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Nrsg 428:Nursing Care Of Special Conditions Question Paper
Nrsg 428:Nursing Care Of Special Conditions
Course:Nursing
Institution: Kenya Methodist University question papers
Exam Year:2013
KENYA METHODIST UNIVERSITY
END OF 2''ND ''TRIMESTER 2013 (DAY) EXAMINATION
SCHOOL : MEDICINE & HEALTH SCIENCES
DEPARTMENT : NURSING
UNIT CODE : NRSG 428
UNIT TITLE : NURSING CARE OF SPECIAL CONDITIONS
TIME : 3 HOURS
Instructions:
Answer all questions to the booklet provided.
SECTION 1
MCQs – choose the most appropriate response
Question One
During ophthalmologic assessment.
Assessment of visual acquity is done through tonometry.
History taking is the first and important step
The examining nurse is assumed to have normal visual fields in dirert confrontation
Assessment of intra-occular pressure is done in all patients with eye complains.
Question Two
The lens of the eye
Is the transparent button like structure at the anterior sclera.
Has strong refractive powers and ability to focus light
Is often transplanted from a donor when damaged.
Is located anterior to the cornea and posterior to the aquous humour.
Question Three
Bacterial infections of the skin include all the following except
Boils
Psoriasis
Cellulitis
Impetigo
Question Four
Entropion
Refers to the outward turning of the eyelid margin
Is caused by eyestrain in dim lighting
Causes development of cataracts
Refers to inward turning of the eyelid margin causing ineffective closure os the eyelids.
Question Five
Use of warm compressions in the management of eye conditions.
Is mandatory in all eye conditions.
Relieves oedema, reduces inflammation and cleanses the eye
Is indicated in clients with conjunctivitis or cataracts.
Relieves oedema, cleanses the eye and treats bacterial infection.
Question Six
Autoimmune disorders of the skin:
Include pemphigus valgaris and toxic epidermal necrolysis
Are caused by impaired immunity secondary to immune-suppression.
Include toxic epidermal necrolysis and psoriasis
Are treated through epidermal skin grafting only.
Question Seven
Weber test
Is used in assessment of the patency of the ear canal.
Involves using tunning fork to assess for air conduction
Is used interchangeably with Rhines test.
Is used to check for lateralization of sound to differentiate sensor neural hearing loss from conductive healing loss.
Question Eight
Barotrauma
Affects the ears with attitude changes
Is also referred to as labyrithitis
Results from failure of the Eustachian tube to maintain inner and middle ear pressures.
Is caused by motion hence also referral to motion sickness
Question Nine
Glaucoma
Is caused by failure of the drainage canals in the posterior cavity to adequately drain vitrous humour.
Is open angle glaucoma when the drainage channels are not blocked.
Is increased intra-ocular pressure caused by excessive hearing.
Is the leading cause of non-preventable blindness in the world.
Question Ten
Menieres disease manifests with the following signs
Except
Nausea & vomiting
Vertigo
Sensorineural hearing loss
Conductive hearing loss
Question Eleven
Indicate True (T) or False (F) against the following statements;
Acne Vulgaris is common among adolescents in boarding schools than in day schools
Tympanocontesis is used to tap fluid for culture and sensitivity and also relieve pressure from the middle ear
Psoriasis is also referred to as atopic dermatitis.
Presybyopia occurs more with increased age and is related to loss of elastin by the lens.
Myringotomy refers to reconstructive surgery to repair a perforated tympanic membrane of ossicles.
The nasal lacrima duct is responsible for the spread of eye and nose infections to each other.
Ototoxicity refers to poisoning of the ear with drugs and metals.
Viral infections of the skin requires no attention as they are self limiting.
Inflammation of the gums of teeth is referred to as periodontal disease
Severe labyrithitis management includes counseling the client because they become blind.
Question Twelve
Match statement in Column A with corresponding terms in Column B.
COLUMN A
Is a sensor neural hearing disorder caused by gradual degeneration of the sensory cells of the inner ear due to aging.
Is an eye lash follicle that is lump-like and tender
Is an autoimmune disorder of the skin.
Refers to opacity of the crystalline lens
Is caused by elongation of the eyeball resulting to clear near vision and blurred distance vision.
Is an inflammatory disorder of the skin due to chronic production of excess sebum.
Is a benign tumour arising from the Schwann cells causing sensorineural hearing loss.
Manifests with far clear vision but blurred near vision.
COLUMN B
Presbyopia
Scleroderma
Cataract
Presbycusis
Hyperopia
Stye
Seborrhoeic dermatitis
Myopia
Acoustic neuroma
Short Answer Questions
Short all Questions
Question One
Differentiate between primary and secondary skin lesions with an example of each.
(5 marks)
State five nursing interventions for a teenage girl with acne vulgaris.
(5 marks)
Question Two
Explain the collaborative management of a client presenting with a corneal ulcer. (6 marks)
Question Three
State the management of dental carriers. (6 marks)
Question Four
Explain the nursing management of a client with herpes zoster. (6 marks)
Question Five
State three causes of impacted cerumen. (3 marks)
Question Six
State five priority nursing diagnosis for a client presenting with pemphygus vulgaris. (5 marks)
Question Seven
Define labyrithitis
(1 mark)
State four nursing interventions for a client with acute labyrithitis.
(4 marks)
LONG ANSWER QUESTIONS
Question One
Trachoma can ruin the economy of a community if not managed promptly and adequately.
Explain why its referral to as a poor man’s disease.
(4 marks)
State four clinical manifestations of trachoma.
(4 marks)
Discuss the collaborative management of trachoma to include its prevention.
(12 marks)
Question Two
Explain what are parasitic skin infections.
(2 marks)
Identify one such infection and state the clinical manifestations. Explain collaborative management and prevention.
(15 marks)
State three complication of parasitic skin infections.
(3 marks)
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