A 4 year old c/o severe ear pain, left ear, will not allow parents to touch the ear. As the NP you gently
touch the tragus and he screams and jerks away. What is the likely diagnosis?
A. Otitis Media
B. Acute Otitis Media (AOM)
C. Otitis Externa
D. Left ear effusion - C. Otitis Externa
What i...
Nurs629 Peds Test 3
A 4 year old c/o severe ear pain, left ear, will not allow parents to touch the ear. As the NP you gently
touch the tragus and he screams and jerks away. What is the likely diagnosis?
A. Otitis Media
B. Acute Otitis Media (AOM)
C. Otitis Externa
D. Left ear effusion - C. Otitis Externa
What is the easiest way to differentiate between otitis externa and otitis media?
With otitis externa, movement or pressure on the pinna is extremely painful.
With otitis media, tender swelling is usually visible.
With otitis media, tender swelling is usually visible.
With otitis media, there is usually tenderness on palpation over the mastoid process. - With otitis
externa, movement or pressure on the pinna is extremely painful.
In assessing a child with bacterial conjunctivitis, the nurse practitioner finds
The antibiotic of choice for beta-lactamase coverage of otitis media is
Prednisone.
Azithromycin.
Amoxicillin and potassium clavulanate.
Amoxicillin. - Amoxicillin and potassium clavulanate.
In assessing a child with bacterial conjunctivitis, the nurse practitioner finds
Minimal tearing, moderate itching, and profuse exudate.
,Minimal itching, moderate tearing, and profuse exudate.
Minimal itching, moderate tearing, and mucoid exudate.
Severe itching, moderate tearing, and minimal discharge. - Minimal itching, moderate tearing, and
profuse exudate.
A child is diagnosed by the nurse practitioner with acute otitis media (AOM). During pneumatic otoscopy
the NP expects the tympanic membranse to be
Immobile, painful, with absent or decreased landmarks.
Mobile, not painful, full, and bulging.
Mobile, painful, with absent or decreased landmarks.
Immobile, not painful, with landmarks visible. - Immobile, painful, with absent or decreased
landmarks.
A 6-year-old child is seen by the NP for ear pain. The child is afebrile. The left ear canal is extremely
edematous and moderately inflamed, with thick yellowish drainage at the external meatus. The child
denies putting anything in the ear canal, but the nurse practitioner finds that the child swims frequently.
The most likely diagnosis is
AOM.
Serous otitis media.
Otitis externa.
Sinusitis. - Otitis externa.
The treatment plan for a client diagnosed with infectious mononucleosis includes which of the
following?
Rest during acute phase.
Corticosteroids during acute phase.
Avoid exercise during acute phase.
, Ampicillin orally for 10 days. - Rest during acute phase.
An adolescent client has had yellowish green nasal discharge and frontal headache for 10 days. The
adolescent's temperature has gone up to 101.2 F on most afternoons an she has a cough that worsens
when she lies down. The physical exam is within normal limits except for the drainage and a slightly
erythematous pharynx. She does not have any drug allergies and has not been taking any medications in
the last few months. Which medication would be best to prescribe for her?
Erythromycin
Benadryl
Augmentin
Sudafed - Augmentin
A 4-year-old boy (weight 18 kg) is diagnosed with bilateral otitis media. His last ear infection was 6
months ago and he has no know drug allergies. An appropriate medication to prescribe would be
Amoxicillin 75-90 mg/kg/day twice daily X 10 days.
Corticosteriod otic solution 3 drops both ears X 10 days.
Doxycycline 250 mg three times daily X 10 days.
Ampicillin 40-50 mg/kg/day three times daily X 7 days. - Amoxicillin 75-90 mg/kg/day twice daily
X 10 days.
Which finding during the physical assessment is consistent with the diagnosis of allergic rhinitis?
Which of the following drug choices is the most appropriate first choice for allergic rhinitis?
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