NURS 676 ADVANCED PHARMACOLOGY
A patient reports recurrent chest pain that
occurs regardless of activity and is not
relieved by rest. The provider administers
one NG tablet which does not relieve the
pain. What is the next action? -
ANSWERSGive the patient a beta blocker
A patient is brought to an emergency
department with symptoms of acute ST
segment elevation MI (STEMI). The nearest
hospiral that can perform a PCI is three
hours away, what is the initial treatment for
this patient. - ANSWERSInitiate fibrinolytic
therapy
A patient reports a feeling of fullness and
pain in both ears and the practitioner elicits
pain when manipulating the ear structures,
,what is likely the diagnosis? -
ANSWERSacute otitis externa
Which are risk factors for developing otitis
externa? - ANSWERShaving underlying DM,
use of ear plugs or hearing aids, vigorous
external hygiene
A patient has an initial episode of otitis
external associated with swimming. the
patient's ear canal is mildly inflamed and the
TM is not involved. Which medication will be
ordered? - ANSWERSCipro HC
Which symptoms in children are evlauated
using a parent-reported scoring system to
determine the severity of pain in children
with OM? - ANSWERSAppetite, Difficulty
sleeping, and tugging on ears.
, Which patient may be given symptomatic
treatment with 24 hours follow-up
assessment without initial antibiotic therapy?
- ANSWERSA 36 month old with fever of
38.5, mild otalgia, and red, non-bulging TM
A pediatric patient has otalgia, fever of 38.8,
and recent history of URI. the examiner is
unable to visualize the TM in the right ear
because of the presence of cerumen. The left
TM is dull gray with fluid levels present.
What is the correct action? -
ANSWERSRemove the cerumen and
visualize the TM
A patient reports ear pain and difficulty
hearing. An otoscope examination reveals a
small tear in the TM of the affected ear with
purulent d/c. What is the initial treatment for
A patient reports recurrent chest pain that
occurs regardless of activity and is not
relieved by rest. The provider administers
one NG tablet which does not relieve the
pain. What is the next action? -
ANSWERSGive the patient a beta blocker
A patient is brought to an emergency
department with symptoms of acute ST
segment elevation MI (STEMI). The nearest
hospiral that can perform a PCI is three
hours away, what is the initial treatment for
this patient. - ANSWERSInitiate fibrinolytic
therapy
A patient reports a feeling of fullness and
pain in both ears and the practitioner elicits
pain when manipulating the ear structures,
,what is likely the diagnosis? -
ANSWERSacute otitis externa
Which are risk factors for developing otitis
externa? - ANSWERShaving underlying DM,
use of ear plugs or hearing aids, vigorous
external hygiene
A patient has an initial episode of otitis
external associated with swimming. the
patient's ear canal is mildly inflamed and the
TM is not involved. Which medication will be
ordered? - ANSWERSCipro HC
Which symptoms in children are evlauated
using a parent-reported scoring system to
determine the severity of pain in children
with OM? - ANSWERSAppetite, Difficulty
sleeping, and tugging on ears.
, Which patient may be given symptomatic
treatment with 24 hours follow-up
assessment without initial antibiotic therapy?
- ANSWERSA 36 month old with fever of
38.5, mild otalgia, and red, non-bulging TM
A pediatric patient has otalgia, fever of 38.8,
and recent history of URI. the examiner is
unable to visualize the TM in the right ear
because of the presence of cerumen. The left
TM is dull gray with fluid levels present.
What is the correct action? -
ANSWERSRemove the cerumen and
visualize the TM
A patient reports ear pain and difficulty
hearing. An otoscope examination reveals a
small tear in the TM of the affected ear with
purulent d/c. What is the initial treatment for
