Author Question: A patient has responded appreciably to first-line treatments for necrotizing otitis externa, and the ... (Read 25 times)

ETearle · **on:** Jul 23, 2018

A patient has responded appreciably to first-line treatments for necrotizing otitis externa, and the care team is concerned about the possible progression of the disease.

The nurse should be aware that this infection has the potential to progress to A) meningitis.
B) osteomyelitis.
C) necrotizing fasciitis.
D) epiglottitis.

Question 2

A patient has edema of the lower extremities and abdomen. What is the reason for administering a stronger diuretic than a thiazide diuretic to this patient?

A) A thiazide diuretic will reabsorb potassium in the distal tubule.
B) A thiazide diuretic will be ineffective for immediate diuresis.
C) A thiazide diuretic will provide peak effects in 2 hours.
D) A thiazide diuretic will be excreted in more than 72 hours.

Dominic · **Reply #1 on:** Jul 23, 2018

Answer to Question 1

B
Feedback:
The advancement of necrotizing otitis externa results in osteomyelitis of the skull and temporomandibular joint. It does not cause meningitis, necrotizing fasciitis, or epiglottitis.

Answer to Question 2

B
Feedback:
Thiazide diuretics are ineffective when immediate diuresis is required. A thiazide diuretic acts to reabsorb sodium, not potassium, in the distal convoluted tubule. A thiazide diuretic reaches its peak in 4 to 6 hours. A thiazide diuretic is excreted in 72 hours maximum.