Maryville NURS 620 Adult 1 EXAM 1 with correct Questions and answers

if rapid strep test is negative what is the first thing you should do? Correct Answer- send out culture when examining lab from a person with mono what would the NP expect to find? Correct AnswerLymphocytosis EBV is transmitted through which route? Correct Answer- oral pharyngeal secretions (saliva) Sx of mono usually present how many days after initially infected? Correct Answer- 30-50 days if a pt is being treated for strep and tells you he or she has allergy to PCN what class of med to avoid Correct Answer- beta-lactam 60 yr old concerned over a painless fixed oral sore on exam there is a white ulcerated lesion with induration what do you suspect Correct Answer- oral cancer which vision sx is common in open angel glaucoma Correct Answer- peripheral vision loss pt presents with sudden vision changes with floaters and flashes, what is next step Correct Answerrefer to eye dr (retinal detachment) An acutely presenting, erythematous, tender lump within the eyelid Correct Answer- Hordeolum (stye) A granulomatous infection of a Meibomian gland, presenting in the form of painless swelling on the eyelid Correct Answer- Chalazion what maneuver can be performed to help manage sx of vertigo? Correct Answer- Epley maneuver What can help diagnose vertigo Correct Answer- Dix-Hallpack test A pt is started on antibiotics for strep a few days later the mono spot comes back positive what is the first thing to do? Correct Answer- discontinue antibiotics peripheral vision loss that has worsened over the last few months Correct Answer- open-angle glaucoma (peripheral loss over time) Risk factor for otitis externa? Correct Answer- Exposure to water, excessive use of headphones, Q-tips, impacted cerumen and earplugs Risk factor for otitis media? Correct Answer- Young children, allergies, craniofacial abnormalities, smokers, hx of URI, acid reflux, immunodeficiency A red flag for pt complaining of red eye? Correct Answer- severe headache therapeutic option for acute rhino-sinusitis in pt with no recent antimicrobial care with treatment failure after 7 days of 1st line abx (PCN)? Correct Answer- Doxycycline previously healthy pt comes in with 3 days post nasal drainage, cough, sneezing, and sore throat; exam shows pharyngeal erythema, pale swollen turbinates, clear rhinorrhea; T 99, most appropriate treatment plan Correct Answer- saline nasal spray and clariton painful ulcer in mouth that is round or oval with white or yellow center and red border Correct Answercanker sor