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UTA Nurs 5338 Urgent Emergencies Questions and Correct Answers the Latest Update and Recommended Version

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Gonorrhea Pharmacological Treatment Ceftriaxone 500 mg IM as a single dose for 150 kg; 1 gm IM for 150 kg Chlamydia Pharmacological Treatment Doxycycline 100 mg PO BID for 7 days; Azithromycin 1 gm as a single dose during pregnancy Chlamydia Alternative Regimens - Gentamicin 240 mg IM + Azithromycin 2 gm PO as a single dose - Cefixime 800 mg orally + Doxycycline 100 mg PO BID for 7 days (if chlamydia CANNOT be excluded) Initial Patient Assessment Steps - Observe - Inspect - Listen - Palpate, respectively Appendicitis Assessment Findings TestTrackers: Unlock Your Exam Potential! | Quality Practice Materials | Boost Your Confidence Today! | Thank You for Choosing Us! © 2024 TestTrackers Customer Support: [] Resources & Updates: [Testtrackers - Stuvia US] Your Success is Our Mission! - Abdominal pain, usually severe; localized to the right lower quadrant (RLQ) - Most common symptoms: anorexia, abdominal pain, nausea, vomiting (typically present in this order) - Constipation and diarrhea occur after the pain Acute Abdominal Pain Characteristics - Severe, persistent pain - Sudden onset - Nausea, vomiting - Abdominal distention - Fever, signs of shock Obturator Sign - Patient lies on the back with hip and knee flexed at 90 degrees while the knee is stabilized and the ankle rotated away from the body Sepsis Management in Primary Care Refer patient to the ED Abscess Treatment I&D Cellulitis Assessment TestTrackers: Unlock Your Exam Potential! | Quality Practice Materials | Boost Your Confidence Today! | Thank You for Choosing Us! © 2024 TestTrackers Customer Support: [] Resources & Updates: [Testtrackers - Stuvia US] Your Success is Our Mission! - Erythema - Warmth - Edema - Pain - Fever - Lymphadenopathy - Fissuring, scaling, or maceration in toe webs may be source of colonization (treat with antifungal agents) - History of recurrent abscesses Animal Bite Puncture Wound Treatment - Typically not sutured closed - Treat with Augmentin Bacterial Vaginosis Assessment Findings Most women with BV are asymptomatic. - Fishy or musty vaginal odor, more prominent after sexual intercourse and menses - Thin, homogenous discharge - No redness or edema - Normal bimanual exam Bacterial Vaginosis Diagnostic Amsel's criteria specify that diagnosis of BV requires three or more of the following clinical signs and symptoms: - Homogenous, thin, gray-white discharge coating the vaginal wall - Vaginal pH 4.5 - Positive whiff test: amine (fishy) odor after application of 10% KOH on vaginal discharge sample - Presence of more than 20% epithelial cells (clue cells) on saline microscopy Bacterial Vaginosis Reliable Predictor TestTrackers: Unlock Your Exam Potential! | Quality Practice Materials | Boost Your Confidence Today! | Thank You for Choosing Us! © 2024 TestTrackers Customer Support: [] Resources & Updates: [Testtrackers - Stuvia US] Your Success is Our Mission! Presence of clue cells identified by an experienced microscopist is the single most reliable predictor of BV STI Follow-Up for Hematuria Follow-up should be scheduled in one week Bronchitis Acute Assessment Findings Cough: dry and nonproductive, then productive; may be purulent URI symptoms Fatigue Fever due to bacterial infection; more common in smokers and patients with COPD Fever due to viral cause (unusual after first few days) Burning sensation in che

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UTA Nurs 5338 Urgent Emergencies
Questions and Correct Answers the
Latest Update and Recommended
Version
Gonorrhea Pharmacological Treatment

✓ Ceftriaxone 500 mg IM as a single dose for < 150 kg; 1 gm IM for > 150 kg


Chlamydia Pharmacological Treatment

✓ Doxycycline 100 mg PO BID for 7 days; Azithromycin 1 gm as a single dose during
pregnancy


Chlamydia Alternative Regimens

✓ - Gentamicin 240 mg IM + Azithromycin 2 gm PO as a single dose
✓ - Cefixime 800 mg orally + Doxycycline 100 mg PO BID for 7 days (if chlamydia
CANNOT be excluded)


Initial Patient Assessment Steps

✓ - Observe
✓ - Inspect
✓ - Listen
✓ - Palpate, respectively


Appendicitis Assessment Findings




|
✓ Thank You for Choosing Us! ✓ Resources & Updates: [Testtrackers - Stuvia US]
✓ © 2024 TestTrackers ✓ Your Success is Our Mission!
✓ Customer Support: [+254707240657]

, TestTrackers: Unlock Your Exam Potential! | Quality Practice Materials | Boost Your Confidence Today!


✓ - Abdominal pain, usually severe; localized to the right lower quadrant (RLQ)
✓ - Most common symptoms: anorexia, abdominal pain, nausea, vomiting (typically present
in this order)
✓ - Constipation and diarrhea occur after the pain


Acute Abdominal Pain Characteristics

✓ - Severe, persistent pain
✓ - Sudden onset
✓ - Nausea, vomiting
✓ - Abdominal distention
✓ - Fever, signs of shock


Obturator Sign

✓ - Patient lies on the back with hip and knee flexed at 90 degrees while the knee is
stabilized and the ankle rotated away from the body


Sepsis Management in Primary Care

✓ Refer patient to the ED


Abscess Treatment

✓ I&D


Cellulitis Assessment




|
✓ Thank You for Choosing Us! ✓ Resources & Updates: [Testtrackers - Stuvia US]
✓ © 2024 TestTrackers ✓ Your Success is Our Mission!
✓ Customer Support: [+254707240657]

, TestTrackers: Unlock Your Exam Potential! | Quality Practice Materials | Boost Your Confidence Today!


✓ - Erythema
✓ - Warmth
✓ - Edema
✓ - Pain
✓ - Fever
✓ - Lymphadenopathy
✓ - Fissuring, scaling, or maceration in toe webs may be source of colonization (treat with
antifungal agents)
✓ - History of recurrent abscesses


Animal Bite Puncture Wound Treatment

✓ - Typically not sutured closed
✓ - Treat with Augmentin


Bacterial Vaginosis Assessment Findings

✓ Most women with BV are asymptomatic.
✓ - Fishy or musty vaginal odor, more prominent after sexual intercourse and menses
✓ - Thin, homogenous discharge
✓ - No redness or edema
✓ - Normal bimanual exam


Bacterial Vaginosis Diagnostic

✓ Amsel's criteria specify that diagnosis of BV requires three or more of the following
clinical signs and symptoms:
✓ - Homogenous, thin, gray-white discharge coating the vaginal wall
✓ - Vaginal pH >4.5
✓ - Positive whiff test: amine (fishy) odor after application of 10% KOH on vaginal
discharge sample
✓ - Presence of more than 20% epithelial cells (clue cells) on saline microscopy


Bacterial Vaginosis Reliable Predictor

|
✓ Thank You for Choosing Us! ✓ Resources & Updates: [Testtrackers - Stuvia US]
✓ © 2024 TestTrackers ✓ Your Success is Our Mission!
✓ Customer Support: [+254707240657]

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