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.
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.
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The school nurse has been seeing a 16-year-old pregnant teen in the clinic. A few weeks before the baby is scheduled to arrive, the student asks the nurse which formula she should use. She says,
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Turner syndrome is suspected in an adolescent girl with short stature. This is caused by:
a. absence of one of the X chromosomes. b. presence of an incomplete Y chromosome. c. precocious puberty in an otherwise healthy child. d. excess production of both androgens and estrogens.