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NR569 / NR 569 Final Exam (Latest 2024 / 2025): Differential Diagnosis in Acute Care Practicum |Weeks 5-8|Questions and Verified Answers| 100% Correct -Graded A+

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NR569 / NR 569 Final Exam (Latest ):
Differential Diagnosis in Acute Care Practicum
|Weeks 5-8|Questions and Verified Answers| 100%
Correct -Graded A+
Some clients who present with throat pain may be at risk for airway compromise. The
following signs/symptoms indicate the need for immediate intervention?
respiratory distress
drooling
upper airway obstruction
stridor

Mono treatment

Serum diagnostics:

Lymphocytosis

Possible thrombocytopenia,

mild relative and absolute neutropenia

Elevated aminotransferases.

Consider rapid strep test as symptoms mirror Group A Beta Hemolytic Streptococcus

Monospot test will not become positive until symptoms present about 10 days.

Heterophile antibody tests or EBV specific antibodies.

There is no specific antiviral therapy used to treat the disease.

Confirmatory testing is utilized to acknowledge disease and explain symptoms.

Risks of splenic rupture are concerning.

Educate patient and family on when to seek healthcare.

Avoid contact sports.

If EBV testing is negative, further evaluation is warranted to rule out HIV, cytomegalovirus,
and toxoplasmosis.

,Antibiotic resistance is rising to dangerously high levels in all parts of the world, including
the United States. Which of the following diagnoses does NOT require antibiotics?

peritonsillar abscess

strep throat

epiglottitis

Ludwig’s angina

Wrong answer.

mononucleosis

Rationale: Mononucleosis is a viral illness, for which antibiotics are unnecessary.
Peritonsillar abscess, Ludwig’s angina, and epiglottitis may be bacterial or viral. Strep throat
(GABHS) is bacterial, and antibiotics are appropriate.

Claudette is a 79-year-old who presents to urgent care with red, itchy eyes, itchy palate,
and runny nose. She states she has had these symptoms at times in the past, but they
have gotten "very bad" since moving to the Midwest to live with her daughter this fall.
She has a past medical history of hypertension and is currently on Lisinopril 10 mg PO
daily. Select all of the pharmacologic interventions you would recommend for Claudette:

The following medications should be recommended to patients with allergic rhinitis:
Loratadine 10 mg PO once daily
Antihistamine nasal spray
Fluticasone nasal spray
Cromolyn nasal spray.

Viral Pharyngitis

Sore throat and the presence of a low-grade fever, myalgia, conjunctivitis, coryza, malaise,
diarrhea, or fatigue

Diagnostic algorithm for the patient with a sore throat. RPA, Retropharyngeal abscess.

Candidiasis

, Most prevalent in diabetic patients and in patients taking broad-spectrum antibiotics.
Inhaled and nasal steroids predispose an individual to Candida pharyngitis.

Aphthous stomatitis

Associated with Behçet's disease, Crohn's disease, ulcerative colitis, malabsorption
syndrome, gluten-sensitive enteropathy, PFAPA syndrome, and human immunodeficiency
virus (HIV) infection.

streptococcal pharyngitis.

Marked erythema and swelling of the throat (often associated with exudative pharyngitis or
tonsillitis)
Tender anterior cervical adenopathy
Fever
Occurrence between September and April
Likewise, a history of streptococcal exposure within the patient's family during the past 72
hours, prior history of acute rheumatic fever, diabetes, tender anterior cervical nodes, or a
scarlatiniform rash increases the likelihood that streptococcal pharyngitis is the correct
diagnosis.

RADT

Rapid screening tests (rapid antigen detection testing [RADT]) for streptococcal antigens are
useful in patients with signs and symptoms of acute pharyngitis.

Because of improvement in RADT, a throat culture is not necessary unless the RADT result
is negative (in children), symptoms do not improve, or the patient shows no response to
appropriate antibiotics.

Allergic Pharyngitis

Often associated with an intermittent postnasal drip that leads to minor irritation and
inflammation of the posterior pharynx. Some patients with recurrent or chronic low-grade
sinusitis may present with a sore throat induced by a postnasal drip from the affected
sinuses.

thyroiditis

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NR569 / NR 569 Final Exam (Latest 2024 / 2025): Differential Diagnosis in Acute Care Practicum |Weeks 5-8|Questions and Verified Answers| 100% Correct -Graded A+

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