2

A nurse is completing a health history interview of a patient with a suspected diagnosis of retinitis pigmentosa. What questions should the nurse ask this patient during the interview?

Select all that apply.
1. Do you have any health problems that have a genetic basis?
2. Do you know if your parents have had or your children are experiencing any symptoms similar to what you are experiencing?
3. What is your current occupation?
4. Have you ever suffered blunt trauma to the head?
5. Have you ever been told you were HIV positive?

T4T · **Reply #1 on:** Jun 25, 2018

Answer to Question 1

Correct Answer: 1
A hordeolum (sty) is an infection of one or more of the sebaceous glands of the eye. It can be caused by a staphylococcal infection or it may be due to dandruff of the scalp and eyebrows, which would be seborrheic in origin. There is not enough information to determine whether medications the patient is taking could be a possible cause. Eversion of the eyelid is an ectropion and can result from an infectious process, but it is typically age-related. Squinting is not the cause of a sty.

Answer to Question 2

Correct Answer: 1, 2, 3
Retinitis pigmentosa is a hereditary degenerative disease characterized by progressive loss of retinal function from the periphery to the central region of the retina. It is an autosomal dominant, autosomal recessive, or X-linked trait and may be associated with other genetic defects. Initial manifestations are noted in childhood, and the patient may be totally blind by age 40. Therefore, consideration of occupation is important, as the patient may be referred to vocational rehabilitation services. This disease is not associated with blunt trauma to the head or HIV infection, although these questions would be relevant to any patient with a suspected eye disorder.