nursing 6541 week 6 quiz 1

NURS 6541 Week 6 Quiz 1 Question 1 1. A 3-year-old has a history of upper respiratory tract infection 2 weeks ago. She recently started awakening at night. Physical exam reveals a normothermic child. She is smiling, p ...

NURS 6541 Week 6 Quiz 1 Question 1 1. A 3-year-old has a history of upper respiratory tract infection 2 weeks ago. She recently started awakening at night. Physical exam reveals a normothermic child. She is smiling, playful, and sitting on the father’s lap. The TMs are gray with scattered bubbles and good motility. What is the best treatment? 2. a. Amoxicillin at 80 mg/kg/day in two divided doses for 10 days b. Observation without therapy; recheck in 1 month c. Nasal corticosteroids daily d. Referral to an otolaryngologist 1 points Question 2 1. The mother of a 5-year-old wants to know what to do to decrease the discomfort of her daughter who has a URI. The mother should be instructed to: 2. a. Administer topical decongestant for 3 days and use normal saline nose drops b. Administer dextromethorphan and saline nose drops c. Place a warm-mist vaporizer in the child’s bedroom d. Start zinc nasal spray to decrease the symptoms 1 points Question 3 1. A 7-year-old presents with a complaint of ear pain with purulent discharge. He states it hurts when he is lying on the affected side and when anyone touches his pinna. The most likely diagnosis is: 2. a. Otitis media with effusion b. Acute otitis media c. Otitis interna d. Otitis externa 1 points Question 4 1. Mikayla is a 15-month-old female who has had recurrent bouts of acute otitis media. Her mother is concerned about future school performance. Which of the following statements regarding otitis media is true? 2. a. The incidence of acute otitis media is highest from 18 to 24 months of age. b. Bilateral otitis media with effusion does not cause hearing deficits. c. Potential aggravating factors for Mikayla include pacifier use, bottle use, and cigarette smoke exposure. d. There is a correlation between the number of school days missed due to acute otitis media and IQ measurement. 1 points Question 5 1. TJ is a 12-year-old with a significantly swollen eye. His mom states he was stung by a bee next to his eye 3 days ago. The swelling started last night and has progressively worsened. He has a fever of 101.9°F, has erythematous edema around his left eye, and is able to move his eye through all visual fields. After consulting with your MD, you prescribe: 2. a. Use of cold compresses and diphenhydramine (Benadryl) b. Use of amoxicillin/clavulanic acid (Augmentin), possibly after intramuscular cefriaxone (Rocephin) or an inpatient course of IV cefriaxone c. Use of low-potency topical corticosteroids and systemic low-dose prednisone for 3 days d. Use of cold compresses and opthalmalogic antibiotic drops 1 points Question 6 1. A 10-year-old comes to your school-based clinic with complaint of a painful sore on the upper lip for 5 days. The sore is getting better since yesterday, but today the right eyelid is swelling and there are blisters on the eye. The best management is to: 2. a. Suggest warm compresses three times a day b. Start topical antibiotic drops like polymixin B (Polytrim) c. Immediately refer to ophthalmology d. Start oral antiviral treatment like acyclovir 1 points Question 7 1. Therapeutic treatment for Coxsackie infections include: 2. a. Antiviral treatment like acyclovir b. Immunoglobulin c. Supportive care d. Antimicrobial treatment like amoxicillin or cephalexin 1 points Question 8 1. You see a 9-year-old after he was hit in the eye with a foreign body. Flourescein staining reveals a vertical line abrasion lateral to the iris. The pupils are equal in size and reactive; a positive red reflex is present bilaterally. There are no abnormal extraocular movements. Visual acuity is normal. An appropriate plan of care includes follow-up in 48 to 72 hours and: 2. a. Prescribing ophthalmic steroid drops three times a day but not applying an eye patch b. Prescribing ophthalmic antibiotic drops three to four times daily and placing a patch over the eye for 24 to 48 hours c. Prescribing topical ophthalmic steroid drops three times a day and placing a patch over the eye for 24 to 48 hours d. Prescribing ophthalmic antibiotic drops three to four times daily but not applying an eye patch 1 points Question 9 1. Each of the following is a risk factor for the development of acute otitis media EXCEPT: 2. a. Breastfeeding ? b. Group child care attendance c. Respiratory viral infection d. Ambient tobacco smoke 1 points Question 10 1. You see a 6-month-old with a diagnosis of dacryocystitis. The mother states “her left eye tears all the time and it has since birth.” The infant was seen in urgent care last week and was prescribed antibiotic eye drops that “don’t seem to help.” You confirm the diagnosis of dacryocystitis without evidence of infection. What education and counseling do you provide? 2. a. The infant should see an ophthalmologist since the condition has persisted for 6 months. b. The infant should get another course of antibiotic eye drops to prevent secondary infection. c. The blockage in the tear duct is probably the result of a neonatal eye infection. d. Spontaneous resolution usually occurs by 9 to 12 months. • Question 1 1 out of 1 points You see a 9-year-old after he was hit in the eye with a foreign body. Flourescein staining reveals a vertical line abrasion lateral to the iris. The pupils are equal in size and reactive; a positive red reflex is present bilaterally. There are no abnormal extraocular movements. Visual acuity is normal. An appropriate plan of care includes follow-up in 48 to 72 hours and: • Question 2 1 out of 1 points A 3-year-old has a history of upper respiratory tract infection 2 weeks ago. She recently started awakening at night. Physical exam reveals a normothermic child. She is smiling, playful, and sitting on the father’s lap. The TMs are gray with scattered bubbles and good motility. What is the best treatment? • Question 3 1 out of 1 points Each of the following is a risk factor for the development of acute otitis media EXCEPT: • Question 4 0 out of 1 points You see a 6-month-old with a diagnosis of dacryocystitis. The mother states “her left eye tears all the time and it has since birth.” The infant was seen in urgent care last week and was prescribed antibiotic eye drops that “don’t seem to help.” You confirm the diagnosis of dacryocystitis without evidence of infection. What education and counseling do you provide? • Question 5 1 out of 1 points Kelly is a 9-year-old who presents to your office with complaint of nasal congestion, nasal obstruction, and facial pain with radiation to her teeth and jaw for the last 14 days. The pain is described as throbbing and is worsened by abrupt movements, walking, or bending over. Her temperature is currently 100.4°F. Your most likely diagnosis is: • Question 6 1 out of 1 points TJ is a 12-year-old with a significantly swollen eye. His mom states he was stung by a bee next to his eye 3 days ago. The swelling started last night and has progressively worsened. He has a fever of 101.9°F, has erythematous edema around his left eye, and is able to move his eye through all visual fields. After consulting with your MD, you prescribe: • Question 7 1 out of 1 points Therapeutic treatment for Coxsackie infections include: • Question 8 1 out of 1 points A 10-year-old comes to your school-based clinic with complaint of a painful sore on the upper lip for 5 days. The sore is getting better since yesterday, but today the right eyelid is swelling and there are blisters on the eye. The best management is to: • Question 9 1 out of 1 points Mikayla is a 15-month-old female who has had recurrent bouts of acute otitis media. Her mother is concerned about future school performance. Which of the following statements regarding otitis media is true? • Question 10 0 out of 1 points John, age 5, was diagnosed with a ruptured tympanic membrane as a result of acute otitis media 2 weeks ago. He was treated with oral antibiotics at the time of diagnosis and has finished his course. He has no purulent drainage, but he still has a TM perforation. His plan of care should include: • Question 11 0 out of 0 points When completing this quiz, did you comply with Walden University’s Code of Conduct including the expectations for academic integrity? Monday, April 9, 2018 1:02:31 AM EDT