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NURS629 Exam 3 Questions With 100% Correct Answers Graded A+

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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...

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  • May 8, 2024
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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

, topical fluoroquinolone ciprofloxacin, ofloxacin


What is malignant otitis externa?
necrotizing, invasive infection of the external auditory canal

usually caused by P aeuginosa and can lead to osteomyelitis


What is otitis media with effusion?
non-infected fluid in middle ear without s/sx of acute otitis media


What is mononucleosis?
caused by epstein-barr virus and spread by saliva; incubation of 2-5 weeks; 50% of kids with mono
also have strep

s/sx fever, exudative pharyngitis, POSTERIOR cervical adenopathy, malaise, headache, anorexia,
spleno/hepatomegaly


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

exudate tonsils, anterior cervical lymphadenopathy, strawberry tongue, rash


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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