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Exam (elaborations)

NURS 6541 WEEK 6 QUIZ 2

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1. You Isee Ia I9-year-old Iafter Ihe Iwas Ihit Iin Ithe Ieye Iwith Ia Iforeign Ibody. IFlourescein Istaining Ireveals Ia Ivertical Iline Iabrasion Ilateral Ito Ithe Iiris. IThe Ipupils Iare Iequal Iin Isize Iand Ireactive; Ia Ipositive Ired Ireflex Iis Ipresent Ibilaterally. IThere Iare Ino Iabnormal Iextraocular Imovements. IVisual Iacuity Iis Inormal. IAn Iappropriate Iplan Iof Icare Iincludes Ifollow-up Iin I48 Ito I72 Ihours Iand: I a. Prescribing Iophthalmic Isteroid Idrops Ithree Itimes Ia Iday Ibut Inot Iapplying Ian Ieye Ipatch I b. Prescribing Iophthalmic Iantibiotic Idrops Ithree Ito Ifour Itimes Idaily Iand Iplacing Ia Ipatch Iover Ithe Ieye Ifor I24 Ito I48 Ihours I c. Prescribing Itopical Iophthalmic Isteroid Idrops Ithree Itimes Ia Iday Iand Iplacing Ia Ipatch Iover Ithe Ieye Ifor I24 Ito I48 Ihours I d. Prescribing Iophthalmic Iantibiotic Idrops Ithree Ito Ifour Itimes Idaily Ibut Inot Iapplying Ian Ieye Ipatch 1 Ipoints I I I I QUESTION I2 1. A I3-year-old Ihas Ia Ihistory Iof Iupper Irespiratory Itract Iinfection I2 Iweeks Iago. IShe Irecently Istarted Iawakening Iat Inight. IPhysical Iexam Ireveals Ia Inormothermic Ichild. IShe Iis Ismiling, Iplayful, Iand Isitting Ion Ithe Ifather’s Ilap. IThe ITMs Iare Igray Iwith Iscattered Ibubbles Iand Igood Imotility. IWhat Iis Ithe Ibest Itreatment? I a. Amoxicillin Iat I80 Img/kg/day Iin Itwo Idivided Idoses Ifor I10 Idays I b. Observation Iwithout Itherapy; Irecheck Iin I1 Imonth I c. Nasal Icorticosteroids Idaily I d. Referral Ito Ian Iotolaryngologist 1 Ipoints I I I I QUESTION I3 1. Therapeutic Itreatment Ifor ICoxsackie Iinfections Iinclude: I a. Antiviral Itreatment Ilike Iacyclovir I b. Immunoglobulin I c. Supportive Icare I d. Antimicrobial Itreatment Ilike Iamoxicillin Ior Icephalexin 1 Ipoints I I I I QUESTION I4 1. A I10-year-old Icomes Ito Iyour Ischool-based Iclinic Iwith Icomplaint Iof Ia Ipainful Isore Ion Ithe Iupper Ilip Ifor I5 Idays. IThe Isore Iis Igetting Ibetter Isince Iyesterday, Ibut Itoday Ithe Iright Ieyelid Iis Iswelling Iand Ithere Iare Iblisters Ion Ithe Ieye. IThe Ibest Imanagement Iis Ito: I a. Suggest Iwarm Icompresses Ithree Itimes Ia Iday I b. Start Itopical Iantibiotic Idrops Ilike Ipolymixin IB I(Polytrim) I c. Immediately Irefer Ito Iophthalmology

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