NR 602 midterm
Study online at https://quizlet.com/_hkgay6
1. What is the best antibiotic therapy to use for human bites?: Amoxicillin for 7 to 10 days
or alternative cephalexin or clindamycin
2. What is the best anabiotic to use for animal bites?: Amoxicillin for 7 to 10 days or alternative
cefuroxime, fluoroquinolone or trimethoprim-sulfamethoxazole plus clinda or metronidazole
3. Antibiotics used for plantar wounds: Ciprofloxacin for 7 to 20 days. An alternative is to consult
infectious disease due to requirement of IV therapy.
4. What should the nurse practitioner do for ingrown toenail?: Pat Cotton underneath
the nail edge to elevate the nail and educate the patient to repack the cotton daily to prevent infection. Should use
warm water with Epsom salt soaks for 20 minutes three times a day. It is important to use properly fitting shoes. Keep
the toe clean and dry. Consider referral to podiatry for recurrent.
5. What is the most common cause of diarrhea globally?: Rotavirus.
6. What are most peritonsillar abscess is caused by?: Streptococcus and fusobacterium
7. What antibiotics are good for peritonsillar abscesses?: Penicillin and clindamycin
8. What is scarlet fever?: Is a diffuse erythematous eruption that generally occurs in association with
pharyngitis.
Abrupt illness with sore throat, vomiting, headache, chills, and malaise. Fever reaches 104. The pharynx is inflamed and
can be covered with gray white XU date. The tongue is usually coated and red, also called strawberry tongue. The skin is
coarse with a sandpaper feel the rash generally begins on the neck and spreads to the trunk and extremities becoming
generalized within 24 hours. The rash fades within 3 to 4 days. The process can take up to six weeks, sore throat and
other symptoms resolve approximately 5 to 7 days. Treatment is penicillin.
9. What is asthma step one: Saba PRN
10. What is step two of asthma?: Low-dose ICS
11. What is step three of asthma?: 0 to 4 years of age: medium does ICS plus sub specialist referral
Greater than five years of age: low-dose ICS plus LABA or medium dose ICS
12. What is step four of asthma?: Medium dose ICS plus LABA or montelukast plus subspecialist referra
13. What is step five of asthma?: High-dose ICS plus LABA or montelukast plus subspecialist referral
14. What is step six of asthma?: Hi dose ICS plus LABS or montelukast plus OCS plus subspecialist referra
15. A patient received a score of 75% on a spirometry. What is this considered?-
: Normal
16. What education would be provided to a parent of a child that is using as a
spirometry Regarding normal levels?: Anything greater than 75% is considered normal
17. What is the range for mild obstruction on a spirometry?: 60 to 75%
, NR 602 midterm
Study online at https://quizlet.com/_hkgay6
18. What is considered moderate obstruction on a spirometry: 50 to 59%
19. What is considered severe obstruction on a spirometry: Less than 49%
20. When should a child be tested for exercise induced asthma after diagnosis-
: Every one to two years
21. What is allergic rhinitis mediated by?: IgE
22. What is treatment for allergic rhinitis?: Intranasal corticosteroids are considered first line
treatment. Children with allergic rhinitis often exhibit symptoms of asthma.
23. What is pharyngitis?: inflammation of the pharynx leading to sore throat.
24. What is the most common bacterial cause of acute pharyngitis?: Group A beta-he-
molytic Streptococcus (GABHS) (Streptococcus pyogenes)
25. What is the best prevention of upper respiratory infection?: Flu vaccine
26. What is Kawasaki disease?: Coronary artery vasculitis. The treatment for this disease is IVIG therapy
requires Echo and cardiologists.
An autoimmune disease involving the inflammation of blood vessels, lymph nodes, skin, and mucosa - initial symptom
is a high fever, later symptoms include conjunctivitis, rash, peeling, and edema.
27. What are symptoms of enterovirus?: Fever, runny nose, sneezing, cough, skin, rash, mouth,
blisters, and body and muscle aches. This is something that is very contagious.
28. What are clinical findings of downs syndrome?: Short stature, brachycephaly, mid face,
hyperplasia with flat nasal bridge, Brushfield spots, epicanthal folds with upslanting, Palpebral fissures, smallmouth
with protruding tongue, myopia/Cataracs, small ears/narrow, canals, extra skin at nape of neck, lax joints, short, broad
hands/feet/digits, single palmar crease, congenital heart disease.
29. What is impetigo?: Contagious bacterial infection marked by clusters of small blisters.
30. What is the treatment for impetigo?: Topical bacitracin or Mupirocin ointment; Anti-staphloccal
antibiotic.
31. What is treatment for contact dermatitis: Avoid irritant, cool compress, barrier ointment,
hydrocortisone, cream, antihistamined, steroids, oral antibiotics, lukewarm bath.
32. What is a key finding for diagnosis of scabies?: Itching that is worse at night. Complaints
are more significant than physical findings.
33. What is pediculosis?: lice infestation
34. What is treatment for pediculosis?: 1st line: pediculides (permethrin 1%, can be used on kids 1mo
and older)
, NR 602 midterm
Study online at https://quizlet.com/_hkgay6
35. What is scarlet fever?: Is a diffuse erythematous eruption that generally occurs in association with
pharyngitis.
*Caused by erythrogenic exotoxin released by Streptococcus pyogenes*
Rash feels rough during palpation. Usually sick for a few days before the rash started.
36. What is treatment for Scarlet fever?: penicillin
37. At what age does the digestive system fully function?: Three months of age
38. What does Peri orbital cellulitis treated with?: Clindamycin
39. What is blepharitis treated with?: Bacitracin or overthrow myosin, 0.5% ophthalmic ointment once
daily. Azithromycin one percent ophthalmic solution for four weeks might also be used for posterior blepharitis.
40. What is N. gonorrhoeae treatment: Ceftriaxone IM or IV
41. treatment for chlamydia: erythromycin or azithromycin
42. Treatment for HSV: Antivirals, IV or PO
43. What would the nurse practitioner do if there is a chemical injury to the
eye: Initiate irrigation of the affected eye with normal saline, obtain history of chemical and pH if possible. Consult
ophthalmology for further evaluation and management.
44. What would the nurse practitioner do if there's a suspected open globe injury
based on history?: Do not manipulate the eye. Place an eye shield and administer analgesics an anti-medics.
Update tetanus in initiate broad-spectrum antibiotics. Do not allow the client to take anything by mouth and place on
bedrest. Consult ophthalmology.
45. What is lab work up for a child with bilateral congenital cataracts?: Work up,
includes titers for toxoplasmosis, rubella, cytomegalovirus, herpes, syphilis, and cerium, calcium and phosphorus levels.
Also urine testing for reducing substances.
46. If cataracts are detected at birth, when is the best time to take them out for
the best outcome?: In the first two weeks of life
47. What are the recommendations for children at risk for retinoblastoma's?: -
Children at high risk require cereal, dilated fund disexaminations, binop, theologist, familiar with retinable blastomas
monthly for the first 12 months of life, every two months from age 12 to 24 months, every three months from ages 24
to 36 months, every four months for age 36 to 48 months, and then every six months from ages 48 months to seven
years
Study online at https://quizlet.com/_hkgay6
1. What is the best antibiotic therapy to use for human bites?: Amoxicillin for 7 to 10 days
or alternative cephalexin or clindamycin
2. What is the best anabiotic to use for animal bites?: Amoxicillin for 7 to 10 days or alternative
cefuroxime, fluoroquinolone or trimethoprim-sulfamethoxazole plus clinda or metronidazole
3. Antibiotics used for plantar wounds: Ciprofloxacin for 7 to 20 days. An alternative is to consult
infectious disease due to requirement of IV therapy.
4. What should the nurse practitioner do for ingrown toenail?: Pat Cotton underneath
the nail edge to elevate the nail and educate the patient to repack the cotton daily to prevent infection. Should use
warm water with Epsom salt soaks for 20 minutes three times a day. It is important to use properly fitting shoes. Keep
the toe clean and dry. Consider referral to podiatry for recurrent.
5. What is the most common cause of diarrhea globally?: Rotavirus.
6. What are most peritonsillar abscess is caused by?: Streptococcus and fusobacterium
7. What antibiotics are good for peritonsillar abscesses?: Penicillin and clindamycin
8. What is scarlet fever?: Is a diffuse erythematous eruption that generally occurs in association with
pharyngitis.
Abrupt illness with sore throat, vomiting, headache, chills, and malaise. Fever reaches 104. The pharynx is inflamed and
can be covered with gray white XU date. The tongue is usually coated and red, also called strawberry tongue. The skin is
coarse with a sandpaper feel the rash generally begins on the neck and spreads to the trunk and extremities becoming
generalized within 24 hours. The rash fades within 3 to 4 days. The process can take up to six weeks, sore throat and
other symptoms resolve approximately 5 to 7 days. Treatment is penicillin.
9. What is asthma step one: Saba PRN
10. What is step two of asthma?: Low-dose ICS
11. What is step three of asthma?: 0 to 4 years of age: medium does ICS plus sub specialist referral
Greater than five years of age: low-dose ICS plus LABA or medium dose ICS
12. What is step four of asthma?: Medium dose ICS plus LABA or montelukast plus subspecialist referra
13. What is step five of asthma?: High-dose ICS plus LABA or montelukast plus subspecialist referral
14. What is step six of asthma?: Hi dose ICS plus LABS or montelukast plus OCS plus subspecialist referra
15. A patient received a score of 75% on a spirometry. What is this considered?-
: Normal
16. What education would be provided to a parent of a child that is using as a
spirometry Regarding normal levels?: Anything greater than 75% is considered normal
17. What is the range for mild obstruction on a spirometry?: 60 to 75%
, NR 602 midterm
Study online at https://quizlet.com/_hkgay6
18. What is considered moderate obstruction on a spirometry: 50 to 59%
19. What is considered severe obstruction on a spirometry: Less than 49%
20. When should a child be tested for exercise induced asthma after diagnosis-
: Every one to two years
21. What is allergic rhinitis mediated by?: IgE
22. What is treatment for allergic rhinitis?: Intranasal corticosteroids are considered first line
treatment. Children with allergic rhinitis often exhibit symptoms of asthma.
23. What is pharyngitis?: inflammation of the pharynx leading to sore throat.
24. What is the most common bacterial cause of acute pharyngitis?: Group A beta-he-
molytic Streptococcus (GABHS) (Streptococcus pyogenes)
25. What is the best prevention of upper respiratory infection?: Flu vaccine
26. What is Kawasaki disease?: Coronary artery vasculitis. The treatment for this disease is IVIG therapy
requires Echo and cardiologists.
An autoimmune disease involving the inflammation of blood vessels, lymph nodes, skin, and mucosa - initial symptom
is a high fever, later symptoms include conjunctivitis, rash, peeling, and edema.
27. What are symptoms of enterovirus?: Fever, runny nose, sneezing, cough, skin, rash, mouth,
blisters, and body and muscle aches. This is something that is very contagious.
28. What are clinical findings of downs syndrome?: Short stature, brachycephaly, mid face,
hyperplasia with flat nasal bridge, Brushfield spots, epicanthal folds with upslanting, Palpebral fissures, smallmouth
with protruding tongue, myopia/Cataracs, small ears/narrow, canals, extra skin at nape of neck, lax joints, short, broad
hands/feet/digits, single palmar crease, congenital heart disease.
29. What is impetigo?: Contagious bacterial infection marked by clusters of small blisters.
30. What is the treatment for impetigo?: Topical bacitracin or Mupirocin ointment; Anti-staphloccal
antibiotic.
31. What is treatment for contact dermatitis: Avoid irritant, cool compress, barrier ointment,
hydrocortisone, cream, antihistamined, steroids, oral antibiotics, lukewarm bath.
32. What is a key finding for diagnosis of scabies?: Itching that is worse at night. Complaints
are more significant than physical findings.
33. What is pediculosis?: lice infestation
34. What is treatment for pediculosis?: 1st line: pediculides (permethrin 1%, can be used on kids 1mo
and older)
, NR 602 midterm
Study online at https://quizlet.com/_hkgay6
35. What is scarlet fever?: Is a diffuse erythematous eruption that generally occurs in association with
pharyngitis.
*Caused by erythrogenic exotoxin released by Streptococcus pyogenes*
Rash feels rough during palpation. Usually sick for a few days before the rash started.
36. What is treatment for Scarlet fever?: penicillin
37. At what age does the digestive system fully function?: Three months of age
38. What does Peri orbital cellulitis treated with?: Clindamycin
39. What is blepharitis treated with?: Bacitracin or overthrow myosin, 0.5% ophthalmic ointment once
daily. Azithromycin one percent ophthalmic solution for four weeks might also be used for posterior blepharitis.
40. What is N. gonorrhoeae treatment: Ceftriaxone IM or IV
41. treatment for chlamydia: erythromycin or azithromycin
42. Treatment for HSV: Antivirals, IV or PO
43. What would the nurse practitioner do if there is a chemical injury to the
eye: Initiate irrigation of the affected eye with normal saline, obtain history of chemical and pH if possible. Consult
ophthalmology for further evaluation and management.
44. What would the nurse practitioner do if there's a suspected open globe injury
based on history?: Do not manipulate the eye. Place an eye shield and administer analgesics an anti-medics.
Update tetanus in initiate broad-spectrum antibiotics. Do not allow the client to take anything by mouth and place on
bedrest. Consult ophthalmology.
45. What is lab work up for a child with bilateral congenital cataracts?: Work up,
includes titers for toxoplasmosis, rubella, cytomegalovirus, herpes, syphilis, and cerium, calcium and phosphorus levels.
Also urine testing for reducing substances.
46. If cataracts are detected at birth, when is the best time to take them out for
the best outcome?: In the first two weeks of life
47. What are the recommendations for children at risk for retinoblastoma's?: -
Children at high risk require cereal, dilated fund disexaminations, binop, theologist, familiar with retinable blastomas
monthly for the first 12 months of life, every two months from age 12 to 24 months, every three months from ages 24
to 36 months, every four months for age 36 to 48 months, and then every six months from ages 48 months to seven
years
