Exam (elaborations)
NURS 518 FINAL EXAM 2025 QUESTIONS AND ANSWERS WITH COMPLETE SOLUTIONS | NEW UPDATE
- Course
- Institution
NURS 518 FINAL EXAM 2025 QUESTIONS AND ANSWERS WITH COMPLETE SOLUTIONS | NEW UPDATE
[Show more]
Content preview
NURS 518 FINAL EXAM 2025 QUESTIONSAND ANSWERS WITH COMPLETE
SOLUTIONS | NEW UPDATE
Allergic Rhinitis Medication - ANSWER -diphenhydramine: sedating
-cetirizine (zyrtec)
-fexofenadine (allegra): most targeted, least SEs
-nasal steroids: for prevention, daily use, takes 1wk+ for full effect
-eye drops
Uncomplicated URI treatment - ANSWER -increased fluids
-saline spray
-nose frida
-honey - not in children under 1 yo
-NO vapor rub, cough suppressants, or cough medicine
-educate on s/sx of respiratory distress
ABRS vs URI - ANSWER -ABRS lasts for 10+ days w/ nasal discharge and/or
daytime cough
-ABRS initially improves but then gets much worse
ABRS treatment - ANSWER -amox or augmentin 10-28 days
-wait for clinical response then add 7 days
-failure to respond to augmentin - consult ENT
-nasal steroids
,-saline irrigation
-possible decongestants, mucolytics, antihistamines
severe ABRS - ANSWER fever >39 + 3 days purulent discharge (referral to ENT)
croup characteristics - ANSWER -viral: parainfluenza 1 and 3, influenza A, and
RSV most common
-inflammation of larynx/trachea
-most common boys 6 mo-6 yo
-begins as mild URI, progresses to sore throat, barky cough worse at night, +/-
fever
-s/sx peak in 3-5 days
-moderate obstruction: stridor, retractions, tachycardia, nasal flaring
-severe obstruction: cyanosis, worried, lethargic, decreased LOC
moderate croup treatment - ANSWER -calm, distracted, position of comfort,
hydration
-first-line: dexamethasone, then budesonide or prednisone
-cool mist/ cool air
-only xray if suspect FB or congenital problems
croup red flags - ANSWER -stridor at rest: send to ER for racemic epinephrine
neb (potential for rebound)
-toxic looking: send to ER for O2 and IV fluids
,bacterial pneumonia - ANSWER -age: 2+
- high fever, tachypnea, cough
-high WBC + left shift (low WBC is ominous sign)
-x-ray may look normal in early illness
-tx: <5 - amox, augmentin
>5 - macrolide
-f/u in 2-3 weeks or 1-2 days if no improvement from abx
mycoplasma pneumonia - ANSWER -age: >5 years
-slow onset, fever, malaise, cough progressing to productive
-tx: azithromycin or cipro for 7-10 days
chlamydia pneumonia - ANSWER -age: newborn
-50% w/ vaginally infected mothers get it
-afebrile, staccato cough, tachypnea, crackles
-tx: erythromycin
stages of pertussis - ANSWER -catarrhal: most contagious time, mild URI, 7-10
days
-paroxysmal: cough spasms, post-tussive vomiting 1-4 weeks
-convalescent: less paroxysms, wks - months
pertussis diagnosis - ANSWER -nasopharyngeal swab (gold standard) - best 0-2
days after cough onset
-PCR assays - better sensitivity, good when high suspicion
, -serologic testing - rarely used clinically
pertussis treatment - ANSWER -azithromycin (best taken during catarrhal
stage)
-isolate for 5 days after start of abx
bronchiolitis characteristics - ANSWER -cause: often RSV (can get annually)
-serious risk if <3 mo old
-URI prodrome 1-3 days
-days 3-6: worsening cough, tachypnea, crackles, hypoxia, increased WOB,
secretions
bronchiolitis treatment - ANSWER -increase hydration
-suctioning
-O2 PRN
-educate on s/sx of respiratory distress
-hospitalize depending on age, WOB, and SaO2 (<92%)
asthma treatment in office - ANSWER -albuterol q20 min x 3 doses
-oral CS: prednisone or dexamethasone
-if albuterol doesn't help, sent to ED
mild persistant asthma treatment - ANSWER -SABA
-low dose ICS
-alternative: cromolyn or montelukast
The benefits of buying summaries with Stuvia:
Guaranteed quality through customer reviews
Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.
Quick and easy check-out
You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.
Focus on what matters
Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!
Frequently asked questions
What do I get when I buy this document?
You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.
Satisfaction guarantee: how does it work?
Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.
Who am I buying these notes from?
Stuvia is a marketplace, so you are not buying this document from us, but from seller StudySet. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $14.49. You're not tied to anything after your purchase.
Can Stuvia be trusted?
4.6 stars on Google & Trustpilot (+1000 reviews)
53022 documents were sold in the last 30 days
Founded in 2010, the go-to place to buy study notes for 14 years now