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Home Q & A Board Biology-Related Homework Help Medicine Nursing and Clinical
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haileyyfoll haileyyfoll
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6 years ago
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.
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#1
6 years ago
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.
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