NR545 Exam 1 FNP with Complete
Solutions
Infection of the middle ear. Presented often after upper respiratory infection from
increase amount of nasal drainage - ANS-What is otitis media
Ear pain. (kids will tug their ears/fuss). Heariing loss, drainage of drum if perforated,
Fever. - ANS-Otitis media S/S
ear exam. If erythematous (red, yellow white or opague) = problem. BULDING IS
BETTER HALLMARK THAN REDNESS. - ANS-otitis media diagnosis
observation or Amoxicillin for those who don't go t a penicillin allergy or without recent
beta-lactam treatment. If unresponsive to amoxicillin use with clavulanate.
Tylenol/ibuprophen or benzocaine and lidocaine. - ANS-Otitis media TX
Ruptured Tympanic membrane or extended infection. (mastoiditis/meningitis) - ANS-
what could go wrong with otitis media
"Swimmers ear" infection of the external auditory canal and pinna. Usually bacterial
origin but occasionally is fungal. From external sources (earphones, earplugs, ear
cleaning) - ANS-otitis externa
pain, preulent dischargem hearing deficit. PAIN IS USUALLY INCREASED WITH
MOVEMENT. UNLIKE OTITIS MEDIA. - ANS-otitis externa S/S
common cold - ANS-Rhinovirus
Headache, occasional fever, sneezing, coughing, sorethroat, post nasal drip,
edematous nasal turbinates, tonsillar edematous - ANS-Rhinovirus s/s
supportive, treat sxs - cough, congestion
Tylenol/ibuprophen, nasal decongestant, nasal saline flush, salt water gurgle - ANS-
rhinovirus TX
an allergic reaction to airborne allergens that causes an increased flow of mucus.
Inflammation and swelling in mucus membranes caused by allergies - ANS-allergic
rhinitis
the reaction of the nasal mucosa to a specific allergen. - ANS-Allergic rhinitis
, Rhinorrhea (runny nose), stuffiness, sneezing, itchy/watery eyes. Edematous/nasal
turbinates - ANS-S/S of allergic rhinitis
- Nasal corticosteroids, OTC antihistamines (oral and nasal spray), nasal saline flush,
aovid allergens - ANS-Tx for allergic rhinitis
pink eye. Inflammation of the thin membrane the covers inside eyelids - ANS-Bacterial
conjunctivitis
red/pink eye, pain, itching, green/yellow discharge, crusted eyes - ANS-Bacterial
conjunctivitis s/s
- Eye drops for itching, oral antihistamines, polymyxin B/Erythromycin. Cool wet
compress. No eye makeup and stuff. - ANS-bacterial conjunctivitis tx
pinkness swelliing watery eyes sensitive to light - ANS-Viral conjunctivitis s/s
<4 weeks. Viral
inflammation of tissue linning the sinuses. - ANS-acute sinusitis
more than 12 weeks - ANS-chornic sinustis
common cold - ANS-nasopharyngitis
post nasal drip/sneezing/itchy watery eyes/clear discharge in eyes/pharynx edema -
ANS-Nasopharyingitis
antihistamines (diphenhydramine/lortadine) Tylenol. Ibuprophen. Vor bacterial
penecillins/cephalexin, antihistamines - ANS-nasopharyngitis tx
inflammation of tissue lining the sinuses. Sinus produce more mucus during viral
infection but is unable to drain due to inflammation. Backed up fluid leads to bacteria
growth - ANS-bacterial rhinosinusitis
dull constant pain over sinuses, tooth pain, throbbing that worsesns with cough head
movements or bending forward. Symptoms last greater than 10 days or become worse
after 3-4 days. More severe than viral. Can have fever up to 102 - ANS-bacterial
rhinosinusitis s/s
Abx after 10-14 days. Amoxicillin-Clavulnate first then Doxycycline (also if allergic to
penecilln). - ANS-Bacterial rhonosinusitis tx
hearing loss caused by damage to the cochlea's receptor cells or to the auditory nerves;
also called nerve deafness - ANS-sensorineural hearing loss
patient speaks softly, hears own voice as loud
Solutions
Infection of the middle ear. Presented often after upper respiratory infection from
increase amount of nasal drainage - ANS-What is otitis media
Ear pain. (kids will tug their ears/fuss). Heariing loss, drainage of drum if perforated,
Fever. - ANS-Otitis media S/S
ear exam. If erythematous (red, yellow white or opague) = problem. BULDING IS
BETTER HALLMARK THAN REDNESS. - ANS-otitis media diagnosis
observation or Amoxicillin for those who don't go t a penicillin allergy or without recent
beta-lactam treatment. If unresponsive to amoxicillin use with clavulanate.
Tylenol/ibuprophen or benzocaine and lidocaine. - ANS-Otitis media TX
Ruptured Tympanic membrane or extended infection. (mastoiditis/meningitis) - ANS-
what could go wrong with otitis media
"Swimmers ear" infection of the external auditory canal and pinna. Usually bacterial
origin but occasionally is fungal. From external sources (earphones, earplugs, ear
cleaning) - ANS-otitis externa
pain, preulent dischargem hearing deficit. PAIN IS USUALLY INCREASED WITH
MOVEMENT. UNLIKE OTITIS MEDIA. - ANS-otitis externa S/S
common cold - ANS-Rhinovirus
Headache, occasional fever, sneezing, coughing, sorethroat, post nasal drip,
edematous nasal turbinates, tonsillar edematous - ANS-Rhinovirus s/s
supportive, treat sxs - cough, congestion
Tylenol/ibuprophen, nasal decongestant, nasal saline flush, salt water gurgle - ANS-
rhinovirus TX
an allergic reaction to airborne allergens that causes an increased flow of mucus.
Inflammation and swelling in mucus membranes caused by allergies - ANS-allergic
rhinitis
the reaction of the nasal mucosa to a specific allergen. - ANS-Allergic rhinitis
, Rhinorrhea (runny nose), stuffiness, sneezing, itchy/watery eyes. Edematous/nasal
turbinates - ANS-S/S of allergic rhinitis
- Nasal corticosteroids, OTC antihistamines (oral and nasal spray), nasal saline flush,
aovid allergens - ANS-Tx for allergic rhinitis
pink eye. Inflammation of the thin membrane the covers inside eyelids - ANS-Bacterial
conjunctivitis
red/pink eye, pain, itching, green/yellow discharge, crusted eyes - ANS-Bacterial
conjunctivitis s/s
- Eye drops for itching, oral antihistamines, polymyxin B/Erythromycin. Cool wet
compress. No eye makeup and stuff. - ANS-bacterial conjunctivitis tx
pinkness swelliing watery eyes sensitive to light - ANS-Viral conjunctivitis s/s
<4 weeks. Viral
inflammation of tissue linning the sinuses. - ANS-acute sinusitis
more than 12 weeks - ANS-chornic sinustis
common cold - ANS-nasopharyngitis
post nasal drip/sneezing/itchy watery eyes/clear discharge in eyes/pharynx edema -
ANS-Nasopharyingitis
antihistamines (diphenhydramine/lortadine) Tylenol. Ibuprophen. Vor bacterial
penecillins/cephalexin, antihistamines - ANS-nasopharyngitis tx
inflammation of tissue lining the sinuses. Sinus produce more mucus during viral
infection but is unable to drain due to inflammation. Backed up fluid leads to bacteria
growth - ANS-bacterial rhinosinusitis
dull constant pain over sinuses, tooth pain, throbbing that worsesns with cough head
movements or bending forward. Symptoms last greater than 10 days or become worse
after 3-4 days. More severe than viral. Can have fever up to 102 - ANS-bacterial
rhinosinusitis s/s
Abx after 10-14 days. Amoxicillin-Clavulnate first then Doxycycline (also if allergic to
penecilln). - ANS-Bacterial rhonosinusitis tx
hearing loss caused by damage to the cochlea's receptor cells or to the auditory nerves;
also called nerve deafness - ANS-sensorineural hearing loss
patient speaks softly, hears own voice as loud
