NURS 620 ADULT 1 STUDY GUIDE CORRECT
QUESTIONS AND ANSWERS SURE A+
✔✔what class of drug is bactrim - ✔✔sulfonamide, a "sulfa" drug
✔✔What are the classic s/s of bacterial sinusitis? - ✔✔Purulent nasal drainage,
facial/dental pain, nasal obstruction
✔✔How to educate for nose bleeds - ✔✔•Firm pressure-superior to nasal cartilage
✔✔How do you differentiate between Viral sore throat Bacterial sore throat - ✔✔Rapid
strep/culture
✔✔What is subjective and objective s/s of meniere's disease? - ✔✔Subjective:
"spinning", tinnitus, loss of balance
Objective: unilateral hearing loss, positive romberg, abnormal gait
✔✔First line treatment for acute bacterial sinusitis? - ✔✔Analgesics, intranasal steroids,
decongestants, second generation antihistamines, nasal saline irrigation, local heat,
hydration
✔✔If allergy to PCN don't give what - ✔✔Cephalosporins and all beta lactams (cillins)
✔✔Differentiate between the s/s for bacterial and allergic conjunctivitis - ✔✔a. Bacterial
conjunctivitis- mucopurulent heavy d/c unilateral, highly contagious
b. Allergic conjunctivitis- stringy rope-like d/c, hx allergy symptoms, boggy nasal
turbinates
✔✔Bacterial Conjunctivitis: Treatment - ✔✔Trimethoprim/Polymyxin Unilateral at onset
or Tobramycin 0.3% Edematous
, ✔✔what is the Primary difference between a chalazion and hordeolum - ✔✔chalazion
are a result of inflammation and hordeola or styes are infectious
✔✔Presents with redness, scaling, and crusting of the lid margins and eyelashes -
✔✔Blepharitis
✔✔-"Gritty", burning
-Morning crusting
-Watery to serous discharge during day
-Unilateral at onset then bilateral w/in
1-2 days
-URI symptoms follow - ✔✔viral conjuctivitis
✔✔•Asymptomatic until optic nerve damage is advanced; then slow, progressive loss of
peripheral vision, poor night vision, vision loss, and halos around lights - ✔✔Glaucoma
✔✔treatment for nosebleeds - ✔✔•Firm pressure-superior to nasal cartilage
•Nasal packing
✔✔When treating bacterial conjunctivitis, which antibiotic should NOT be used for
patient's with contacts? - ✔✔polytrim (polymyxin B sulfate and trimethoprim ophthalmic
solutio)
✔✔What 3 criteria must be met in order to be diagnosed as AOM? - ✔✔middle ear
effusion, acute onset (>48 hrs), s/s inflammation
✔✔If a patient has an allergy to beta-lactams, which other antibiotic class should be
avoided? - ✔✔cephlasporins
✔✔What antibiotics should be avoided with mono? - ✔✔beta-lactams (cillins)
✔✔How long should one wait before treating sinusitis with antibiotics? - ✔✔10 days
unless it is worse by day7 or high fever and severe pain
✔✔What labs should you order to aid in the diagnosis of mono - ✔✔CBC with diff., liver
enzymes (elevated), RPR (positive), rapid strep (negative), monospot
✔✔If mono is concurrent with strep how would you treat the strep? - ✔✔erythromycin
✔✔When should a patient follow up after being diagnosed with mono? - ✔✔1-2 weeks
✔✔What is the treatment for Tonsillar Abscess - ✔✔needle aspiration or excision
followed by antibiotics (augmentin or clindamycin)
QUESTIONS AND ANSWERS SURE A+
✔✔what class of drug is bactrim - ✔✔sulfonamide, a "sulfa" drug
✔✔What are the classic s/s of bacterial sinusitis? - ✔✔Purulent nasal drainage,
facial/dental pain, nasal obstruction
✔✔How to educate for nose bleeds - ✔✔•Firm pressure-superior to nasal cartilage
✔✔How do you differentiate between Viral sore throat Bacterial sore throat - ✔✔Rapid
strep/culture
✔✔What is subjective and objective s/s of meniere's disease? - ✔✔Subjective:
"spinning", tinnitus, loss of balance
Objective: unilateral hearing loss, positive romberg, abnormal gait
✔✔First line treatment for acute bacterial sinusitis? - ✔✔Analgesics, intranasal steroids,
decongestants, second generation antihistamines, nasal saline irrigation, local heat,
hydration
✔✔If allergy to PCN don't give what - ✔✔Cephalosporins and all beta lactams (cillins)
✔✔Differentiate between the s/s for bacterial and allergic conjunctivitis - ✔✔a. Bacterial
conjunctivitis- mucopurulent heavy d/c unilateral, highly contagious
b. Allergic conjunctivitis- stringy rope-like d/c, hx allergy symptoms, boggy nasal
turbinates
✔✔Bacterial Conjunctivitis: Treatment - ✔✔Trimethoprim/Polymyxin Unilateral at onset
or Tobramycin 0.3% Edematous
, ✔✔what is the Primary difference between a chalazion and hordeolum - ✔✔chalazion
are a result of inflammation and hordeola or styes are infectious
✔✔Presents with redness, scaling, and crusting of the lid margins and eyelashes -
✔✔Blepharitis
✔✔-"Gritty", burning
-Morning crusting
-Watery to serous discharge during day
-Unilateral at onset then bilateral w/in
1-2 days
-URI symptoms follow - ✔✔viral conjuctivitis
✔✔•Asymptomatic until optic nerve damage is advanced; then slow, progressive loss of
peripheral vision, poor night vision, vision loss, and halos around lights - ✔✔Glaucoma
✔✔treatment for nosebleeds - ✔✔•Firm pressure-superior to nasal cartilage
•Nasal packing
✔✔When treating bacterial conjunctivitis, which antibiotic should NOT be used for
patient's with contacts? - ✔✔polytrim (polymyxin B sulfate and trimethoprim ophthalmic
solutio)
✔✔What 3 criteria must be met in order to be diagnosed as AOM? - ✔✔middle ear
effusion, acute onset (>48 hrs), s/s inflammation
✔✔If a patient has an allergy to beta-lactams, which other antibiotic class should be
avoided? - ✔✔cephlasporins
✔✔What antibiotics should be avoided with mono? - ✔✔beta-lactams (cillins)
✔✔How long should one wait before treating sinusitis with antibiotics? - ✔✔10 days
unless it is worse by day7 or high fever and severe pain
✔✔What labs should you order to aid in the diagnosis of mono - ✔✔CBC with diff., liver
enzymes (elevated), RPR (positive), rapid strep (negative), monospot
✔✔If mono is concurrent with strep how would you treat the strep? - ✔✔erythromycin
✔✔When should a patient follow up after being diagnosed with mono? - ✔✔1-2 weeks
✔✔What is the treatment for Tonsillar Abscess - ✔✔needle aspiration or excision
followed by antibiotics (augmentin or clindamycin)
