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NURS 6541 WEEK 7 QUIZ 3

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QUE ST ION I1
1. ShelbyIisIaIhealthyI4-week-oldIwhoIpresentsItoIyourIofficeIinImid-JanuaryIwithIaI3-day
IhistoryIofInasalIcongestionIwithIoccasionalIcough.ISheIstartedIrunningIaIlow-gradeIfever
IlastInightI(TImaxI101.5°F).INowIsheIisIrefusingItoInurseIandIhasIparoxysmalIcoughing
IandInoisy/laboredIbreathing.IPhysicalIexamIrevealsIanIill-appearingIinfantIwithIlethargy
IandItachypnea,IintercostalIretractions,IexpiratoryIwheezes,IandIoccasionalIrales.ISheIdoes
InotIattendIdayIcareIbutIhasIaI3-year-oldIsiblingIwhoIdoesIandIwhoIrecentlyIhadIaI“cold.”
IWhatIisItheIMOSTILIKELYIcauseIofIShelby’sIillness?

Ia.MycoplasmaIpneumonia

Ib.Bronchitis

Ic.RSVIbronchiolitis

Id.UpperIrespiratoryItractIinfection

1 Ipoints I I I I
QUESTION I2
1. YouIareIonIcallIandIreceiveIaIphoneIcallIfromItheIparentsIofIaI13-year-oldIknown
Iasthmatic.ISheIhasIbeenIhavingIchestItightnessIandIaIworseningIcoughIforI48Ihours.IShe
IhasIsignificantInasalIdischargeIthatIbeganI14IdaysIagoIandIintermittentIcomplaintIof
Iheadache.ISheIisInowIrunningIaIlow-gradeIfever.IHerIpeakIflowItheIlastI48IhoursIisI70–
80%IofIpersonalIbest.IHerItemperatureIrightInowIisI101.7°F.ISheIisIonIsalmeterolIwith
IcorticosteroidI(Advair)IandIPRNIalbuterol.IWhichIofItheIfollowingIisImostIappropriate?

Ia.ContinueIhomeImanagementIwithItheIuseIofIinhaledIbetaIagonistsIandIinhaled
Icorticosteroids,IandIaddItheIuseIofIoralIantihistamine/decongestantIcombinations.

Ib.SeeIherIinItheIofficeIinItheImorningIandIprescribeIaI14-dayIcourseIofIamoxicillin
IplusItheIadditionIofIaIshortIcourseIofIoralIsteroids.

Ic.SeeIherIinItheIofficeIinItheImorningIandIprescribeIaIshortIcourseIofIoralIsteroids.

Id.ContinueIhomeImanagementIandIaddIinhaledIcromolynIsulfate.

1 Ipoints I I I I
QUESTION I3
1. AI3-year-oldIpresentsItoIyourIofficeIwithIaIhistoryIofIwheezingIoverItheIlastI3ImonthsIand
IhasIonlyIbeenImoderatelyIresponsiveItoItherapy.IWhichIofItheIfollowingIdiagnosticItests
IwouldIbeIappropriate?

Ia.SweatIchlorideItesting

Ib.PulmonaryIfunctionItesting

Ic.Bronchoscopy

Id.AllIofItheIabove

 

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[Solved] NURS 6541 WEEK 7 QUIZ 3

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QUE ST ION I1 1. ShelbyIisIaIhealthyI4-week-oldIwhoIpresentsItoIyourIofficeIinImid-JanuaryIwithIaI3-day IhistoryIofInasalIcongestionIwithIoccasionalIcough.ISheIstartedIrunningIaIlow-gradeIfever IlastInightI(TImaxI101.5°F).INowIsheIisIrefusingItoInurseIandIhasIparoxysmalIcoughing IandInoisy/laboredIbreathing.IPhysicalIexamIrevealsIanIill-appearingIinfantIwithIlethargy IandItachypnea,IintercostalIretractions,IexpiratoryIwheezes,IandIoccasionalIrales.ISheIdoes InotIattendIdayIcareIbutIhasIaI3-year-oldIsiblingIwhoIdoe...
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