NURS 629 EXAM 3 (MARYVILLE) QUESTIONS WITH CORRECT ANSWERS

Otitis media pathogens Correct Answer Caused by: S. Pneumoniae (most common); H. Influenzae, M. Catarrhils Otitis media Symptoms: Correct Answer Fever, Pain, discharge from ear, tugging at ear, irritability, crying, lethargy, decreased appetite, decreased sleep, Recent URI Objective findings in otitis media Correct Answer Red, bulging OM; Retracted with pus; no movement of TM, Inability to see landmarks; occasional hole in TM Treatment for AOM + Conjunctivitis d/t: H. Influenzae Correct Answer Amoxicillin-clavulanate 80-90 mg/kg/day BID x 10 days Treatment for AOM d/t S. Pneumoniae (most common): Correct Answer Amoxicillin 80-90 mg/kg/day BID x 10 days (high dose) Treatment for AOM with PCN Allergy: Non-Type 1: Correct Answer Cefdinir, Cefuroxime Treatment for AOM with PCN Allergy: Type 1: Correct Answer Azithromycin, clarithromycin OR Ceftriaxone 1-3 days Predisposing factors of otitis externa: Correct Answer Frequent moisture, local trauma, aggressive cleaning, Allergies/skin conditions Causative organisms for otitis externa: Correct Answer Psuedomonas aeruginosa (20-60%); Staphylococcus Aureus (10-70%); 10% fungal infection Symptoms of otitis externa: Correct Answer 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 Objective findings of otitis externa: Correct Answer Otalgia (inner or outer ear pain), discharge, fullness, itching, pain with movement of tragus, redness around ear, decreased hearing. Treatment of pain and therapeutic management of otitis externa: Correct Answer Warm compresses, Auralgan, prednisone, Tylenol/ibuprofen, Wick (abx applied to wick) When to wick with otitis externa: Correct Answer If lumen is reduced to >50%, wicks can help ensure delivery of topical abx to medial canal.