MVU NURS 629 EXAM 3 CORRECT ALL
QUESTIONS AND ANSWERS SURE A+
✔✔Acyclovir in severe chickenpox - ✔✔Treatment for severe cases or
immunocompromised patients
✔✔Measles transmission - ✔✔Through contact, droplet, and airborne routes
✔✔Acellular pertussis vaccine - ✔✔Recommended for universal childhood
immunization
✔✔Corticosteroids in CAP - ✔✔Oral corticosteroids for all CAP severity levels
✔✔CRP - ✔✔C-reactive protein blood test for inflammation
✔✔Varicella vaccine - ✔✔Administered at 1 & 5 years of age
✔✔Polycythemia - ✔✔Excess red blood cells in the bloodstream
✔✔Metabolic acidosis - ✔✔Excessive acidity in the body's fluids
✔✔Systolic murmur at 2nd left ICS - ✔✔Abnormal heart sound during contraction at 2nd
intercostal space
✔✔Holosystolic murmur at LLSB - ✔✔Continuous heart sound throughout contraction at
lower left sternal border
✔✔Atrial Septal Defect (ASD) - ✔✔Opening between left and right atrium, causing
increased pulmonary blood flow
-murmur L sternal border, split heart sounds
,-surgical closure or patch, cardiac cath with septal occluder
✔✔Patent Ductus Arteriosus (PAD) - ✔✔Failure of fetal vessel closure, causes blood
flow from the aorta to PA with increased blood flow to the lungs; RV hypertrophy
-bounding pulse, dyspnea, tachypnea, may be asymptomatic
-Indomethacin
NSAID
Surgical ligation
Surgical closure
✔✔Ventricular Septal Defect (VSD) - ✔✔Hole between ventricles causing increased
pulmonary blood flow
-dyspnea, tachypnea, holosystolic murmur LLSB
-may close spontaneously, rashkind procedure, abx, digoxin, or diuretics
✔✔Innocent murmur vs. pathological murmur - ✔✔Distinguishing between harmless
and harmful heart sounds
✔✔Rheumatic fever - ✔✔Inflammatory disorder post Group A Streptococcus infection
✔✔Hordeolum - ✔✔Stye caused by eyelid gland obstruction
✔✔Chalazion - ✔✔Chronic eyelid inflammation from blocked gland
✔✔Bacterial Conjunctivitis - ✔✔Eye infection causing redness and discharge
✔✔Allergic Conjunctivitis - ✔✔Eye inflammation due to allergic reactions
✔✔Viral Conjunctivitis - ✔✔Eye infection by viruses like adenovirus
✔✔herpes simplex - ✔✔Recurring viral infection that often presents as a fever blister or
cold sore.
· Oral Antiviral: Acyclovir 20-40mg/kg/day x5 days (start within 48-72 hours)
· Topical Antiviral: Acyclovir 5% five times a day
✔✔Roseola - ✔✔caused by herpes simplex viruses 6 & 7;
occurs before age 2
-fever and rash
-tx: rest, fluids, tylenol, ibuprofen
, ✔✔Coryza (seen in measles) - ✔✔increased mucous and inflammation of mucous
membrane in the nose
✔✔Mumps - ✔✔· Paramyxoviridae; generalized viral disease
· Painful enlargement of 1+ salivary glands
· Transmission through saliva or respiratory secretions
TX: supportive, steroids, NSAIDs
✔✔Fifth's disease rash phases - ✔✔1-facial redness ~4 days
2-Lacey rash 2 days after facial redness
3-Fever, itching, petechiae (hands/feet only)
-avoid pregnant women and immunocompromised
✔✔Lyme disease, stage 1 - ✔✔o Erythema migrans rash at site of bite within 24-48
hours
o Bulls Eye lesion then forms
o May have multiple lesions at different sites
o Rash warm and itchy but not painful
o Possible flu-like symptoms
o Rash may last weeks to months without treatment
✔✔Lyme disease; stage 2 - ✔✔Ø dissemination through hematologic or lymphatic
channels
o Secondary lesions form
o Neurologic & Cardiac symptoms
o Generalized illness
o May last weeks to 2 years without treatment
✔✔Lyme disease, stage 3 - ✔✔Ø periarticular or monoarticular arthritis
o Weeks to months after initial bite
o Chronic neurological symptoms
✔✔lyme disease treatment - ✔✔o <8yo—Amoxicillin 50mg/kg/day TID x14 days
o >8yo—Doxycycline 200mg daily or 4mg/kg BID x14 days
o If unable to take PCN or doxy—Cefuroxime 30mg/kg BID x14 days
✔✔Rocky mountain spotted fever - ✔✔Fever 104, Chills
Severe headache, Myalgias, GI upset, N/V/D, Cough, Conjunctival injection,
Photophobia, Altered LOC, Maculopapular rash 2-5 days after fever
TX:Within 5 days of clinical symptoms!!!
--Doxycyline
<100lbs—2.2mg/kg BID x7-10 days
>100lbs—100mg BID x7-10 days
QUESTIONS AND ANSWERS SURE A+
✔✔Acyclovir in severe chickenpox - ✔✔Treatment for severe cases or
immunocompromised patients
✔✔Measles transmission - ✔✔Through contact, droplet, and airborne routes
✔✔Acellular pertussis vaccine - ✔✔Recommended for universal childhood
immunization
✔✔Corticosteroids in CAP - ✔✔Oral corticosteroids for all CAP severity levels
✔✔CRP - ✔✔C-reactive protein blood test for inflammation
✔✔Varicella vaccine - ✔✔Administered at 1 & 5 years of age
✔✔Polycythemia - ✔✔Excess red blood cells in the bloodstream
✔✔Metabolic acidosis - ✔✔Excessive acidity in the body's fluids
✔✔Systolic murmur at 2nd left ICS - ✔✔Abnormal heart sound during contraction at 2nd
intercostal space
✔✔Holosystolic murmur at LLSB - ✔✔Continuous heart sound throughout contraction at
lower left sternal border
✔✔Atrial Septal Defect (ASD) - ✔✔Opening between left and right atrium, causing
increased pulmonary blood flow
-murmur L sternal border, split heart sounds
,-surgical closure or patch, cardiac cath with septal occluder
✔✔Patent Ductus Arteriosus (PAD) - ✔✔Failure of fetal vessel closure, causes blood
flow from the aorta to PA with increased blood flow to the lungs; RV hypertrophy
-bounding pulse, dyspnea, tachypnea, may be asymptomatic
-Indomethacin
NSAID
Surgical ligation
Surgical closure
✔✔Ventricular Septal Defect (VSD) - ✔✔Hole between ventricles causing increased
pulmonary blood flow
-dyspnea, tachypnea, holosystolic murmur LLSB
-may close spontaneously, rashkind procedure, abx, digoxin, or diuretics
✔✔Innocent murmur vs. pathological murmur - ✔✔Distinguishing between harmless
and harmful heart sounds
✔✔Rheumatic fever - ✔✔Inflammatory disorder post Group A Streptococcus infection
✔✔Hordeolum - ✔✔Stye caused by eyelid gland obstruction
✔✔Chalazion - ✔✔Chronic eyelid inflammation from blocked gland
✔✔Bacterial Conjunctivitis - ✔✔Eye infection causing redness and discharge
✔✔Allergic Conjunctivitis - ✔✔Eye inflammation due to allergic reactions
✔✔Viral Conjunctivitis - ✔✔Eye infection by viruses like adenovirus
✔✔herpes simplex - ✔✔Recurring viral infection that often presents as a fever blister or
cold sore.
· Oral Antiviral: Acyclovir 20-40mg/kg/day x5 days (start within 48-72 hours)
· Topical Antiviral: Acyclovir 5% five times a day
✔✔Roseola - ✔✔caused by herpes simplex viruses 6 & 7;
occurs before age 2
-fever and rash
-tx: rest, fluids, tylenol, ibuprofen
, ✔✔Coryza (seen in measles) - ✔✔increased mucous and inflammation of mucous
membrane in the nose
✔✔Mumps - ✔✔· Paramyxoviridae; generalized viral disease
· Painful enlargement of 1+ salivary glands
· Transmission through saliva or respiratory secretions
TX: supportive, steroids, NSAIDs
✔✔Fifth's disease rash phases - ✔✔1-facial redness ~4 days
2-Lacey rash 2 days after facial redness
3-Fever, itching, petechiae (hands/feet only)
-avoid pregnant women and immunocompromised
✔✔Lyme disease, stage 1 - ✔✔o Erythema migrans rash at site of bite within 24-48
hours
o Bulls Eye lesion then forms
o May have multiple lesions at different sites
o Rash warm and itchy but not painful
o Possible flu-like symptoms
o Rash may last weeks to months without treatment
✔✔Lyme disease; stage 2 - ✔✔Ø dissemination through hematologic or lymphatic
channels
o Secondary lesions form
o Neurologic & Cardiac symptoms
o Generalized illness
o May last weeks to 2 years without treatment
✔✔Lyme disease, stage 3 - ✔✔Ø periarticular or monoarticular arthritis
o Weeks to months after initial bite
o Chronic neurological symptoms
✔✔lyme disease treatment - ✔✔o <8yo—Amoxicillin 50mg/kg/day TID x14 days
o >8yo—Doxycycline 200mg daily or 4mg/kg BID x14 days
o If unable to take PCN or doxy—Cefuroxime 30mg/kg BID x14 days
✔✔Rocky mountain spotted fever - ✔✔Fever 104, Chills
Severe headache, Myalgias, GI upset, N/V/D, Cough, Conjunctival injection,
Photophobia, Altered LOC, Maculopapular rash 2-5 days after fever
TX:Within 5 days of clinical symptoms!!!
--Doxycyline
<100lbs—2.2mg/kg BID x7-10 days
>100lbs—100mg BID x7-10 days
