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UTA Nurs 5338 Urgent Emergencies Exam Questions And Correct Answers
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UTA Nurs 5338 Urgent Emergencies Exam QuestionsAnd Correct Answers
Pharmacological Treatment of Gonorrhea - ANSWER Ceftriaxone 500 mg IM as a single
dose for < 150 kg; 1 gm IM for > 150 kg
Pharmacological Treatment of Chlamydia - ANSWER Doxycycline 100 mg PO BID for 7
days; Azithromycin 1 gm as a single dose during pregnancy
Alternative Regimens for Chlamydia - ANSWER - Gentamicin 240 mg IM + Azithromycin 2
gm PO as a single dose
Cefixime 800 mg PO + Doxycycline 100 mg PO BID x 7 days (if chlamydia CANNOT be
ruled out)
Initial Patient Assessment Steps ANSWER - Look
- Observe
- Auscultate
- Feel, in order
Appendicitis Assessment Findings ANSWER - Abdominal pain, often severe; localized to
the right lower quadrant (RLQ)
- Classical symptoms, in order of appearance: anorexia, abdominal pain, nausea,
vomiting
-Constipation and diarrhea occur after the onset of pain
Acute Abdominal Pain Characteristics - ANSWER - Severe, persistent pain
- Sudden onset
- Nausea, vomiting
,- Abdominal distention
- Fever, signs of shock
Obturator Sign - ANSWER - Patient lies on the back with hip and knee flexed at 90
degrees while the knee is stabilized and the ankle rotated away from the body
Sepsis Management in Primary Care - ANSWER Refer patient to the ED
Abscess Treatment - ANSWER I&D
Cellulitis Evaluation - ANSWER - Erythema
- Warmth
- Edema
- Pain
- Fever
- Lymphadenopathy
- Fissuring, scaling, or maceration in toe webs may be source of colonization (treat with
antifungal agents)
- History of recurrent abscesses
Animal Bite Puncture Wound Management - ANSWER - Typically not sutured closed
- Treat with Augmentin
Bacterial Vaginosis Examination Findings - ANSWER Most women with BV are
asymptomatic.
fishy or musty vaginal odor, more accentuated post-coitus and menses
thin, homogenous discharge
no redness or edema
, normal bimanual exam
Diagnosis of Bacterial Vaginosis - ANSWER The Amsel's criteria specify that BV
diagnosis requires three or more of the subsequent clinical signs and symptoms:
homogenous, thin, gray-white discharge coating the vaginal wall
vaginal pH >4.5
- Whiff test positive : amine fishy odour after application of 10% KOH on sample of
vaginal discharge
> 20% of epithelial cells present on saline microscopy (clue cells)
Bacterial Vaginosis Reliable Predictor - ANSWER Clue cells detected by an experienced
microscopist are the most reliable predictor for BV
STI Follow-Up for Hematuria - ANSWER Follow-up to be done in a week
Bronchitis Acute Assessment Findings - ANSWER Cough: dry and nonproductive, then
productive; may be purulent
URI symptoms
Fatigue
Fever due to bacterial infection; more common in smokers and patients with COPD
Fever due to viral cause (unusual after first few days)
Burning sensation in chest
Crackles, wheezes
Chest wall pain
Do detailed review of preexisting health conditions & exposure history
Skin Disease Assessment - ANSWER Include measurements in assessment
Periorbital Cellulitis Next Step - ANSWER Refer to the ED for further evaluation
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