Exam 3 NSG 323 Practice Questions and
Correct Answers
Rheumatic fever ✅Systemic inflammatory disease that occurs 2-4 weeks after
untreated strep A
Symptoms of rheumatic fever ✅Fever, joint pain, small painless bumps, chest pain,
heart murmur, fatigue, jerky uncontrollable body movements, outburst of unusual
behaviors
Interventions for rheumatic fever ✅Culture, EKG, echo, cath
Bed rest
Encourage fluids and give NSAIDS
Monitor for permanent heart damage in the future
ROM for joint pain
Give antibiotics
Endocarditis ✅An infection of the innermost layer of the heart and heart valves
Risk factors for endocarditis ✅Presence of artificial valves, history of endocarditis/other
cardiac infections, damaged heart valves, rheumatic heart disease, IV drug use,
congenital heart disease, immunosuppression, recurrent fever, recent dental work/
Recent procedures
Signs and symptoms of endocarditis ✅FROM JANE
Fever and chills
Roth's spots
Olser's nodes,
Murmur
Jane ways lesions
Anemia
Nail bed hemorrhage (splinter)
Emboli
How to diagnose endocarditis ✅2 blood cultures, 2 different sites
None to mild increase in leukocytes
Increased ESR and CRP
Increased creatinine levels
EKG, ECHO, cardiac cath
CXR
, Pharmacology for endocarditis ✅Minimum 6 weeks of antibiotics
Antipyretics
Anticoagulants
Anti inflammatory
Corticosteroids, NSAIDS, salicylates
Otitis media ✅bacterial infection of the middle ear,
Fluid infection or blockage
Acute otitis media ✅Inflammation in the middle that occurs suddenly with signs and
symptoms of illness
Uses antibiotics
Otitis media with effusion ✅Fluid behind tympanic membrane without signs and
symptoms of infection,
Resolves itself in 1-3 months
Myringotomy ✅insertion of a small tube to help drain fluid from the ears
Post OP care for myringotomy ✅Monitor for ear drainage
Monitor vital signs
Antibiotic drops for a week
Monitor for nausea and vomiting and increase in temperature
Monitor bleeding
Assess pain
Croup ✅Can be bacterial and viral infection
Most common: viral
Precautions: droplet
Patient/family teaching for croup ✅Patient can stay home unless they experience,
stridor, toxic appearance, high fever, decreased LOC, drooling, rapid pulse and
respiratory
At home patient can take over the counter meds like decongestants and acetaminophen
Prevention Strategies for croup ✅Hand washing and vaccines
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