MARYVILLE NURS 620 ADULT 1 EXAM 1
If 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)
If 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)
