Midterm Exam: NR569 / NR 569
(Latest 2024 / 2025) Differential Diagnosis in Acute Care Practicum | Questions & Answers | 100% Correct | Grade A - Chamberlain
Question:
Patient presents in the hospital with fever and rash must be divided into what two categories?
Answer:
Those who are critically ill and those who are not. Critically ill patients with rash often have a fulminant onset of both fever and rash.
Question:
Leukopenia and rash
Answer:
Usually indicates viral illnesses including arboviral infections, Chikungunya virus, CMV, measles, dengue
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Question:
Causes of critically ill patients with fever and rash
Answer:
Hemorrhagic fever Meningococcemia Rocky mountain spotted fever Toxic shock syndrome Steven Johnson syndrome Toxic epidermal necrolysis Acute vasculitis
Question:
Obtaining history for someone with a rash
Answer:
-Age of patient -season of the year -Location of onset of rash, and time sequence of progression -Secondary changes to the rash, possibly due to self treatments, such as lotions and over-the-counter ointments, or from excoriation or picking -If there are multiple lesions present, ask the patient to show you an area that looks like how the rash started or where there are any new lesions -systemic symptoms like fever, weight loss, lymphadenopathy, sore throat -Medication changes -Allergies 2 / 4
-Personal and family history of rheumatological diseases -Social, travel, and exposure histories -Sexual history
Question:
Eosinophilia and rash
Answer:
Suggests an allergic reaction or cholesterol emboli syndrome
Question:
Herpes Zoster Treatment
Answer:
Prevention:
-Vaccination for adults over 50
Antiviral therapy:
-Oral famciclovir (Famvir) -Oral valacyclovir (Valtrex) -Oral acyclovir (Zovirax)
Pain management:
-Oral gabapentin 3 / 4
-Oral pregabalin -Tricyclic antidepressant (doxepin, amitriptyline) -Topical capsaicin cream
Question:
Characteristics of chronic vomiting
Answer:
Results in weight loss Sustained vomiting results in water, loss and electrolytes, leading to dehydration and hypokalemic metabolic alkalosis
Question:
Metabolic and endocrine causes of nausea and vomiting
Answer:
Addison's Diabetes Hypercalcemia Hyperparathyroidism Hyperthyroidism Hyponatremia Hypoparathyroidism Pregnancy Uremia
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