TEST BANK FOR PRIMARY CARE 6TH EDITION BY BUTTARO
Chapter 57: Dry Eye Syndrome Buttaro: Primary Care: A Collaborative Practice, 6th Edition MULTIPLE CHOICE 1. A patient experiencing chronically dry eyes reports having a foreign body sensation, burning,
and itching. A Schirmer test is abnormal. What is the suspected cause of this patient’s symptoms based on this test finding? a. Aqueous deficiency b. Corneal abrasion c. Evaporative disorder d. Poor eyelid closure ANS: A
An abnormal Schirmer test, which assesses aqueous production, indicates aqueous-deficient dry eye. A corneal abrasion usually causes excessive tearing. An evaporative disorder is determined by an evaluation of tear breakup time. Poor eyelid closure causes increased corneal exposure and increased evaporation of tears. MULTIPLE RESPONSE 1. A patient has evaporative dry eye syndrome with eyelid inflammation. What are some
pharmacologic and nonpharmacologic measures the provider can recommend? (Select all that apply.) a. Apply over-the-counter artificial tears as needed. URSINGTB.COM b. Avoid direct exposure to airNconditioning. c. Topical steroid eye drops as a maintenance medication. d. Use nontearing baby shampoo to gently scrub the eyelids. e. Use tetrahydrozoline drops for discomfort ANS: A, B, D
Patients with dry eye are encouraged to use OTC artificial tears to help moisten the eyes. Avoiding exposure to fans, air conditioning, and wind is recommended. Nontearing baby shampoo may be used to cleanse the lids in patients with eyelid inflammation. Topical steroid eye drops should be used sparingly and for short periods of time. Tetrahydozoline drops constrict blood vessels and may dry eyes further.
NURSINGTB.COM
