NRNP 6566 Week 9 EXAM LATEST 2022/2023 SEMESTERS VERSION 1 (Q&A)

Question: A 32 year old preschool teacher complains of difficulty swallowing, sore throat, and chills. She is febrile with a temperature of 101.6 along with white patches on her tonsils. Her rapid strep test is positive. Her past medical history is positive for an anaphylactic reaction to cefaclor two years ago. What … in this patient? Question: A 20-year old woman was seen by her primary care provider last week and diagnosed with a lower track UTI. Her complaints at that time included burning on urination, frequent urination of a small amount, and superpubic pain. She was prescribed a 3 day course of Bactrim which she completed. She is … to the step down unit today with complaints of fever (102.6 and above) for the past 24 hours and CVA tenderness. She appears very ill and is somewhat … today. Her BP is 100/62. Her family indicates that she has been vomiting for the last 24 hours and been unable to keep food or fluids down. Question: A 26 year old male is … for a lumbar laminectomy Penicil-lin causesa rash in this patient. His preoperative orders include cefazolin 2 gm IV to be given on call to the OR. The NP is called to change the antibiotic order due to the patientsallergy. What is the best action for the NP to take? Question: What factors are considered when making empiric antibiotic decisions? Apply those factors to a patient with suspected acute otitis media. Question: A 42 year old female has a severe bacterial infection. She is being … with a broach spectrum IV drug. The drug is … too rapidly causing hypotension, flushing and itching over the upper portion of her chest, neck, and face. What antibiotic is likely responsible for these symptoms? Question: A 72 year old male is … to the hospital from his long term can facility after complaints of dyspnea and cough for 1 week. He was … with a COPD exacerbate and started on azithromycin. He has had little improvement after 3 days on this antibiotic. His past medical history includes hypertension, COPD, and hyperlipidemia.Current medications include lisinopril, atrovastatin, salmeterol, and albuterol inhaler. Current symptoms include fever, chills, productive cough, and worsening dyspnea. Current vital signs T 101.6 HR 92. RR 20 BP 138/82. O2 saturation is 96% on 4L of O2 Chest x-ray shows consolidation in the left lower lobe CBC and CMP are all within normal limits. How would you manage this patient? Question: A 54 year old women is 7 days post op following a breast lump removal. She complains of pain, redness, and swelling around her left breast incision. She has a low grade temperature (99.6). The NP determines that she has a post operative wound infection. What antibiotics would … to treat her infection? A 16 year old male is … to the step down unit following laparotomy for appendicitis. It was … during surgery that the appendix had … causing a perito- nitis. What antibiotics would … to treat the peritonitis? A 19 year old female presents with complaints of crampy abdominal pain. The pain has been present for about 7 days. She verifies … sexual activity with multiple partners over the past 6 months. The pain is worse with movement and exercise. She has purulent vaginal discharge and a low grade temperature (99.6). PID is … and cultures have been sent off. A 42 year old man is … for redness, pain, swelling, and tenderness on the anterior right thigh. His symptoms … about 4 days ago with a small 1 cm blister on his thigh. The area has gotten bigger over the past 4 days and is now 4 cm x 6 cm. He indicates that has been having fever and chills over the past couple of days. The NP diagnoses him with cellulitis. What would your treatment for this be?