NUR 676 Exam 2 questions with correct
answers
Epiglottitis |(Definition |and |Epidemiology) |- |VERIFIED |ANSWER✔✔--supraglottitis |
-rare |but |serious |life-threatening |condition |due |to |potential |for |laryngospasm |and |irrevocable |loss |of |
airway
-characterized |by: |inflammation |& |edema |of |epiglottis, |vallecular, |arytenoids, |and |aryepiglottic |folds |
-most |prevalent |cause: |bacterial |infection |(most |common) |Hib
-Viral |illness |or |caustic |and |thermal |injury |to |the |epiglottis
Epiglottitis |(Definition |and |Epidemiology) |- |VERIFIED |ANSWER✔✔-Noninfectious |causes:
-inflammation |due |to |thermal |injury |(crack/marijuana |smoking)
-ingestion |of |caustic |substances |(dishwasher |detergent)
-systemic |disease |(DMII, |HTN, |obs. |pulmonary |disease, |seizure |disorder, |alcohol/drug |abuse, |tobacco |
smoking)
-chemo |for |head |& |neck |cancer |
-trauma |by |foreign |objects |
-burns |associated |w/ |bottle-fed |infant |formula
Epiglottitis |(Clinical |Presentation) |- |VERIFIED |ANSWER✔✔--Severe |odynophagia |(painful |swallowing)
-shortness |of |breath |w/ |sitting |up |& |leaning |forward |
-inability |to |swallow |one's |secretions |
-Stridor |in |children |
-Odynophagia, |dysphagia, |and |voice |change |in |adults |
-cough
-drooling
-respiratory |distress
-hoarseness
-dyspnea
, -neck |tenderness
-lymphadenopathy |
-fever
Epiglottitis |(Physical |Exam |and |Diagnostics) |- |VERIFIED |ANSWER✔✔--Adults: |anterior |neck |tenderness |
w/ |severe |sore |throat, |signs |of |respiratory |distress, |may |not |have |a |fever/toxic |appearance |
-Direct |visualization |via |laryngoscopy |w/ |flexible |fiberoptic |scope |or |laryngeal |mirror
-Indirect |laryngoscopy |: |erythematous, |edematous |epiglottis |w/ |narrow |glottic |opening. |Substernal |
and |supraclavicular |retractions, |tachycardia, |tachypnea, |and |inspiratory |stridor |
-Diagnostics: |US |(ED |setting), |lateral |next |XR, |CBC, |Blood |cultures
Epiglottitis |(Management) |- |VERIFIED |ANSWER✔✔--Hospitalizatio |in |ICU |for |airway |monitoring |
-IV |abx, |short |course |of |steroids |
-Urgent |otolaryngology |consult |(surgery |if |abscess |present)
-Isolation |sometimes |recommended |for |1st |24 |hours |after |surgery |
-influenza |vaccination |for |prevention
Peritonsillar |Abscess |(Clinical |presentation) |- |VERIFIED |ANSWER✔✔--accumulation |of |pus |located |
within |peritonsillar |tissues, |between |tonsil |and |pharyngeal |constrictor |muscle |
-common |deep |infection |of |head |and |neck |
-frequently |occurs |in |patients |with |hx |of |recurrent, |chronic, |or |improperly |treated |tonsillitis |
-Common |occurrences |in |muddle |teenage |years |through |age |40 |
-higher |occurrence |in |those |who |smoke |
-specialist |referral |recommended
Peritonsillar |Abscess |(Clinical |Presentation) |- |VERIFIED |ANSWER✔✔--Symptoms |of: |fever, |chills, |
fatigue, |malaise, |foul |breath, |dysphagia, |severe |sore |throat |and |otalgia, |drooling, |"hot |potato" |(harsh |
voice)
-often |reports |pain |radiating |to |the |ear |of |the |affected |side |
-may |appear |acutely |ill |
answers
Epiglottitis |(Definition |and |Epidemiology) |- |VERIFIED |ANSWER✔✔--supraglottitis |
-rare |but |serious |life-threatening |condition |due |to |potential |for |laryngospasm |and |irrevocable |loss |of |
airway
-characterized |by: |inflammation |& |edema |of |epiglottis, |vallecular, |arytenoids, |and |aryepiglottic |folds |
-most |prevalent |cause: |bacterial |infection |(most |common) |Hib
-Viral |illness |or |caustic |and |thermal |injury |to |the |epiglottis
Epiglottitis |(Definition |and |Epidemiology) |- |VERIFIED |ANSWER✔✔-Noninfectious |causes:
-inflammation |due |to |thermal |injury |(crack/marijuana |smoking)
-ingestion |of |caustic |substances |(dishwasher |detergent)
-systemic |disease |(DMII, |HTN, |obs. |pulmonary |disease, |seizure |disorder, |alcohol/drug |abuse, |tobacco |
smoking)
-chemo |for |head |& |neck |cancer |
-trauma |by |foreign |objects |
-burns |associated |w/ |bottle-fed |infant |formula
Epiglottitis |(Clinical |Presentation) |- |VERIFIED |ANSWER✔✔--Severe |odynophagia |(painful |swallowing)
-shortness |of |breath |w/ |sitting |up |& |leaning |forward |
-inability |to |swallow |one's |secretions |
-Stridor |in |children |
-Odynophagia, |dysphagia, |and |voice |change |in |adults |
-cough
-drooling
-respiratory |distress
-hoarseness
-dyspnea
, -neck |tenderness
-lymphadenopathy |
-fever
Epiglottitis |(Physical |Exam |and |Diagnostics) |- |VERIFIED |ANSWER✔✔--Adults: |anterior |neck |tenderness |
w/ |severe |sore |throat, |signs |of |respiratory |distress, |may |not |have |a |fever/toxic |appearance |
-Direct |visualization |via |laryngoscopy |w/ |flexible |fiberoptic |scope |or |laryngeal |mirror
-Indirect |laryngoscopy |: |erythematous, |edematous |epiglottis |w/ |narrow |glottic |opening. |Substernal |
and |supraclavicular |retractions, |tachycardia, |tachypnea, |and |inspiratory |stridor |
-Diagnostics: |US |(ED |setting), |lateral |next |XR, |CBC, |Blood |cultures
Epiglottitis |(Management) |- |VERIFIED |ANSWER✔✔--Hospitalizatio |in |ICU |for |airway |monitoring |
-IV |abx, |short |course |of |steroids |
-Urgent |otolaryngology |consult |(surgery |if |abscess |present)
-Isolation |sometimes |recommended |for |1st |24 |hours |after |surgery |
-influenza |vaccination |for |prevention
Peritonsillar |Abscess |(Clinical |presentation) |- |VERIFIED |ANSWER✔✔--accumulation |of |pus |located |
within |peritonsillar |tissues, |between |tonsil |and |pharyngeal |constrictor |muscle |
-common |deep |infection |of |head |and |neck |
-frequently |occurs |in |patients |with |hx |of |recurrent, |chronic, |or |improperly |treated |tonsillitis |
-Common |occurrences |in |muddle |teenage |years |through |age |40 |
-higher |occurrence |in |those |who |smoke |
-specialist |referral |recommended
Peritonsillar |Abscess |(Clinical |Presentation) |- |VERIFIED |ANSWER✔✔--Symptoms |of: |fever, |chills, |
fatigue, |malaise, |foul |breath, |dysphagia, |severe |sore |throat |and |otalgia, |drooling, |"hot |potato" |(harsh |
voice)
-often |reports |pain |radiating |to |the |ear |of |the |affected |side |
-may |appear |acutely |ill |
