HOW DO BACTERIA AND VIRUSES DIFFER? IF

HOW DO BACTERIA AND VIRUSES DIFFER? IF A PATIENT COMES INTO YOUR URGENT CARE WITH URI S/S…how are you going to determine if this is viral versus bacterial? What assessment findings are you looking for to tell the two apart? What tests might your run on someone with URI s/s? How are we going to treat a viral infection like the “common cold” compared to a bacterial respiratory infection? What if the patient is screened for Strep Throat, and tests positive for group A beta-hemolytic streptococci? What s/s might you see? What if patient refused or does not receive timely treatment? What can develop later on, months or even years later? VACCINATIONS What are common misconceptions people have about vaccinations related to contraindications? What would you teach parents to expect or not expect post vaccination (meaning, when should they be concerned?) What allergies DO need to be screened for prior to vaccinations? VIRAL ILLNESSES: how are you going to manage the following conditions, considering location as well Fifth Disease in the community: how is it going to present? How are you going to tell parent(s) to manage? Varicella zoster in the hospital with open weeping lesions and the patient is immunocompromised: how do you identify the condition? How are you going to manage? Any other hospital considerations? 89-year-old client comes into your emergency department complaining of a painful line of blisters along their left flank. What do you suspect? What are possible interventions? What do you tell this patient when they ask what could be causing this? Client comes to see HCP with s/s consistent with genital herpes: what drugs might be used to treat? How should the HCP respond to the following questions from the client? “When lesions are present, should I just use condoms during intercourse?” “When will I be cured of this condition?” “To apply the topical medication to the lesion, do I need to where gloves or is this condition not really that contagious?” “While taking acyclovir, what side or adverse effects do I need to watch out for?” Client comes to the emergency department with fatigue, fever, sore throat, splenomegaly, and swollen lymph nodes. What do you suspect is the condition this client has? How do you respond to the following statements from this client or changes in the situation? “How is this condition going to be treated? I have taken amoxicillin in the past…will that work for this as well?” “I just started having severe left abdominal pain…is that typical?” FUNGAL ILLNESSES: client with an oral candida infection secondary to long-term IV antibiotic use. Patient is prescribed nystatin liquid, swish and spit BID. What side and adverse effects should the client watch out for? You are about to administer amphotericin B IVPB in hospital to a client with a fungal septicemia. What should you do before administering this medication? What lab values do you want to check before administering? Any other infusion considerations? What S/A/E do you have to be monitoring for? WORMS, BITES, INFESTATIONS: A client comes to the clinic where you are a nurse concerned because someone at their child’s daycare indicated their son might have ringworm…what can you tell this client about ringworm – educate the client? You are discharging a client who has a pinworm infection – what patient education are you going to give and what medication? A client with Lyme disease where the illness came from and how it will be treated? What s/s might this client report? What population are at risk for scabies? What drug do we use to treat? What are your travel recommendations related to bed bugs? What classes of drugs do we use to treat? this is a study guide. Please help

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