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NURS629 Exam 3-HEENT, Cardiac, Respiratory, Infectious Disease Questions and Answers
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NURS629 Exam 3-HEENT, Cardiac, Respiratory, Infectious Disease Questions and Answers
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NURS629 Exam 3- HEENT, Cardiac, Respiratory, InfectiousDisease Questions and Answers
What is mononucleosis? Correct Ans-caused by epstein-barr virus and spread by saliva;
incubation of 2-5 weeks; 50% of kids with mono also have strep
s/sx fever, exudative pharyngitis, POSTERIOR cervical adenopathy, malaise, headache,
anorexia, spleno/hepatomegaly
How do you treat mono? Correct Ans-symptomatic treatment, f/u in 1-2 weeks, avoid
contact sports x 1 month or until spleen no longer palpable
What are symptoms of group A beta-hemolytic strep pharyngitis? Correct Ans-rapid onset
sore throat, fever 103-104, swollen glands, abdominal pain, usually no URI symptoms,
headache, decreased appetite, dysphagia, irritability
exudate tonsils, anterior cervical lymphadenopathy, strawberry tongue, rash
How do you treat strep pharyngitis? Correct Ans-Amoxicillin 50-80 mg/kg/day x 10 days, if
PCN allergy- cephalosporins or macrolide
warm water gargles, tylenol/nsaids
Contagious- no school x 24 hours, discard toothbrush
, NURS629 Exam 3- HEENT, Cardiac, Respiratory, Infectious
Disease Questions and Answers
What is impetigo? Correct Ans-contagious bacterial infection caused by staphylococci or
streptococci, spread by contact
pruritic rash that won't go away, yellow-crusted lesions, if crust removed- becomes
inflammed/red
How do you treat impetigo? Correct Ans-wash face BID with soap and water, no school for
24-48 hours, wash sheets/pillow cases, monitor for serous sequalae
treat with mupirocin/bactroban TID x 7-14 days or bacitracin TID x 7-14 days, or erythromycin,
cephalexin
What is fifth's disease? Correct Ans-caused by human parvovirus B19, most common in 5-
15 yo; symptomatic treatment
has low-grade fever, malaise, sore throat, "slap cheek" facial redness in first 4 days, then
fishnet/racey rash within 2 days after initial onset, then fever/itching/petechiae to hands/feet
What is tinea corporis? Correct Ans-ringworm- pink, scaly, round with raised border
treat with topical antifungal cream for 2-6 weeks, avoid contact with lesion, no contact sports
x 48 hrs of tx
, NURS629 Exam 3- HEENT, Cardiac, Respiratory, Infectious
Disease Questions and Answers
What is otitis media? Correct Ans-Inflammatory fluid and pathogenic respiratory bacteria
that reflux into the middle ear space- does not drain normally. 75% are viral infections
most common bacterial etiologic agents: streptococcus pneumoniae 49%, H influenzae 29%,
moraxella catarrhalis 28%
What are the signs/symptoms of otitis media? Correct Ans-fever, pain, d/c from ear,
tugging/batting at ear, irritability, crying lethargy, decreased appetite, decreased sleep, recent
URI
Red, bulging TM, possible-retracted w/ pus, decreased translucency, no movement of TM, no
normal landmarks,hole in TM
What is considered recurrent otitis media? Correct Ans-3 or more in 6 months OR 4 in one
year
How do you treat otitis media in babies <6 months? Correct Ans-antibiotics, no matter
what
How do you treat otitis media in children 6 months to 2 years? Correct Ans-antibiotics if
certain or severe symptoms like high fever, bilateral infections, severe pain, more than 7 days;
observe if not certain or not severe
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