UTA Nurs 5338 Urgent Emergencies Exam||Verified
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What is obturator sign? - Answers-- The patient lies on the
back with hip and knee flexed at 90 degrees while the
knee is stabilized and the ankle rotated away from the
body
How is sepsis handled in the primary care setting? -
Answers-refer patient to the ED
Describe treatment for an abscess - Answers-I&D
Describe assessment findings for cellulitis - Answers-
Erythema
Warmth
Edema
Pain
Fever
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Lymphadenopathy
Fissuring, scaling or maceration in toe webs may be
source of colonization (treat with antifungal agents such as
econazole, naftifine)
History of recurrent abscesses
How is a puncture wound from an animal bite treated? -
Answers-- typically not sutured closed
- treat with Augmentin
Describe assessment findings for bacterial vaginosis -
Answers-Most women with BV are asymptomatic
Fishy or musty vaginal odor, more prominent after sexual
intercourse and menses
Thin, homogenous discharge
No redness or edema
Normal bimanual exam
Describe the diagnostic study for bacterial vaginosis -
Answers-Amsel's criteria specify that diagnosis of BV
requires three or more of the following clinical signs and
symptoms:
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- Homogenous, thin, gray-white discharge coating the
vaginal wall
- Vaginal pH >4.5
- Positive whiff test: amine (fishy) odor after application of
10% KOH on vaginal discharge sample
- Presence of more than 20% epithelial cells (clue cells) on
saline microscopy: microscopic evaluation of vaginal
discharge on glass slide with normal saline shows few
WBCs, and epithelial cells are obscured with coccobacilli.
Describe the pharmacological treatment for gonorrhea -
Answers-Ceftriaxone 500 mg IM as a single dose, for
persons weighing < 150 kg
For persons weighing > 150 kg, ceftriaxone 1gm IM as a
single dose
Describe the pharmacological treatment for chlamydia -
Answers-Doxycycline 100 mg PO BID for 7 days
During pregnancy, azithromycin 1 gm as a single dose to
treat chlamydia
Alternative regimens:
Gentamicin 240 mg IM as a single dose + azithromycin 2
gm PO as a single dose
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Cefixime 800 mg orally as a single dose + doxycycline 100
mg PO BID for 7 days (if chlamydia CANNOT be
excluded)
When assessing a patient, what is done first? - Answers--
Observe
- Inspect
- Listen
- Palpate, respectively
Describe assessment findings for appendicitis - Answers-
Abdominal pain, usually severe; localized to the right lower
quadrant (RLQ)
Most common symptoms: anorexia, abdominal pain,
nausea and vomiting (typically present in this order)
Constipation and diarrhea occur after the pain
Describe acute abdominal pain - Answers-- severe,
persistent pain
- sudden onset
- nausea, vomiting
- abdominal distention