NURS 3515 Exam 3 Guide With
Complete Solution
Pertussis (Whooping Cough) Diagnosis - ANSWER Nasopharyngeal culture
Polymerase chain reaction
Serology
Pertussis (Whooping Cough) - Risk Factors - ANSWER Non-vaccinated
Immunocompromised
Contact with bacteria
Being young
Chronic lung disease
Pertussis (Whooping Cough) Pharm. Treatment - ANSWER Antibiotics -
Macrolides
erythromycin
clarithromycin
azithromycin
timethropin-sulfamethazole
Pertussis (Whooping Cough) Nursing Management - ANSWER Droplet
precautions
Watch for s/s of respiratory failure
,Reduce crying
Humidification
Gentle suctioning
Non-aspirin antipyretics
Small frequent meals
Encourage fluids
Pertussis (Whooping Cough) Incubation Time - ANSWER 5-10 days
Pertussis (Whooping Cough) Manifestations - ANSWER More severe at night
with spasms/paroxysmal cough
Whooping sound r/t forceful inspiration through narrowed glottis
Risk for dehydration
Most deaths occur in infants
Tonsillitis - ANSWER May be viral or bacterial
Frequent throat infections with difficulty breathing and swallowing
Tonsillitis - Diagnosis - ANSWER Visual inspection
Clinical manifestations: tonsils may appear large and inflamed
Tonsillitis - Treatment - ANSWER Surgery with repeat infections and sleep
disturbances
Tonsillitis - Surgery - ANSWER 7 episodes in previous year
5 episodes in 2 years
, OR
3 annual episodes for 3 years
Tonsillitis - Surgery - Other reasons - ANSWER Sleep disordered breathing r/t
tonsillar hypertrophy
Growth abnormalities
Poor school performance
Enuresis
Behavior problems
Tonsillitis - Pharm. Therapy - ANSWER ROUTINE ANTIBIOTICS ARE NOT
NEEDED.
1 dose of IV dexamethasone recommended intra-operatively
Tonsillitis - Surgery - Nursing Care - ANSWER If surgery is required, child
should be free of sore throat, fever, or upper respiratory infection for at least
one week prior to surgery
Aspirin/ibuprofen should be avoided for two weeks prior to surgery due to
increased risk of postoperative bleeding
Tonsillitis - Surgery - Pain Management - ANSWER Sore throat 7-10 days s/p
procedure, provide cool fluids but avoid citrus drinks
Ear Pain 4-8 days s/p procedure (especially when swallowing) - this does not
indicate ear infection
Tonsillitis - Surgery - Fluid Intake - ANSWER Any fluid the patient prefers for
the first week EXCEPT citrus juices
Complete Solution
Pertussis (Whooping Cough) Diagnosis - ANSWER Nasopharyngeal culture
Polymerase chain reaction
Serology
Pertussis (Whooping Cough) - Risk Factors - ANSWER Non-vaccinated
Immunocompromised
Contact with bacteria
Being young
Chronic lung disease
Pertussis (Whooping Cough) Pharm. Treatment - ANSWER Antibiotics -
Macrolides
erythromycin
clarithromycin
azithromycin
timethropin-sulfamethazole
Pertussis (Whooping Cough) Nursing Management - ANSWER Droplet
precautions
Watch for s/s of respiratory failure
,Reduce crying
Humidification
Gentle suctioning
Non-aspirin antipyretics
Small frequent meals
Encourage fluids
Pertussis (Whooping Cough) Incubation Time - ANSWER 5-10 days
Pertussis (Whooping Cough) Manifestations - ANSWER More severe at night
with spasms/paroxysmal cough
Whooping sound r/t forceful inspiration through narrowed glottis
Risk for dehydration
Most deaths occur in infants
Tonsillitis - ANSWER May be viral or bacterial
Frequent throat infections with difficulty breathing and swallowing
Tonsillitis - Diagnosis - ANSWER Visual inspection
Clinical manifestations: tonsils may appear large and inflamed
Tonsillitis - Treatment - ANSWER Surgery with repeat infections and sleep
disturbances
Tonsillitis - Surgery - ANSWER 7 episodes in previous year
5 episodes in 2 years
, OR
3 annual episodes for 3 years
Tonsillitis - Surgery - Other reasons - ANSWER Sleep disordered breathing r/t
tonsillar hypertrophy
Growth abnormalities
Poor school performance
Enuresis
Behavior problems
Tonsillitis - Pharm. Therapy - ANSWER ROUTINE ANTIBIOTICS ARE NOT
NEEDED.
1 dose of IV dexamethasone recommended intra-operatively
Tonsillitis - Surgery - Nursing Care - ANSWER If surgery is required, child
should be free of sore throat, fever, or upper respiratory infection for at least
one week prior to surgery
Aspirin/ibuprofen should be avoided for two weeks prior to surgery due to
increased risk of postoperative bleeding
Tonsillitis - Surgery - Pain Management - ANSWER Sore throat 7-10 days s/p
procedure, provide cool fluids but avoid citrus drinks
Ear Pain 4-8 days s/p procedure (especially when swallowing) - this does not
indicate ear infection
Tonsillitis - Surgery - Fluid Intake - ANSWER Any fluid the patient prefers for
the first week EXCEPT citrus juices
