NURS629 Exam 3 Questions With 100% Correct Answers Graded A+
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Course
NURS 629
Institution
NURS 629
NURS629 Exam 3 Questions With 100% Correct Answers Graded A+
What is otitis media?
Inflammatory fluid and pathogenic respiratory bacteria that reflux into the middle ear space- does not drain normally. 75% are viral infections
most common bacterial etiologic agents: streptococcus pneumoniae 49...
NURS629 Exam 3 Questions With 100%
Correct Answers Graded A+
What is otitis media?
Inflammatory fluid and pathogenic respiratory bacteria that reflux into the middle ear space- does not
drain normally. 75% are viral infections
most common bacterial etiologic agents: streptococcus pneumoniae 49%, H influenzae 29%,
moraxella catarrhalis 28%
What are the signs/symptoms of otitis media?
fever, pain, d/c from ear, tugging/batting at ear, irritability, crying lethargy, decreased appetite,
decreased sleep, recent URI
Red, bulging TM, possible-retracted w/ pus, decreased translucency, no movement of TM, no normal
landmarks,hole in TM
What is considered recurrent otitis media?
3 or more in 6 months OR 4 in one year
How do you treat otitis media in babies <6 months?
antibiotics, no matter what
How do you treat otitis media in children 6 months to 2 years?
antibiotics if certain or severe symptoms like high fever, bilateral infections, severe pain, more than 7
days; observe if not certain or not severe
How do you treat otitis media in children 2 years or older?
antibiotics if severe, observe 2-3 days if not severe
What antibiotics do you use to treat otitis media?
Amoxicillin 80-90 mg/kg/day BID x 10 days; Augmentin 80-90 mg/kg/day BID x 10 days; if PCN allergy-
cefdinir, cefuroxime- non type 1 reaction or if type 1 reaction then azithromycin, clarithromycin,
ceftriaxone
What is otitis externa?
inflammatory process that involves the structure of the outer ear, specifically the external auditory
canal
can be from trauma, glandular obstruction, repeating ear cleansing, prolonged exposure to standing
water, increased sweating, or stress
What are the s/sx of otitis externa?
tenderness of pinna or tragus, boggy canal
What is the treatment for otitis externa?
ototopical antimicrobial-steroid solution containing neomycin, polymyxin B, and hydrocortisone
4x/day x 7-10 days
How do you treat mono?
symptomatic treatment, f/u in 1-2 weeks, avoid contact sports x 1 month or until spleen no longer
palpable
What are symptoms of group A beta-hemolytic strep pharyngitis?
rapid onset sore throat, fever 103-104, swollen glands, abdominal pain, usually no URI symptoms,
headache, decreased appetite, dysphagia, irritability
How do you treat strep pharyngitis?
Amoxicillin 50-80 mg/kg/day x 10 days, if PCN allergy- cephalosporins or macrolide
warm water gargles, tylenol/nsaids
Contagious- no school x 24 hours, discard toothbrush
What is impetigo?
contagious bacterial infection caused by staphylococci or streptococci, spread by contact
pruritic rash that won't go away, yellow-crusted lesions, if crust removed- becomes inflammed/red
How do you treat impetigo?
wash face BID with soap and water, no school for 24-48 hours, wash sheets/pillow cases, monitor for
serous sequalae
treat with mupirocin/bactroban TID x 7-14 days or bacitracin TID x 7-14 days, or erythromycin,
cephalexin
What is fifth's disease?
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