Maryville NURS 620 Adult 1 EXAM 1

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Maryville NURS 620 Adult 1 EXAM 1 if rapid strep test is negative what is the first thing you should do? Correct Answer- send out culture when examining lab from a person with mono what would the NP ... expect to find? Correct Answer- Lymphocytosis EBV is transmitted through which route? Correct Answer- oral pharyngeal secretions (saliva) Sx of mono usually present how many days after initially infected? Correct Answer- 30-50 days if a pt is being treated for strep and tells you he or she has allergy to PCN what class of med to avoid Correct Answer- beta-lactam 60 yr old concerned over a painless fixed oral sore on exam there is a white ulcerated lesion with induration what do you suspect Correct Answer- oral cancer which vision sx is common in open angel glaucoma Correct Answer- peripheral vision loss pt presents with sudden vision changes with floaters and flashes, what is next step Correct Answer- refer to eye dr (retinal detachment) An acutely presenting, erythematous, tender lump within the eyelid Correct Answer- Hordeolum (stye) A granulomatous infection of a Meibomian gland, presenting in the form of painless swelling on the eyelid Correct Answer- Chalazion what maneuver can be performed to help manage sx of vertigo? Correct Answer- Epley maneuver What can help diagnose vertigo Correct Answer- Dix-Hallpack test A pt is started on antibiotics for strep a few days later the mono spot comes back positive what is the first thing to do? Correct Answer- discontinue antibiotics peripheral vision loss that has worsened over the last few months Correct Answer- open-angle glaucoma (peripheral loss over time) Risk factor for otitis externa? Correct Answer- Exposure to water, excessive use of headphones, Q-tips, impacted cerumen and earplugs Risk factor for otitis media? Correct Answer- Young children, allergies, craniofacial abnormalities, smokers, hx of URI, acid reflux, immunodeficiency A red flag for pt complaining of red eye? Correct Answer- severe headache therapeutic option for acute rhino-sinusitis in pt with no recent antimicrobial care with treatment failure after 7 days of 1st line abx (PCN)? Correct Answer- Doxycycline previously healthy pt comes in with 3 days post nasal drainage, cough, sneezing, and sore throat; exam shows pharyngeal erythema, pale swollen turbinates, clear rhinorrhea; T 99, most appropriate treatment plan Correct Answer- saline nasal spray and clariton painful ulcer in mouth that is round or oval with white or yellow center and red border Correct Answer- canker sore what symptoms are most indicative of mono Correct Answer- gradual onset of fatigue/malaise POSTERIOR CERVICAL ADENOPATHY, fever and sore throat excess salivation, necrotic ulceration with purulent gray exudate, bleeding gums, bad breath, swollen puffy receding gums that are tender and bleed easily Correct Answer- gingivitis toothache, bad breath, pus, fever, swollen lymph nodes Correct Answer- Dental abscess symptoms of meniere's disease Correct Answer- loss of balance, tinnitus, vertigo PE findings of meniere's disease Correct Answer- positive Romberg, abnormal gait, unilateral hearing loss, sensorineural hearing loss (excessively longer air conduction vs bone conduction) most common in children, self limiting, local irritation r/t trauma or inflammation, bleeding from Kiesselbach's plexus Correct Answer- Anterior epistaxis nose bleed most common in elderly, heavier bleeding from arterial damage Correct Answer- Posterior epistaxis What would indicate prep for possible emergency surgery by making NPO and treating VS. Protect eye to avoid pressure, limit patient activity, send to ER Correct Answer- retinal detachment If patient has mono and is placed on amoxicillin what are the effects on the patient? Correct Answer- could cause a rash Sudden eye pain, nausea, rainbow around lights, blurred vision Correct Answer- closed angle glaucoma What is the treatment for AOM if there is a PCN allergy Correct Answer- bactrim or azithromycin Triad: fever, exudative pharyngitis (sore thraot), posterior cervical adenopathy Correct Answer- MONO what is most consistent with the dx of acute bacterial rhino-sinusitis Correct Answer- high grade fever, going on for more than 10 days 76 yr old c/o gradual central vision loss with hx of HTN Correct Answer- macular degeneration treatment for unilateral erythema to tympanic membrane, afebrile Correct Answer- symptomatic treatment pt states "I have strep throat" which sx makes you consider this as just a viral instead of bacterial infection Correct Answer- rhinorrhea 19 y/o presents with intermittent throughout the year bilateral itchy red eyes, tearing, rope-like eye discharge, clear nasal drainage, and conjuntival inflammation how do you treat? Correct Answer- ophthalmic antihistamines Organism responsible for mono? Correct Answer- Epstein-Barr Virus (EBV) which 1st line antibiotic class for an adult with NKDA should be given with Strep A-beta-hemolytic Correct Answer- Beta-lactam pt c/o of sore throat, fever 102, tender anterior lymphadenopathy you suspect strep, but rapid strep is negative what is the next best option? Correct Answer- send culture pt presents with the following, fatigue for 2 weeks, low grade temp, stomach pain, sore throat, and posterior cervical Lymphadenopathy; what is the cause? Correct Answer- MONO After what time period of repeated inflammation or treatment failure is sinusitis considered chronic? Correct Answer- 12 weeks When is OM considered chronic Correct Answer- inflammation persist for more than 3 months chronic non-tender erythematous lump within the eyelid Correct Answer- Chalazion What is not a risk factor for developing OE? Correct Answer- frequent air travel pt presents with dizziness which finding would be an expected finding with Meniere's disease Correct Answer- air conduction excessively exceeds bone conduction Common cause of anterior nose bleed? Correct Answer- mucosal trauma *central vision loss worse over several months *disease of aging and the leading cause of blindness in those over 60 yrs old [Show More]

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