NURS 629 EXAM 3 (MARYVILLE) 250 QUESTIONS AND ANSWERS(VERIFIED ANSWERS) UPDATE | A GRADED

NURS 629 EXAM 3 (MARYVILLE) 250 QUESTIONS AND ANSWERS(VERIFIED ANSWERS) UPDATE | A GRADED Otitis media pathogens - ANSWER- Caused by: S. Pneumoniae (most common); H. Influenzae, M. Catarrhils Otitis media Symptoms: - ANSWER- Fever, Pain, discharge from ear, tugging at ear, irritability, crying, lethargy, decreased appetite, decreased sleep, Recent URI Objective findings in otitis media - ANSWER- Red, bulging OM; Retracted with pus; no movement of TM, Inability to see landmarks; occasional hole in TM Treatment for AOM + Conjunctivitis d/t : H. Influenzae - ANSWER- Amoxicillinclavulanate 80-90 mg/kg/day BID x 10 days Treatment for AOM d/t S. Pneumoniae (most common): - ANSWER- Amoxicillin 80-90 mg/kg/day BID x 10 days (high dose) Treatment for AOM with PCN Allergy: Non-Type 1: - ANSWER- Cefdinir, Cefuroxime Treatment for AOM with PCN Allergy: Type 1: - ANSWER- Azithromycin, clarithromycin OR Ceftriaxone 1-3 days Predisposing factors of otitis externa: - ANSWER- Frequent moisture, local trauma, aggressive cleaning, Allergies/skin conditions Causative organisms for otitis externa: - ANSWER- Psuedomonas aeruginosa (20- 60%); Staphylococcus Aureus (10-70%); 10% fungal infection Symptoms of otitis externa: - ANSWER- Discharge from ear, recent history of swimming or placing something in the ear, low-grade fever, pain with movement of tragus, decreased hearing, redness around ear Objective findings of otitis externa: - ANSWER- Otalgia ( inner or outer ear pain), discharge, fullness, itching, pain