UTA Nurs 5338 Urgent Emergencies
Questions and Correct Answers the
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Gonorrhea Pharmacological Treatment
✓ Ceftriaxone 500 mg IM as a single dose for < 150 kg; 1 gm IM for > 150 kg
Chlamydia Pharmacological Treatment
✓ Doxycycline 100 mg PO BID for 7 days; Azithromycin 1 gm as a single dose during
pregnancy
Chlamydia Alternative Regimens
✓ - 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
✓ - Observe
✓ - Inspect
✓ - Listen
✓ - Palpate, respectively
Appendicitis Assessment Findings
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✓ - 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
✓ - Severe, persistent pain
✓ - Sudden onset
✓ - Nausea, vomiting
✓ - Abdominal distention
✓ - Fever, signs of shock
Obturator Sign
✓ - 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
✓ Refer patient to the ED
Abscess Treatment
✓ I&D
Cellulitis Assessment
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✓ - 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
✓ - Typically not sutured closed
✓ - Treat with Augmentin
Bacterial Vaginosis Assessment Findings
✓ 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
✓ 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
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