Test Bank For Primary Care Art And Science Of Advanced Practice Nursing And Interprofessional Approach 6th Edition Dunphy 9781719644655 Chapter 1-88 Complete Questions And Answers

Pharyngitis {Ans: Inflammation of the pharynx and tonsils. Viral or bacterial (GABHs, N. gonorrhoeae), also allergic rhinitis or post nasal drip. Risks: crowded work or living conditions. Symptoms: Viral - sore throat, fever, malaise, cough, h/a, myalgia, fatigue, rhinitis, congestion, conjunctivitis; Strep - sudden onset sore throat, fever, chills, h/a, N/V, rhinitis, cough. Findings: Viral - mild erythema of pharynx with little or no exudate; Bacterial - marked erythema of throat, exudates, tender anterior cervical lymphadenopathy, erythematous "sandpaper" rash/accentuation in groin and axillae with scarlet fever. Diagnostics: strep test, cultures PRN. Management: hydration, saline gargles, topical anesthetics. Pharm: Strep - PCN V PO or benzathine PCN IM; reythromycin if PCN allergy; gonococcal pharyngitis - ceftriaxone IM.}Glaucoma-angle Closure {Ans: Pathophysiology • Increased pressure occurs when the exit of aqueous humor fluid is suddenly blocked and results in quick, severe pain History and Clinical Presentation • Sudden and severe pain • Cloudy vision • Nausea/vomiting • Red eye • Rainbow-like halos around lights • Oval pupil from bowed iris • Cloudy cornea • May have history of a recent eye dilation Medical emergency - refer!!!}Acne {Ans: A common self limiting disease that presents with a variety of lesions including