Nurs 6541 Week 7 Quiz 3

QUESTION I1 1. Shelby Iis Ia Ihealthy I4-week-old Iwho Ipresents Ito Iyour Ioffice Iin Imid-January Iwith Ia I3-day Ihistory Iof Inasal Icongestion Iwith Ioccasional Icough. IShe Istarted Irunning Ia Ilow-grade Ifever Ilast Inight I(T Imax I101.5°F). INow Ishe Iis Irefusing Ito Inurse Iand Ihas Iparoxysmal Icoughing Iand Inoisy/labored Ibreathing. IPhysical Iexam Ireveals Ian Iill-appearing Iinfant Iwith Ilethargy Iand Itachypnea, Iintercostal Iretractions, Iexpiratory Iwheezes, Iand Ioccasional Irales. IShe Idoes Inot Iattend Iday Icare Ibut Ihas Ia I3-year-old Isibling Iwho Idoes Iand Iwho Irecently Ihad Ia I“cold.” IWhat Iis Ithe IMOST ILIKELY Icause Iof IShelby’s Iillness? I a. Mycoplasma Ipneumonia I b. Bronchitis I c. RSV Ibronchiolitis I d. Upper Irespiratory Itract Iinfection 1 Ipoints I I I I QUESTION I2 1. You Iare Ion Icall Iand Ireceive Ia Iphone Icall Ifrom Ithe Iparents Iof Ia I13-year-old Iknown Iasthmatic. IShe Ihas Ibeen Ihaving Ichest Itightness Iand Ia Iworsening Icough Ifor I48 Ihours. IShe Ihas Isignificant Inasal Idischarge Ithat Ibegan I14 Idays Iago Iand Iintermittent Icomplaint Iof Iheadache. IShe Iis Inow Irunning Ia Ilow-grade Ifever. IHer Ipeak Iflow Ithe Ilast I48 Ihours Iis I70– 80% Iof Ipersonal Ibest. IHer Itemperature Iright Inow Iis I101.7°F. IShe Iis Ion Isalmeterol Iwith Icorticosteroid I(Advair) Iand IPRN Ialbuterol. IWhich Iof Ithe Ifollowing Iis Imost Iappropriate? I a. Continue Ihome Imanagement Iwith Ithe Iuse Iof Iinhaled Ibeta Iagonists Iand Iinhaled Icorticosteroids, Iand Iadd Ithe Iuse Iof Ioral Iantihistamine/decongestant Icombinations. I b. See Iher Iin Ithe Ioffice Iin Ithe Imorning Iand Iprescribe Ia I14-day Icourse Iof Iamoxicillin Iplus Ithe Iaddition Iof Ia Ishort Icourse Iof Ioral Isteroids. I c. See Iher Iin Ithe Ioffice Iin Ithe Imorning Iand Iprescribe Ia Ishort Icourse Iof Ioral Isteroids. I d. Continue Ihome Imanagement Iand Iadd Iinhaled Icromolyn Isulfate. 1 Ipoints I I I I QUESTION I3 1. A I3-year-old Ipresents Ito Iyour Ioffice Iwith Ia Ihistory Iof Iwheezing Iover Ithe Ilast I3 Imonths Iand Ihas Ionly Ibeen Imoderately Iresponsive Ito Itherapy. IWhich Iof Ithe Ifollowing Idiagnostic Itests Iwould Ibe Iappropriate? I a. Sweat Ichloride Itesting I b. Pulmonary Ifunction Itesting I c. Bronchoscopy I d. All Iof Ithe Iabove 1