Instructions

 Provide complete and concise answers to all questions, do not include questions or scenario, and submit to assigned drop box by deadline  Use scholarly writing for all answers o Include APA style title page, citations, reference list o Use correct grammar, complete sentences, paragraph structure, professional terms o Use scholarly sources (e.g., textbook, journals, government agencies) less than 5 years old o Paraphrase content (i.e., rephrase in your own words) and cite/reference source, do not use quotes

Part 1, Eyes:

1. Describe two common disease processes of the eyes in the elderly. Discuss the pathophysiologic changes at the tissue level and relate them to abnormal assessment findings. (20 points) 2. Provide at least two evidence-based health promotion recommendations related eye health. (15 points)

Part 2, ENT: Jeremy Tiller is a 26-year old male complaining of severe, sore throat which started 2-3 days ago. In addition, he complains of fatigue, difficulty swallowing some foods, and feels pressure in the right ear. He has tried over-the-counter pain relief and decongestants without relief. Over the past 3 days, the sore throat has become more severe and he complains of dyspnea and shortness of breath. He smokes has smoked about ½ a pack of cigarettes a day since age 16.

General survey: Alert and anxious male in distress. Appears thin. His vital signs are; heart rate 130 beats/min, respiratory rate 32 breaths/min, temperature 102 degrees Fahrenheit, blood pressure 130/66 mmHg, and pain 8/10 (0-10 scale) in the throat. His oxygen saturation is 89% on room air.

ENT: Upon inspection of his mouth, the breath smells foul and the right palatine tonsil is erythematous and covered with thick, whitish exudate. The right tonsil is also edematous and displacing the uvula to the left. Upon examination of the ears, they are nontender. The right tympanic membrane is intact, but erythematous and bulging. His whisper test is 100% in both ears. For Mr. Tiller,

3. Identify potential medical diagnosis(es). Explain abnormal findings that support diagnosis (10 points) 4. Provide one prioritized, nursing diagnosis for the patient with “related to” and “as evidenced” by statements. Note: Actual problems take precedence over “risk for” problems (10 points) 5. For chosen nursing diagnosis, provide one measurable outcome with meaningful timeframe (5 points) 6. For chosen nursing diagnosis/outcome, provide evidence-based nursing interventions with scientific rationales. Note: Include what the nurse should “monitor/assess”, “do”, and “teach” to the client (15 points) 7. Discuss one potential healthcare referral need for the client (10 points)