How would you distinguish AOM and otitis media with effusion



How would you distinguish AOM and otitis media with effusion
SJ is a sixteen-month-old boy who is brought to the clinic with a one-day history of tugging at his right ear
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NSG 6005 Week 10 – Assignment 1 Discussion
SJ is a sixteen-month-old boy who is brought to the clinic with a one-day history of tugging at his right ear

Select one of the two questions from the discussion questions listed below .By Week 10, Day 3, respond to the selected discussion question and submit your response to this Discussion Area .

Be sure to respond to the question using the lessons and vocabulary found in the reading .Justify your answers using examples and reasoning .Support your answers with examples and research and cite your research using APA format. SJ is a sixteen-month-old boy who is brought to the clinic with a one-day history of tugging at his right ear

Start reviewing and responding to the postings of your classmates as early in the week as possible .Respond to at least two of your classmates\’ posts .Participate in the discussion by asking a question, providing a statement of clarification, providing a point of view with a rationale, challenging an aspect of the discussion, or indicating a relationship between two or more lines of reasoning in the discussion. SJ is a sixteen-month-old boy who is brought to the clinic with a one-day history of tugging at his right ear

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NSG 6005 Week 10 – Assignment 1 Discussion Question 1
SJ is a sixteen-month-old boy who is brought to the clinic with a one-day history of tugging at his right ear and crying and a two-day history of decreased appetite, decreased playfulness, and difficulty sleeping .His mother has documented a fever, so she has been giving him 5 mL of ibuprofen every twelve hours .He was diagnosed with acute otitis media (AOM) at the age of four months; he has had the same diagnosis three times since .On physical exam, his vital signs are normal with the exception of a temperature of 102°F .His weight is 10 kg .Both tympanic membranes (TMs) are erythematous, with the right one more than the left one .The right TM is bulging with limited mobility, copious cerumen, and purulent fluid behind the TM .The left TM appears normal .The right TM landmarks are difficult to visualize .Answer the following questions:
Of the information provided, what data support the diagnosis of AOM and what would be inconclusive?
How would you distinguish AOM and otitis media with effusion (OME)?
What treatment would you suggest?
What types of cautions or instructions would you provide to his mother?
NSG 6005 Week 10 Assignment 2 Final Exam
1 .Question :
The drug recommended as primary prevention of osteoporosis in men over seventy years is:
Alendronate (Fosamax)
Ibandronate (Boniva)
Calcium carbonate
Raloxifene (Evista)
Question 2 .Question : Alterations in drug metabolism among Asians may lead to:
Slower metabolism of antidepressants, requiring lower doses
Faster metabolism of neuroleptics, requiring higher doses
Altered metabolism of omeprazole, requiring higher doses
Slower metabolism of alcohol, requiring higher doses
Question 3 .Question: Some research supports that testosterone replacement therapy may be indicated in which of the following diagnoses in men?
Age-related decrease in cognitive functioning
Metabolic syndrome
Decreased muscle mass in aging men
All of the above
Question 4 .Question: The chemicals that promote the spread of pain locally include _________ .
serotonin
norepinephrine
enkephalin
neurokinin A
Question 5 .Question : The DEA:
Registers manufacturers and prescribes controlled substances
Regulates NP prescribing at the state level
Sanctions providers who prescribe drugs off-label
Provides prescribers with a number they can use for insurance billing
Question 6 .Question : The trial period to determine effective anti-inflammatory activity when starting a patient on aspirin for RA is _____ .
forty-eight hours
four to six days
four weeks
two months
Question 7 .Question : The route of excretion of a volatile drug will likely be:
The kidneys
The lungs
The bile and feces
The skin
Question 8 .Question : Compelling indications for an ACE inhibitor as treatment for hypertension based on clinical trials include:
Pregnancy
Renal parenchymal disease
Stable angina
Dyslipidemia
Question 9 .Question : The American Diabetic Association has recommended which of the following tests for ongoing management of diabetes?
Fasting blood glucose
Hemoglobin A1c
Thyroid function tests
Electrocardiograms
Question 10 .Question : The angiotensin converting enzyme (ACE) inhibitor lisinopril is a known teratogen .Teratogens cause Type ____ ADR .
A
B
C
D
Question 11 .Question : The goals of therapy when prescribing HRT include reducing:
Cardiovascular risk
Risk of stroke or other thromboembolic event
Breast cancer risk
Vasomotor symptoms
Question 12 .Question : Patients who have angina, regardless of class, who are also diabetic should be on:
Nitrates
Beta blockers
ACE inhibitors
Calcium channel blockers
Question 13 .Question : The New York Heart Association and the Canadian Cardiovascular Society have described grading criteria for levels of angina .Angina that occurs with unusually strenuous activity or on walking or climbing stair after meals is:
Class I
Class II
Class III
Class IV
Question 14 .Question : Patients with allergic rhinitis may benefit from a prescription of:
Fluticasone (Flonase)
Cetirizine (Zyrtec)
OTC cromolyn nasal spray (Nasalcrom)
Any of the above
Question 15 .Question : Kyle has Crohn’s disease and has a documented folate deficiency .Drug therapy for folate deficiency anemia is:
Oral folic acid 1 to 2 mg/day
Oral folic acid 1 gm/day
IM folate weekly for at least six months
Oral folic acid 400 mcg daily
NSG 6005 Week 10 – Assignment 1 Discussion Question 2
Administration of ophthalmological medications requires some explanation .What are the important points that you would review with a patient when teaching how to instill ophthalmic drops and when teaching how to instill ointment? What are the differences you would need to consider if the patient was a child or if the patient is a geriatric patient? Search the literature to see whether you are able to locate any guidelines to support this teaching.


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