Tonsilitis, ottis exam 1

Question 1

Bacterial or viral infection causes the tonsils to be inflamed.

Answer 1

tonsillitis

Question 2

a pair of soft tissue masses located at the rear of the throat (pharynx)

Answer 2

tonsils

Question 3

tonsillitis risk factors?

Answer 3

Smoking
Daycare
School

Question 4

tonsillitis s/s?

Answer 4

Fever
Sore throat
Enlarge tonsils
Peritonsilar exudate or white patches on the tonsils.

Question 5

tonsillitis diagnosis?

Answer 5

Throat culture
Increased WBCs

Question 6

tonsillitis treatment?

Answer 6

Antibiotics
Antipyretics
Surgical tonsillectomy (routine, low-risk)

Question 7

tonsillitis nursing care post surgery?

Answer 7

Provide patient with ice collar for inflammation and pain.
Assess for frequent swallowing or throat clearing as this may be a sign of bleeding.
Avoid red food/liquids, straw, coughing, or blowing nose forcefully.

Question 8

Upper respiratory infection causes congestion and inflammation, leading to obstruction of the eustachian tube and inflammation of fluid in the middle ear.

Answer 8

otitis media

Question 9

otitis media risk factors?

Answer 9

Cigarette smoke exposure
Recent upper respiratory infection
Daycare
Bottle fed babies

Question 10

otitis media s/s?

Answer 10

Drainage from affected ear(s)
Fever
Pulling at affected ear(s)
Irritability
Bulging/red tympanic membrane

Question 11

otitis media diagnosis?

Answer 11

Clinical examination

Question 12

otitis media treatment?

Answer 12

Acetaminophen or NSAIDs for pain
Antibiotics (amoxicillin)
Myringotomy (tube placement) for recurrent ear infections.

Question 13

Inflammation of the ear cannal or external structures.

Persistent moisture in the external ear leads to bacterial (or fungal) overgrowth and inflammation.

Answer 13

otitis externa (swimmers ear)

Question 14

otitis externa (swimmers ear) risk factors?

Answer 14

Swimming
Foreign object insertion (cotton swabs, earbuds)

Question 15

otitis externa (swimmers ear) s/s?

Answer 15

Ear pain
Discharge from ear
Ear itching and/or redness
Tinnitis

Question 16

otitis externa (swimmers ear) diagnosis?

Answer 16

Visual examination
Clinical presentation

Question 17

otitis externa (swimmers ear) treatment?

Answer 17

Otic drops, usually combination of antibiotics and steroids

Question 18

otitis externa (swimmers ear) fam education?

Answer 18

Proper administration of ear drops (lie with affected side up, instill drops warmed to body temperature, remain on side for 3-5 min.
Prevention: Use 1:1 solution of isopropyl alcohol and white vinegar after swimming or showering
Frequently sanitize earbuds
Avoid use of cotton swabs in ear.

Question 19

what is acute streptococcal pharyngitis? (strep throat)

Answer 19

Highly contagious infection of the oropharynx spread via respiratory droplets.
Infection with group A Beta-hemolytic streptococcus (GABHS) leads to airway inflammation.
If left untreated, can lead to rheumatic fever or glomerulonephritis

Question 20

strep risk factors?

Answer 20

Close contact with infected persons, school-age children

Question 21

strep diagnosis and s/s?

Answer 21

“Rapid strep” throat culture
Sore throat
Pain with swallowing
Fever
Cervical lymphadenopathy
Foul breath odor,
Tonsillar erythema/exudate
(white patches)

Question 22

strep treatment?

Answer 22

Antibiotics
Acetaminophen or NSAIDs for throat pain and fever
Encourage use of salt water gargles, oral rehydration via ice chips or frozen juice pops.
Wash toothbrush thoroughly or replace.