NURS 561 Final Exam Focus Points
With Solution
Live vaccines - ANSWER Include MMR, varicella, influenza; avoid in
immunocompromised or pregnant women
Tdap dose - ANSWER Given to pregnant women during 27-36 weeks; booster
every 10 years for adults
Primary prevention - ANSWER Prevent onset of a condition; includes
education, exercise, legislation for health
Secondary prevention - ANSWER Identify and treat asymptomatic persons
with risk factors
Tertiary prevention - ANSWER Care for established disease, restore function,
prevent complications
Modifiable risk factors - ANSWER Can be changed like smoking, obesity,
hypertension
, Nonmodifiable risk factors - ANSWER Cannot be changed like age, ethnicity
Acute otitis media - ANSWER Untreated AOM may require surgery; confirm
with immobility of eardrum
GERD findings - ANSWER Heartburn, worsens after meals, relieved by
antacids; atypical symptoms include chronic cough
Peptic ulcer disease - ANSWER Epigastric pain, dyspepsia, occult blood in
labs; treat with PPI, Amoxil, Clarithromycin
Cholecystitis findings - ANSWER RUQ pain, N/V, fever, jaundice, positive
Murphy's sign; labs show leukocytosis
Appendicitis findings - ANSWER Colicky epigastric pain shifting to RLQ;
positive Rovsing's sign, leukocytosis
Hepatitis transmission - ANSWER Hep A: fecal-oral; Hep B, C: percutaneous;
Hep D: occurs only with Hep B
IBS vs IBD - ANSWER IBS is a syndrome; IBD is inflammatory
With Solution
Live vaccines - ANSWER Include MMR, varicella, influenza; avoid in
immunocompromised or pregnant women
Tdap dose - ANSWER Given to pregnant women during 27-36 weeks; booster
every 10 years for adults
Primary prevention - ANSWER Prevent onset of a condition; includes
education, exercise, legislation for health
Secondary prevention - ANSWER Identify and treat asymptomatic persons
with risk factors
Tertiary prevention - ANSWER Care for established disease, restore function,
prevent complications
Modifiable risk factors - ANSWER Can be changed like smoking, obesity,
hypertension
, Nonmodifiable risk factors - ANSWER Cannot be changed like age, ethnicity
Acute otitis media - ANSWER Untreated AOM may require surgery; confirm
with immobility of eardrum
GERD findings - ANSWER Heartburn, worsens after meals, relieved by
antacids; atypical symptoms include chronic cough
Peptic ulcer disease - ANSWER Epigastric pain, dyspepsia, occult blood in
labs; treat with PPI, Amoxil, Clarithromycin
Cholecystitis findings - ANSWER RUQ pain, N/V, fever, jaundice, positive
Murphy's sign; labs show leukocytosis
Appendicitis findings - ANSWER Colicky epigastric pain shifting to RLQ;
positive Rovsing's sign, leukocytosis
Hepatitis transmission - ANSWER Hep A: fecal-oral; Hep B, C: percutaneous;
Hep D: occurs only with Hep B
IBS vs IBD - ANSWER IBS is a syndrome; IBD is inflammatory
