A primary care NP examines a patient who complains of chronic, intermittent watery eyes and runny nose. The NP notes cobblestone-like papillae inside the upper eyelid with nonerythematous conjunctivae. The NP should:
a. prescribe intranasal corticosteroids.
b. refer the patient to an ophthalmologist.
c. prescribe trifluridine ophthalmic eye drops.
d. apply fluorescein dye to examine the cornea.
A
This patient has symptoms characteristic of allergic conjunctivitis. Any allergic rhinitis should be treated first. Intranasal corticosteroids are often effective. It is not necessary to refer to an ophthalmologist. Trifluridine is an antiviral solution used to treat documented herpetic keratitis. Fluorescein dye is used to assess for corneal abrasions or tears.
You might also like to view...
During a preoperative assessment, the nurse learns that a client takes all-natural nutritional supplements. Which response should the nurse make to this client?
a. "Discuss this with the anesthesiologist the day of surgery." b. "Skip the supplements the day of surgery, but resume afterwards." c. "Since the dietary supplements are "all natural" there should not be a problem." d. "Even all-natural dietary supplements may interact with anesthesia, medications, or alter blood clotting."
A patient will be taking amiodarone [Cordarone]. Which baseline tests are necessary before this medication is started? (Select all that apply.)
a. Chest radiograph and pulmonary function tests b. Complete blood count with differential c. Ophthalmologic examination d. Renal function tests e. Thyroid function tests
The nurse is assessing a client's pulse pressure. His blood pressure reading is 130/82 mmHg. Which of the following is the correct pulse pressure?
1. 40 2. 48 3. 130 4. 82
Cystine crystals
What will be an ideal response?