NURS 5338 University Of Texas - Arlington -Nurs 5338
Mod 2 Pretest Questions With Complete Solutions
Gonorrhea Pharmacological Treatment - ANSWER Ceftriaxone 500 mg IM as a
single dose for < 150 kg; 1 gm IM for > 150 kg
Chlamydia Pharmacological Treatment - ANSWER Doxycycline 100 mg PO BID for
7 days; Azithromycin 1 gm as a single dose during pregnancy
Chlamydia Alternative Regimens - ANSWER - Gentamicin 240 mg IM +
Azithromycin 2 gm PO as a single dose
- Cefixime 800 mg orally + Doxycycline 100 mg PO BID for 7 days (if chlamydia
CANNOT be excluded)
Initial Patient Assessment Steps - ANSWER - Observe
- Inspect
- Listen
- Palpate, respectively
Appendicitis Assessment Findings - ANSWER - Abdominal pain, usually severe;
localized to the right lower quadrant (RLQ)
- Most common symptoms: anorexia, abdominal pain, nausea, vomiting (typically
present in this order)
- Constipation and diarrhea occur after the pain
Acute Abdominal Pain Characteristics - ANSWER - Severe, persistent pain
- Sudden onset
- Nausea, vomiting
- Abdominal distention
- Fever, signs of shock
Obturator Sign - ANSWER - 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
Sepsis Management in Primary Care - ANSWER Refer patient to the ED
Abscess Treatment - ANSWER I&D
Cellulitis Assessment - ANSWER - Erythema
- Warmth
- Edema
- Pain
- Fever
- Lymphadenopathy
- Fissuring, scaling, or maceration in toe webs may be source of colonization (treat
with antifungal agents)
- History of recurrent abscesses
, Animal Bite Puncture Wound Treatment - ANSWER - Typically not sutured closed
- Treat with Augmentin
Bacterial Vaginosis Assessment Findings - ANSWER 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
Bacterial Vaginosis Diagnostic - ANSWER 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
Bacterial Vaginosis Reliable Predictor - ANSWER Presence of clue cells identified
by an experienced microscopist is the single most reliable predictor of BV
STI Follow-Up for Hematuria - ANSWER Follow-up should be scheduled in one
week
Bronchitis Acute Assessment Findings - ANSWER Cough: dry and nonproductive,
then productive; may be purulent
URI symptoms
Fatigue
Fever due to bacterial infection; more common in smokers and patients with COPD
Fever due to viral cause (unusual after first few days)
Burning sensation in chest
Crackles, wheezes
Chest wall pain
Perform detailed review of preexisting health conditions & exposure history
Skin Disease Assessment - ANSWER Include measurements in assessment
Periorbital Cellulitis Next Step - ANSWER Refer to the ED for further evaluation
Heroin Suspected - ANSWER Refer to ED prior to unconsciousness if heroin use is
suspected
Chemical Dependence Definition - ANSWER A condition caused by the chronic use
of a drug producing tolerance. Negative symptoms result when the drug is stopped
or reduced in dose
Physical Dependence Development - ANSWER It can begin from low dose
therapeutic use of a drug with medications such as benzodiazepines, opioids,
antiepileptics, and antidepressants; also recreational use
Mod 2 Pretest Questions With Complete Solutions
Gonorrhea Pharmacological Treatment - ANSWER Ceftriaxone 500 mg IM as a
single dose for < 150 kg; 1 gm IM for > 150 kg
Chlamydia Pharmacological Treatment - ANSWER Doxycycline 100 mg PO BID for
7 days; Azithromycin 1 gm as a single dose during pregnancy
Chlamydia Alternative Regimens - ANSWER - Gentamicin 240 mg IM +
Azithromycin 2 gm PO as a single dose
- Cefixime 800 mg orally + Doxycycline 100 mg PO BID for 7 days (if chlamydia
CANNOT be excluded)
Initial Patient Assessment Steps - ANSWER - Observe
- Inspect
- Listen
- Palpate, respectively
Appendicitis Assessment Findings - ANSWER - Abdominal pain, usually severe;
localized to the right lower quadrant (RLQ)
- Most common symptoms: anorexia, abdominal pain, nausea, vomiting (typically
present in this order)
- Constipation and diarrhea occur after the pain
Acute Abdominal Pain Characteristics - ANSWER - Severe, persistent pain
- Sudden onset
- Nausea, vomiting
- Abdominal distention
- Fever, signs of shock
Obturator Sign - ANSWER - 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
Sepsis Management in Primary Care - ANSWER Refer patient to the ED
Abscess Treatment - ANSWER I&D
Cellulitis Assessment - ANSWER - Erythema
- Warmth
- Edema
- Pain
- Fever
- Lymphadenopathy
- Fissuring, scaling, or maceration in toe webs may be source of colonization (treat
with antifungal agents)
- History of recurrent abscesses
, Animal Bite Puncture Wound Treatment - ANSWER - Typically not sutured closed
- Treat with Augmentin
Bacterial Vaginosis Assessment Findings - ANSWER 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
Bacterial Vaginosis Diagnostic - ANSWER 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
Bacterial Vaginosis Reliable Predictor - ANSWER Presence of clue cells identified
by an experienced microscopist is the single most reliable predictor of BV
STI Follow-Up for Hematuria - ANSWER Follow-up should be scheduled in one
week
Bronchitis Acute Assessment Findings - ANSWER Cough: dry and nonproductive,
then productive; may be purulent
URI symptoms
Fatigue
Fever due to bacterial infection; more common in smokers and patients with COPD
Fever due to viral cause (unusual after first few days)
Burning sensation in chest
Crackles, wheezes
Chest wall pain
Perform detailed review of preexisting health conditions & exposure history
Skin Disease Assessment - ANSWER Include measurements in assessment
Periorbital Cellulitis Next Step - ANSWER Refer to the ED for further evaluation
Heroin Suspected - ANSWER Refer to ED prior to unconsciousness if heroin use is
suspected
Chemical Dependence Definition - ANSWER A condition caused by the chronic use
of a drug producing tolerance. Negative symptoms result when the drug is stopped
or reduced in dose
Physical Dependence Development - ANSWER It can begin from low dose
therapeutic use of a drug with medications such as benzodiazepines, opioids,
antiepileptics, and antidepressants; also recreational use
