UTA Nurs 5338 Urgent Emergencies EXAM QUESTIONS WITH ANSWERS

UTA Nurs 5338 Urgent Emergencies EXAM
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QUESTIONS WITH ANSWERS |\ |\




Describe the pharmacological treatment for gonorrhea -
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CORRECT ANSWERS ✔✔Ceftriaxone 500 mg IM as a single dose,
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for persons weighing < 150 kg
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For persons weighing > 150 kg, ceftriaxone 1gm IM as a single
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dose


Describe the pharmacological treatment for chlamydia -
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CORRECT ANSWERS ✔✔Doxycycline 100 mg PO BID for 7 days
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During pregnancy, azithromycin 1 gm as a single dose to treat
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chlamydia
Alternative regimens: |\




Gentamicin 240 mg IM as a single dose + azithromycin 2 gm PO
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as a single dose
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Cefixime 800 mg orally as a single dose + doxycycline 100 mg
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PO BID for 7 days (if chlamydia CANNOT be excluded)
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When assessing a patient, what is done first? - CORRECT
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ANSWERS ✔✔- Observe |\ |\




- Inspect
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- Listen
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- Palpate, respectively
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,Describe assessment findings for appendicitis - CORRECT
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ANSWERS ✔✔Abdominal pain, usually severe; localized to the
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right lower quadrant (RLQ)
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Most common symptoms: anorexia, abdominal pain, nausea and
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vomiting (typically present in this order)
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Constipation and diarrhea occur after the pain |\ |\ |\ |\ |\ |\




Describe acute abdominal pain - CORRECT ANSWERS ✔✔- severe,
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persistent pain
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- sudden onset
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- nausea, vomiting
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- abdominal distention
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- fever, signs of shock
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What is obturator sign? - CORRECT ANSWERS ✔✔- The patient
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lies on the back with hip and knee flexed at 90 degrees while the
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knee is stabilized and the ankle rotated away from the body
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How is sepsis handled in the primary care setting? - CORRECT
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ANSWERS ✔✔refer patient to the ED |\ |\ |\ |\ |\




Describe treatment for an abscess - CORRECT ANSWERS ✔✔I&D
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Describe assessment findings for cellulitis - CORRECT ANSWERS
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✔✔Erythema
Warmth
Edema

, Pain
Fever
Lymphadenopathy
Fissuring, scaling or maceration in toe webs may be source of
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colonization (treat with antifungal agents such as econazole,
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naftifine)
History of recurrent abscesses
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How is a puncture wound from an animal bite treated? -
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CORRECT ANSWERS ✔✔- typically not sutured closed
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- treat with Augmentin
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Describe assessment findings for bacterial vaginosis - CORRECT
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ANSWERS ✔✔Most women with BV are asymptomatic |\ |\ |\ |\ |\ |\




Fishy or musty vaginal odor, more prominent after sexual
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intercourse and menses |\ |\




Thin, homogenous discharge
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No redness or edema
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Normal bimanual exam |\ |\




Describe the diagnostic study for bacterial vaginosis - CORRECT
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ANSWERS ✔✔Amsel's criteria specify that diagnosis of BV
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requires three or more of the following clinical signs and
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symptoms: |\




- Homogenous, thin, gray-white discharge coating the vaginal
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wall |\




- Vaginal pH >4.5
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