NURS 640 Exam 1 with Questions and Answers
NURS 640 Exam 1 with Questions and Answers Acute bacterial rhinosinusitis ANSWER sx: yellow/green drainage, sinus pain/pressure, fever, malaise, h/a, symptoms last 10 days dx: clinical presentation tx: NSAIDS, decongestants (oral/nasal), nasal corticosteroids, Anbx (amoxicillin) for severe symptoms S. aureus colonization ANSWER nasal MRSA colonization increases risk of invasive MRSA infection during hospitalization decolonization -- mupirocine, CHG Allergic rhinitis ANSWER Sx: nasal symptoms, eye irritation, pruritus, conjunctival erythema, excess tearing Tx: intranasal corticosteroids, antihistamines, anti-leukotriene agents, avoiding allergens, nasal saline irrigation, immunotherapy Epistaxis ANSWER Tx: direct pressure, vasoconstrictors, packing, cautery For severe: CBC, PT, PTT, DC AC meds, c/s specialist, packing Throat/Neck testinf ANSWER Rapid GABHS - strep Throat bacterial cx- bacterial infection Lateral neck XR- epiglottitis CT - masses, narrowing
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