NUR 676 Exam III Latest Update
What should pregnant patients receive for bites? - ANSWER-Macrolides (azith, claryth, eryth)
what should the physical exam include for orbital cellulits? - ANSWER-vital signs, mental status, visual
acuity, pupillary response, cranial nerves II IV and XI and pain with eye movements
What should you do if a patient older than 50 is experiencing anemia, weight loss, dyspepsia, and a rigid
abdomen? - ANSWER-consult a physician
What should you do if your patient is experiencing resp symptoms after epi adminstrations? - ANSWER-
B2 agonists help with bronchospasm
What should you do when a bite is reported and the animal may have rabies? - ANSWER-immediately
wash the wound with soap and water and iodine solution
What should you order to exclude anemia in PUD - ANSWER-CBC
What therapy is associated with 75-98% healing during the 4-6 week period, and needs to be continued
as maintenance for 1 year after? - ANSWER-H2RA therapy (cimetidien, famotidine, nizatidine, ranitidine)
what therapy is used for PUD? - ANSWER-primary therapy is antisecretory: H2RAs, PPIs, and
prostaglandin therapy
What therapy protexts gastric and duodenal mucosa and should be used with indivudals who cannot d/c
NSAID use? - ANSWER-Prostaglandin therapy ( misoprostol)
What topical therapy is recommended for HZ? - ANSWER-cool omoist compresses, calamin, aluminim
sulfate, soaks, lidocaine patches, NSAID patches and creams.
keep the area clean and dry
What types of of injuries result from thermal burns? - ANSWER-disruption of normal cell membrane
function, hormone alterations, acid-base disruption, hemodynamic changes and dereangement.
,NUR 676 Exam III Latest Update
What wounds should be left open? - ANSWER-cat and human bites, deep puncture wounds, infectied
wounds, wounds more than 6-12 hours old, and bites to the hand.
When can you not use silvadene? - ANSWER-patient's with a sulfa allergy and caution with patient's with
significant pain, and may not be appropriate for facial burns because it can cause tattooing.
when do wounds develop signs of infection? - ANSWER-24-72 hours after the bite
When should patients be referred to ED? - ANSWER-patients with decreased visual acuity, proptosis,
diplopia, restricted eye movement, globe involvement, systemic symtoms, or neuro changes.
when should patients be referred to ophthalmology? - ANSWER-OC, systemic symptoms, or failure with
antibitoic treatment of PC
When should water not be used to irrigate burns? - ANSWER-in rare chemical cases such as metal or
sodium burns because it can worsen the burn
When would you refer a burn pt to wound specialist? - ANSWER-if burn does not heal in 2-3 weeks
When you should refer a burn patient to ED? - ANSWER-anything larger than a minor burn
Where is the best place to inject epinephrine? - ANSWER-The vastus lateralis (midthigh) allows for faster
absorption and less variability
Which bites require 5-7 days of prophylaxis? - ANSWER-cat bites or bites to the hand
who are low risk patients for pain management? - ANSWER-age 10 - 50
, NUR 676 Exam III Latest Update
who is more likely to be diagnosed with orbital cellulitis? - ANSWER-children over the age of 5 with dx of
acute cellulitis and fever
Who is more likely to be dx with preseptal cellulitis? - ANSWER-younger patients under the age of 5 with
comorbidities or a history of trauma
Why is the infection rate of cat bites higher than dogs? - ANSWER-cat bites include a deeper puncture
from the cats sharp teeth
why should you be concerned about E corredens? - ANSWER-it can be resistant to empirically chosen
antibiotics and produce beta lactamases.
zone of hyperemia - ANSWER-zone of increased blood flow where there is minimal damage to the cells
and spontaneous recovery is more likely
Cat bites commonly affect - ANSWER-the hand and forearm in older women
COPD is also treated with what besides SABAS? - ANSWER-Anticholinergics (atrovent
= IB)
systemic corticosteroids (methylprednisone, prednisolone, prednisone)
Describe a minor burn - ANSWER-isolated, do not cross joints, are not circumferential,
Describe the physical exam of a patient experiencing bronchospasm? - ANSWER-
SKIN: normal, pale, flushed (if there is a rash - suggests allergic cause)
LUNGS/CARDIAC: tacypnea, tachycardia, hypertension (if allergic -hypotension), wheezing, RR greater
than 30, pulse greater than 150, PEF less than or equal to 50
describe the presentation of herpes simplex? - ANSWER-painful genital lesions, burning and tenderness
at the site, maybe lymphadenopathy (associated symptoms may occur with primary infection = fever,
dysuria, vaginal discharge and malaise
What should pregnant patients receive for bites? - ANSWER-Macrolides (azith, claryth, eryth)
what should the physical exam include for orbital cellulits? - ANSWER-vital signs, mental status, visual
acuity, pupillary response, cranial nerves II IV and XI and pain with eye movements
What should you do if a patient older than 50 is experiencing anemia, weight loss, dyspepsia, and a rigid
abdomen? - ANSWER-consult a physician
What should you do if your patient is experiencing resp symptoms after epi adminstrations? - ANSWER-
B2 agonists help with bronchospasm
What should you do when a bite is reported and the animal may have rabies? - ANSWER-immediately
wash the wound with soap and water and iodine solution
What should you order to exclude anemia in PUD - ANSWER-CBC
What therapy is associated with 75-98% healing during the 4-6 week period, and needs to be continued
as maintenance for 1 year after? - ANSWER-H2RA therapy (cimetidien, famotidine, nizatidine, ranitidine)
what therapy is used for PUD? - ANSWER-primary therapy is antisecretory: H2RAs, PPIs, and
prostaglandin therapy
What therapy protexts gastric and duodenal mucosa and should be used with indivudals who cannot d/c
NSAID use? - ANSWER-Prostaglandin therapy ( misoprostol)
What topical therapy is recommended for HZ? - ANSWER-cool omoist compresses, calamin, aluminim
sulfate, soaks, lidocaine patches, NSAID patches and creams.
keep the area clean and dry
What types of of injuries result from thermal burns? - ANSWER-disruption of normal cell membrane
function, hormone alterations, acid-base disruption, hemodynamic changes and dereangement.
,NUR 676 Exam III Latest Update
What wounds should be left open? - ANSWER-cat and human bites, deep puncture wounds, infectied
wounds, wounds more than 6-12 hours old, and bites to the hand.
When can you not use silvadene? - ANSWER-patient's with a sulfa allergy and caution with patient's with
significant pain, and may not be appropriate for facial burns because it can cause tattooing.
when do wounds develop signs of infection? - ANSWER-24-72 hours after the bite
When should patients be referred to ED? - ANSWER-patients with decreased visual acuity, proptosis,
diplopia, restricted eye movement, globe involvement, systemic symtoms, or neuro changes.
when should patients be referred to ophthalmology? - ANSWER-OC, systemic symptoms, or failure with
antibitoic treatment of PC
When should water not be used to irrigate burns? - ANSWER-in rare chemical cases such as metal or
sodium burns because it can worsen the burn
When would you refer a burn pt to wound specialist? - ANSWER-if burn does not heal in 2-3 weeks
When you should refer a burn patient to ED? - ANSWER-anything larger than a minor burn
Where is the best place to inject epinephrine? - ANSWER-The vastus lateralis (midthigh) allows for faster
absorption and less variability
Which bites require 5-7 days of prophylaxis? - ANSWER-cat bites or bites to the hand
who are low risk patients for pain management? - ANSWER-age 10 - 50
, NUR 676 Exam III Latest Update
who is more likely to be diagnosed with orbital cellulitis? - ANSWER-children over the age of 5 with dx of
acute cellulitis and fever
Who is more likely to be dx with preseptal cellulitis? - ANSWER-younger patients under the age of 5 with
comorbidities or a history of trauma
Why is the infection rate of cat bites higher than dogs? - ANSWER-cat bites include a deeper puncture
from the cats sharp teeth
why should you be concerned about E corredens? - ANSWER-it can be resistant to empirically chosen
antibiotics and produce beta lactamases.
zone of hyperemia - ANSWER-zone of increased blood flow where there is minimal damage to the cells
and spontaneous recovery is more likely
Cat bites commonly affect - ANSWER-the hand and forearm in older women
COPD is also treated with what besides SABAS? - ANSWER-Anticholinergics (atrovent
= IB)
systemic corticosteroids (methylprednisone, prednisolone, prednisone)
Describe a minor burn - ANSWER-isolated, do not cross joints, are not circumferential,
Describe the physical exam of a patient experiencing bronchospasm? - ANSWER-
SKIN: normal, pale, flushed (if there is a rash - suggests allergic cause)
LUNGS/CARDIAC: tacypnea, tachycardia, hypertension (if allergic -hypotension), wheezing, RR greater
than 30, pulse greater than 150, PEF less than or equal to 50
describe the presentation of herpes simplex? - ANSWER-painful genital lesions, burning and tenderness
at the site, maybe lymphadenopathy (associated symptoms may occur with primary infection = fever,
dysuria, vaginal discharge and malaise
