Exam (elaborations)
NURS 629 Exam 3 (Maryville) 2025 Questions & Answers (COMPLETE UPDATE ).
- Course
- NURS 629
- Institution
- Maryville University Of St. Louis
NURS 629 Exam 3 (Maryville) 2025 Questions & Answers (COMPLETE UPDATE ).
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Nurs 629 Exam 3 (Maryville)1. Otitis media pathogens: Caused by: S. Pneumoniae (most common);
H. In- fluenzae, M. Catarrhils
2. Otitis media Symptoms:: Fever, Pain, discharge from ear, tugging
at ear, irritability, crying, lethargy, decreased appetite, decreased
sleep, Recent URI
3. Objective findings in otitis media: Red, bulging OM; Retracted with
pus; no movement of TM, Inability to see landmarks; occasional hole
in TM
4. Treatment for AOM + Conjunctivitis d/t : H. Influenzae: Amoxicillin-
clavu- lanate 80-90 mg/kg/day BID x 10 days
5. Treatment for AOM d/t S. Pneumoniae (most common):: Amoxicillin
80-90 mg/kg/day BID x 10 days (high dose)
6. Treatment for AOM with PCN Allergy: Non-Type 1:: Cefdinir, Cefuroxime
7. Treatment for AOM with PCN Allergy: Type 1:: Azithromycin,
clarithromycin OR Ceftriaxone 1-3 days
8. Predisposing factors of otitis externa:: Frequent moisture, local
,trauma, ag- gressive cleaning, Allergies/skin conditions
9. Causative organisms for otitis externa:: Psuedomonas aeruginosa (20-
60%); Staphylococcus Aureus (10-70%); 10% fungal infection
10.Symptoms of otitis externa:: Discharge from ear, recent history of
swimming or placing something in the ear, low-grade fever, pain with
movement of tragus, decreased hearing, redness around ear
11.Objective findings of otitis externa:: Otalgia ( inner or outer ear
pain), discharge, fullness, itching, pain with movement of tragus,
redness around ear, decreased hearing.
12.Treatment of pain and therapeutic management of otitis externa::
Warm compresses, Auralgan, prednisone, Tylenol/ibuprofen, Wick (abx
applied to wick )
13.When to wick with otitis externa:: If lumen is reduced to >50%,
wicks can help ensure delivery of topical abx to medial canal.
14.Treatment of otitis externa:: Topical fluroquinolones (Ciprofloxacin,
Ofloxacin), ibuprofen and apap for pain, neomycin/polymixin
b/hydrocortison otic (antibiotic/steroid)
15.Hallmark sign of otitis externa:: Traction of pinna elicits pain
,16.When do we begin hearing tests in clinic for children: 4 years old
, 17.What is a normal audiology test result and how are results read: Normal
-10 to +15 The higher the number, the greater the loss, Severe loss 71-
90 (learning disability, limited vocabulary), Profound loss 90
18.Risk factors related to elevated cholesterol: Obesity, Diabetes,
Hyperten- sion, Family history: Coronary heart disease prior to age
55, Hyperlipidemia, Diabetes
19.Clinical findings for tetralogy of Fallot:: Cyanosis: caused by blood
low in oxygen, Shortness of breath and rapid breathing, especially
during feeding or exercise, Loss of consciousness, Clubbing of fingers
and toes, Poor weight gain, delayed growth, Polycythemia, metabolic
acidosis, Systolic murmur at 2nd left ICS & holosystolic murmur at
LLSB
20.What criteria would you have to consider inpatient admission in a patien
with pneumonia: Infants less than 4 months old, Infant with poor feeding,
grunting, O2 saturation <92%, respiratory rate >70 , Older child with
grunting, inability to tolerate oral intake, oxygen saturation d 92
percent, respiratory rate > 50 breaths per minute, Any age:
Comorbidities (e.g., chronic lung disease, asthma, unrepaired or
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