ExamI1:INURSI620/INURS620I(New
Update)IAdult/GerontologyIHealthI
CareIIIGuideIwithIQsI&IAs|I100%ICorrect|
IGradeIAI(VerifiedIAnswers)-IMaryville
QUESTION
AcuteIOtitisIMediaI(AOM)
Answer:
1.Recent,IabruptIonsetI(<48Ihrs)IofIsymptoms
2.MiddleIearIeffusion,Iand
3.ISignsIorIsymptomsIofIinflammationIofItheImiddleIear
***AllI3IcriteriaImustIbeIpresentI-IAIredITMIisInotIenough
QUESTION
AcuteIOtitisIMediaI(AOM)ISigns/Symptoms
Answer:
•HistoryI-
IURI,IotalgiaI(earIpain),Ifever,IdiminishedIhearingIonItheIaffectedIside,IpurulentIdrainageI(ifIT
MIperforated)
•PneumaticIOtoscopy
-Bulging,IinflamedITMIAND
-ImpairedImobilityIofITM
QUESTION
AOMITreatment
,Answer:
•PainImedsI-Iacetaminophen,Iibuprofen,Inaproxen,IbenzocaineIdropsI(currentlyInotIonImarket)
•FirstIantibioticIchoiceI-Ihigh-doseIAmoxicillin
•OtherIchoicesI-Iamox/clavulanate,Icefdinir,Icefuroxime,Icefpodoxime,IceftriaxoneIIM
•IfITypeIIIallergyItoIPCNs/AmoxicillinI-Iazithromycin,Iclarithromycin,ITMP-Sulfamethoxazole
QUESTION
OtitisIMediaIwithIEffusionI(OME)
Answer:
•DefinitionI-IfluidIinImiddleIearIwithoutIsignsIofIinflammation
•CausedIbyIblockageIofIEustachianItube•MayIbeIasymptomatic
•Symptomatic
-OtalgiaIwithoutIfever
-Fullness,Itinnitus,Ivertigo,IhearingIloss
-PoppingIorIcrackingIsoundsIwhenIyawningIorIblowingInose
•OtoscopicIexam:Ieffusion,InoIinflammation
-TMImayIbeIdull,IbutInotIbulging
QUESTION
Meniere'sIdisease
Answer:
•CausedIbyIdamageItoIhairIcellsIfromIswellingIinIsemicircularIcanals
•EpisodesIofIvertigoIdescribedIasI"spinning."ISymptomsIareInotIcontinuous.IMayIhaveItinnitus
IlikeI"roaringIorIclanging."
-LossIofIbalance
-nauseaIandIvomiting
-unilateralIhearingIloss
-pressure
-abnormalIgait
positiveIRomberg
,QUESTION
BenignIPositionalIVertigo
Answer:
•CausedIbyIfree-floatingIparticlesIinIposteriorIsemicircularIcanal
•CommonIinIindividualsIoverI60
•VertigoIonlyIinIspecificIpositions
•SuddenIonset
•ResolutionIifInoIheadImovement
•CompleteIrecoveryIusuallyIwithinI6Imonths
QUESTION
ManagementIofIVestibularIProblems
Answer:
•Meniere's
-ReferralIindicated
-ManageIwithIsaltIrestrictionIandImildIdiuretic
-AvoidIcaffeineIandIalcohol
-AcuteIattacksI-IMeclizine,ITransdermalIscopolamine,IDiphenhydramine
•BPV
-EpleyImaneuver
-Meclizine,IPromethazine,IDramamine,
Benzodiazepines
QUESTION
HearingILoss:IGeriatricIConsiderations
Answer:
•PresbycusisI-IbilateralIhigh-frequencyIsensorineuralIhearingIloss
-mostIcommonIpatternIofIhearingIlossIinIolderIadults
•DifferentialIDiagnosisIofIOtherICauses
•CerumenIorIforeignIbodyIimpaction
•AOM,IOME,IperforationIofITM,IOE
, •Meniere'sIdisease
•OtotoxicIMedications
•Tumors,Ii.e.IacousticIneuroma
QUESTION
ViralIConjunctivitis
Answer:
•Presentation
-"Gritty",Iburning
-MorningIcrusting
-WateryItoIserousIdischargeIduringIday
-UnilateralIatIonsetIthenIbilateralIw/in
1-2Idays
-URIIsymptomsIfollow
•Fever,Ipharyngitis,Iadenopathy
QUESTION
ViralIConjunctivitisITreatment
Answer:
-Antihistamine
-LubricantIdrops
-CoolIcompresses
-DaytimeIsymptomsIimproveIwithinI5-7Idays,ImorningIcrustingIcanIlastIupItoI2Iweeks
-RapidIadenoviralItestI(10Iminutes)Iavailable
QUESTION
ConjunctivitisIPatientIEducation
Answer:
•BacterialI&IviralIconjunctivitisIareIcontagious