Author Question: A young boy has just returned home from his family's tropical vacation and is now complaining of ... (Read 29 times)

hbsimmons88 · **on:** Jul 23, 2018

A young boy has just returned home from his family's tropical vacation and is now complaining of worsening tenderness in his right ear. He is subsequently diagnosed with otitis externa.

What causative factor of this infection should the nurse suspect? A) Immunocompromised state resulting from sleep deprivation while on vacation
B) The potential for foodborne pathogens ingested while on vacation
C) Frequent swimming and water sports while the boy was on vacation
D) Ear trauma related to pressurization and depressurization while flying

Question 2

A patient with a diagnosis of renal failure is being treated with epoetin alfa (Epogen). Frequent assessment of which of the following laboratory values should be prioritized before and during treatment?

A) AST
B) C-reactive protein
C) CBC
D) ALT

momo1250 · **Reply #1 on:** Jul 23, 2018

Answer to Question 1

C
Feedback:
People whose ears are frequently exposed to moisture are more prone to the development of otitis externa. Swimming is a more likely cause of infection than pressure changes, foodborne pathogens, or impaired immunity.

Answer to Question 2

C
Feedback:
With the use of hematopoietic and immunostimulant drugs, a CBC with WBC differential and platelet count should be done before and during treatment to monitor response and prevent avoidable adverse reactions. It is less imperative to monitor liver enzymes or CRP levels.