NURS 518 Final Questions with 100% Correct Answers.

Allergic Rhinitis Medication Correct Answer -diphenhydramine: sedating -cetirizine (zyrtec) -fexofenadine (allegra): most targeted, least SEs -nasal steroids: for prevention, daily use, takes 1wk+ for full effect -eye drops Uncomplicated URI treatment Correct Answer -increased fluids -saline spray -nose frida -honey - not in children under 1 yo -NO vapor rub, cough suppressants, or cough medicine -educate on s/sx of respiratory distress ABRS vs URI Correct Answer -ABRS lasts for 10+ days w/ nasal discharge and/or daytime cough -ABRS initially improves but then gets much worse ABRS treatment Correct Answer -amox or augmentin 10-28 days -wait for clinical response then add 7 days -failure to respond to augmentin - consult ENT -nasal steroids -saline irrigation -possible decongestants, mucolytics, antihistamines severe ABRS Correct Answer fever 39 + 3 days purulent discharge (referral to ENT) croup characteristics Correct Answer -viral: parainfluenza 1 and 3, influenza A, and RSV most common -inflammation of larynx/trachea -most common boys 6 mo-6 yo -begins as mild URI, progresses to sore throat, barky cough worse at night, +/- fever -s/sx peak in 3-5 days -moderate obstruction: stridor, retractions, tachycardia, nasal flaring -severe obstruction: cyanosis, worried, lethargic, decreased LOC moderate croup treatment Correct Answer -calm, distracted, position of comfort, hydration -first-line: dexamethasone, then budesonide or prednisone -cool mist/ cool air -only xray if suspect FB or congenital problems