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UTA Nurs 5338 Urgent Emergencies
Questions and Correct Answers the
Latest Update and Recommended
Version
Describe the pharmacological treatment for gonorrhea
✓ 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
✓ 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
✓ 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?
✓ - Observe
✓ - Inspect
✓ - Listen
✓ - Palpate, respectively
Describe assessment findings for appendicitis
✓ 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
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Describe acute abdominal pain
✓ - severe, persistent pain
✓ - sudden onset
✓ - nausea, vomiting
✓ - abdominal distention
✓ - fever, signs of shock
What is obturator sign?
✓ - 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?
✓ refer patient to the ED
Describe treatment for an abscess
✓ I&D
Describe assessment findings for cellulitis
✓ Erythema
✓ Warmth
✓ Edema
✓ Pain
✓ Fever
✓ 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?
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✓ - typically not sutured closed
✓ - treat with Augmentin
Describe assessment findings for bacterial vaginosis
✓ 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
✓ Amsel's criteria specify that diagnosis of BV requires three or more of the following
clinical signs and symptoms:
✓ - 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.
What is the most reliable predictor of bacterial vaginosis?
✓ Presence of clue cells identified by an experienced microscopist is the single most reliable
predictor of BV
For hematuria caused by an STI, when should follow up scheduled?
✓ one week
Describe assessment findings for acute bronchitis
|
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✓ Customer Support: [+254707240657]
UTA Nurs 5338 Urgent Emergencies
Questions and Correct Answers the
Latest Update and Recommended
Version
Describe the pharmacological treatment for gonorrhea
✓ 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
✓ 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
✓ 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?
✓ - Observe
✓ - Inspect
✓ - Listen
✓ - Palpate, respectively
Describe assessment findings for appendicitis
✓ 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
|
✓ Thank You for Choosing Us! ✓ Resources & Updates: [Testtrackers - Stuvia US]
✓ © 2024 TestTrackers ✓ Your Success is Our Mission!
✓ Customer Support: [+254707240657]
, TestTrackers: Unlock Your Exam Potential! | Quality Practice Materials | Boost Your Confidence Today!
Describe acute abdominal pain
✓ - severe, persistent pain
✓ - sudden onset
✓ - nausea, vomiting
✓ - abdominal distention
✓ - fever, signs of shock
What is obturator sign?
✓ - 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?
✓ refer patient to the ED
Describe treatment for an abscess
✓ I&D
Describe assessment findings for cellulitis
✓ Erythema
✓ Warmth
✓ Edema
✓ Pain
✓ Fever
✓ 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?
|
✓ Thank You for Choosing Us! ✓ Resources & Updates: [Testtrackers - Stuvia US]
✓ © 2024 TestTrackers ✓ Your Success is Our Mission!
✓ Customer Support: [+254707240657]
, TestTrackers: Unlock Your Exam Potential! | Quality Practice Materials | Boost Your Confidence Today!
✓ - typically not sutured closed
✓ - treat with Augmentin
Describe assessment findings for bacterial vaginosis
✓ 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
✓ Amsel's criteria specify that diagnosis of BV requires three or more of the following
clinical signs and symptoms:
✓ - 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.
What is the most reliable predictor of bacterial vaginosis?
✓ Presence of clue cells identified by an experienced microscopist is the single most reliable
predictor of BV
For hematuria caused by an STI, when should follow up scheduled?
✓ one week
Describe assessment findings for acute bronchitis
|
✓ Thank You for Choosing Us! ✓ Resources & Updates: [Testtrackers - Stuvia US]
✓ © 2024 TestTrackers ✓ Your Success is Our Mission!
✓ Customer Support: [+254707240657]
