First Line Treatment Assignment Help: How to Answer This Question

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40 First line of treatment of impetigo that is minor on the legs in a 9 years old girl is: a. Topical mupirocin (I picked this one) b. Topical neomycin c. Oral cefixime d. Oral doxycycline 39 A client taking oral amoxicillin to teat otitis media for the past 6 days. The client has told the nurse that ‘my ear is now back to normal” and ask about stopping the antibiotics. How should the nurse responde? Answer: That’s excellent that you’re feeling better, but it’s important to keep taking the antibiotics until they’re all finished.” 37. A 7 year old boy comes to see you for a sore throat , you treat him with amoxicillin. Three weeks later the mother brings him in and tells you that he improved from the sore throat, but two days earlier he was at the pool party and now he has fever. You diagnose him with AOM. You prescribe A. amoxicillin- answer b. cefdinir c. cipro d. amoxicillin/clauvante 9impetigo) 38. clinical features of impetigo include: reddish sores, often around the nose and mouth. The sores quickly rupture, ooze for a few days and then form a honey-colored crust. Sores can spread to other areas of the body through touch, clothing and towels. Itching and soreness are generally mild. 1. You have ordered Valtrex for a patient with the herpes virus in the genitalia. You, the np are aware that valacyclovir is effective against various vision. You understand that this medication should be taken ____ days a. 1000 mg three times a day for 7 to 10 days for initial b. 2000 mg daily for suppression therapy c. 2000 mg three times a day for 7 to 10 days for initial d. 1000 mg two times a day for 1 day for recurrent infections 2. You have assessed your patient with allergic conjunctivitis. You know that he has a history of narrow angle glaucoma. You understand what medication cannot be prescribed to this patient/ a. Ketotifen b. Ketorolac c. Naphazoline d. Cromolyn 3. There are special considerations that must be had with specific populations. True or false: does herpes zoster harms the fetus? a. True b. False 4. Biological agents to treat psoriasis is anfliximab and etanercept, work by blocking the action of; a. IL-9 b. IgG c. CD4 d. TNF 5. Your patient has been diagnosed with primary open-angle glaucoma. You understand that the medications reduce intraocular pressure by: a. Increased carbonic anhydrase activity b. Increased aqueous humor outflow c. Increased aqueous humor reabsorption d. All are correct 6. You are seeing a patient that has been on salicylic acid for 8 weeks for the treatment of warts. You assess that it has not been resolved. What is your next step? a. Stop therapy and start on antibiotics b. Perform cryosurgery c. Prescribe acyclovir d. Continue treatment 7. Your patient has been diagnosed with warts. You understand that warts that need to removed as a first line of treatment are: a. Common warts b. Plantar warts c. Filiform d. Verruca plantaris 8. The parents with the HSV-2 infection manifested as genital herpes, we need to educate regarding all except/ sexual activity recurrence, and the unpredictable course of the disease is necessary A. Sexual activity B. Hygiene C. Antibiotics D. Recurrence 9. The client has been ordered treatment with flumadine. The client has renal impairment. The nurse anticipates what change to the dose of medication/ a. Increased b. Held c. Unchanged d. Decreased 10. You have a patient that was diagnosed with otitis externa and they want to treat with ear candles,. You reply: a. It has never been evaluated and therefore not recommended b. Be careful with the fire c. It is an effective treatment, the choice is up to you 11. What is often utilized as first line therapy for POAG because they possess the best balance between efficacy, safety, and ease of dosing regimen. A. Prostaglandins B. Carbonic anhydrase inhibitor C. Adrenergic agonist D. Beta blocker 12. Goals of treatment for glaucoma include: a. Both a and c b. Slow progression of vision loss c. Increasing visual field defects d. Decreasing intraocular pressure e. Both a and b 13. You have a 60 year old patient that is inquiring about Zostavax. You inform him that this will help by: a. Reduce viral load b. Will prevent from getting the flu c. Prevention from getting shingles d. Reduces the risk of developing herpes zoster 14. You are seeing an 18 year old college athlete complaining of ear pain and fullness. His pain has been present for 4 days and seems to be worsening. He has no fever symptoms of upper respiratory infection. On examination, his ear canal is tender, erythematous, and swollen. His tympanic membrane is obstructed by discharge and debris. What is the treatment of choice for this patient? a. Fliuoroquinilone b. Clotrimazole c. Amoxicillin d. Neomycin/ polumixin 15. You have ordered acyclovir (zovirax) for a patient with the herpes virus infection. You the np are aware that acyclovir is effective against various viruses. You understand that this medication should be taken ——– day a. Once a b. Twice a c. Once every other d. Three or more times a 16. The client will need a prophylactic agent for herpes simplex. The nurse anticipates that the client will be ordered: a. Cipro b. Talwin c. Diflucan d. Zovirax 17. You are providing instructions to your client who is taking an topical acyclovirl. What do you instruct the patient? a. Reporting any side effects such as sexual dysfunction, dyspnea, and flushing b. Decreasing sexual relations with or without the use of condom c. Reporting an increase in urine output d. Use glove or finger cot for application 18. For severe, recalcitrant psoriasis that affects more than 30% of the body, all of the following treatment are recommended except: a. Topical anthralin b. Cyclosporine c. Tnf modulators d. Methotrexate 19. You examine a patient with psoriasis vulgaris and expect to find the following lesions Well demarcated plaques on the knees 20. The likely causative organism of nonbullous impetigo in a 6 year old child include a. H influenzae and s pneumonia b. P aeruginosa and select fungi c. G strep and s aureus d. , catarrhalis and select viruses 21. You are seeing a 6 year old patient whose mother brought him in for ear pain and fever. On examination he is febrile, and his right tympanic membrane allows you to see he has otitis media. You prescribe a. Amoxicillin b. Tylenol c. Cipro d. Azithromayzin 22. A 5 year old child has been brought to the clinic with signs and symptoms that are consistent with otitis externa. What assessment question should the nurse ask to address the etiology of this health problem? a. How would you describe your child’s overall level of hygiene? b. He has been swimming a lot in the last while c. Are all of your child’s immunizations up to date d. Has your child been spending qquite a bit of time around animals lately? 23. Anthralin (dithorium) is helpful in treating psoriasis it has what kind of activity? a. Humectant b. Aids in exfoliation c. Vasoconstrictor d. Decrease profilation 24. Your patient is complaining of painful dry eyes. You have diagnosed him with dry eye syndrome/ keratoconjunctivitis sicca. You will prescribe for this patient: a. Topical cyclosporin b. Artificial tears c. Agonist d. Referral to ophthalmologist 25. One of the mechanisms of action of a topical corticosteroid preparation is as; a. A vasoconstrictor b. An exfoliant c. A humectant d. An antimitotic 26. You have a patient in anthralin (drithocreme) and you understand that the most common complaint is: a. Causes and inflammation of area b. Burning sensation c. Time consuming to apply d. Smells very bad 27. Use of antibiotic for recurrent AOM is controversial due to lack of supporting evidence a. True b. False 28. Your patient has herpes and you are monitoring for the side effects of acyclovir (zovirax). You anticipates that the client may experience what side effect? a. High BP b. Hepatotoxicity c. Pruritus d. Increased intracranial pressure 29. You are obtaining a medical history on a patient that has been diagnosed with psoriasis. You understand that this medication may exacerbate the psoriasis. a. Diuretics b. Beta blockers c. Antibiotics d. Insulin 30. To enhance the potency of a topical corticosteroid, the prescriber recommends that the patient apply the preparation a. To dry skin by gentle rubbing b. With an emollient c. Bathing d. And cover with an occlusive dressing 31. Which glaucoma medication class should be avoided in patients with a sulfa allergy/ a. Carbonic anhydrase inhibitors b. Calcium channel blockers c. Beta blockers d. Prostaglandin analogs 32. Select the pharmacologic management options for acute otitis media in children a. A and b b. Antibiotics c. Aspirin d. Acetaminophen e. Decongestant 33. Patient comes in with a diagnosis of primary angle open glaucoma. Which medication may be causing the patient to have brow aches? a. Amlodipine b. Acetaminophen c. Pilocarpine d. Benadryl 34. Diagnosis of primary open angle glaucoma includes; a. Review of medications b. Evaluation of visual field c. Tonometry d. A, b, c e. B and c 35. You patient has been diagnosed with herpes zoster and is complaining of pain. You want to educate about different ways to help control the pain. You inform them about: a. Caspsaicin b. Vaseline c. Caladryl d. Menthol 36. A 19 year old man present with a chief complaint of a red. Orrotated right eye for the past 48 hours with eyelids that were stuck together. Examination reveals injected palpebral and bulbar conjunctiva and reactive pupils, vision screen with the chart evaluation reveals 20/30 in the righ eye (od) left eye (os0 and both eyes (ou) and purulent eye discharge on the right. This presentation is most consistent with: .A. VIRAL CONJUNCTIVITIS B. MECHANICAL INJURY C. BACTERIAL CONJUNCTIVITIS D. ALLERGIC CONJUNCTIVITIS

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