Exam (elaborations)
MARYVILLE NURS 620 ADULT 1 EXAM 1
- Course
- Institution
MARYVILLE NURS 620 ADULT 1 EXAM 1
[Show more]
Content preview
MARYVILLE NURS 620 ADULT 1 EXAM 1If rapid strep test is negative what is the first thing you should do? - answers -send out
culture
When examining lab from a person with mono what would the np expect to find? -
answers -lymphocytosis
Ebv is transmitted through which route? - answers -oral pharyngeal secretions (saliva)
Sx of mono usually present how many days after initially infected? - answers -30-50
days
A granulomatous infection of a meibomian gland, presenting in the form of painless
swelling on the eyelid - answers -chalazion
What maneuver can be performed to help manage sx of vertigo? - answers -epley
maneuver
What can help diagnose vertigo - answers -dix-hallpack test
A pt is started on antibiotics for strep a few days later the mono spot comes back
positive what is the first thing to do? - answers -discontinue antibiotics
Peripheral vision loss that has worsened over the last few months - answers -open-
angle glaucoma (peripheral loss over time)
Risk factor for otitis externa? - answers -exposure to water, excessive use of
headphones, q-tips, impacted cerumen and earplugs
Risk factor for otitis media? - answers -young children, allergies, craniofacial
abnormalities, smokers, hx of uri, acid reflux, immunodeficiency
A red flag for pt complaining of red eye? - answers -severe headache
Therapeutic option for acute rhino-sinusitis in pt with no recent antimicrobial care with
treatment failure after 7 days of 1st line abx (pcn)? - answers -doxycycline
Previously healthy pt comes in with 3 days post nasal drainage, cough, sneezing, and
sore throat; exam shows pharyngeal erythema, pale swollen turbinates, clear
rhinorrhea; t 99, most appropriate treatment plan - answers -saline nasal spray and
clariton
Painful ulcer in mouth that is round or oval with white or yellow center and red border -
answers -canker sore
, What symptoms are most indicative of mono - answers -gradual onset of
fatigue/malaise posterior cervical adenopathy, fever and sore throat
Excess salivation, necrotic ulceration with purulent gray exudate, bleeding gums, bad
breath, swollen puffy receding gums that are tender and bleed easily - answers -
gingivitis
Toothache, bad breath, pus, fever, swollen lymph nodes - answers -dental abscess
Symptoms of meniere's disease - answers -loss of balance, tinnitus, vertigo
Pe findings of meniere's disease - answers -positive romberg, abnormal gait, unilateral
hearing loss, sensorineural hearing loss (excessively longer air conduction vs bone
conduction)
Most common in children, self limiting, local irritation r/t trauma or inflammation,
bleeding from kiesselbach's plexus - answers -anterior epistaxis
Nose bleed most common in elderly, heavier bleeding from arterial damage - answers -
posterior epistaxis
What would indicate prep for possible emergency surgery by making npo and treating
vs. Protect eye to avoid pressure, limit patient activity, send to er - answers -retinal
detachment
If patient has mono and is placed on amoxicillin what are the effects on the patient? -
answers -could cause a rash
Sudden eye pain, nausea, rainbow around lights, blurred vision - answers -closed angle
glaucoma
What is the treatment for aom if there is a pcn allergy - answers -bactrim or
azithromycin
If a pt is being treated for strep and tells you he or she has allergy to pcn what class of
med to avoid - answers -beta-lactam
60 yr old concerned over a painless fixed oral sore on exam there is a white ulcerated
lesion with induration what do you suspect - answers -oral cancer
Which vision sx is common in open angel glaucoma - answers -peripheral vision loss
Pt presents with sudden vision changes with floaters and flashes, what is next step -
answers -refer to eye dr (retinal detachment)
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 GEEKA. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $10.99. You're not tied to anything after your purchase.
Can Stuvia be trusted?
4.6 stars on Google & Trustpilot (+1000 reviews)
79223 documents were sold in the last 30 days
Founded in 2010, the go-to place to buy study notes for 14 years now