CMN 577 UNIT 3 ACTUAL QUESTIONS WITH

CMN 577 UNIT 3 (ACTUAL / ) QUESTIONS WITH

CORRECT ANSWERS|

Treatment for Chikungunya and Dengue - ---Answers---Treat

symptoms: Assess hydration and hemodynamic status and

provide supportive care as needed. If adequate, instruct the patient to rest and drink fluids.

Treat or manage other conditions: Evaluate for other serious

conditions (e.g., malaria and bacterial infections).

Relieve fever and pain: Recommend acetaminophen or

paracetamol until dengue is ruled out. Aspirin and NSAIDs (like ibuprofen) can increase risk of bleeding in patients with dengue.

NSAIDs, corticosteroids, or physiotherapy may help treat persistent joint pain.

Reduce risk of further transmission: Patients should protect

themselves from further mosquito bites during the first week of illness to reduce the risk of local transmission. Vaccines are not available.

Norovirus symptoms, transmission & treatment - --- Answers---causes gastroenteritis (inflammation of the stomach and intestines) often called food poisoning or stomach flu. most common cause of acute gastroenteritis in the U.S.

This leads to diarrhea, vomiting, and stomach pain. 1 / 3

-shed billions of virus particles in their stool and vomit and can easily infect others.• You are contagious from the moment you begin feeling sick and for the first few days after you recover.Norovirus can stay on objects and surfaces and still infect people for days or weeks.• Norovirus can survive some disinfectants, making it hard to get rid of.

can spread to others by— direct contact, ingesting liquid/food with virus, sharing utensils, saliva

Tx: supportive

Considerations for prescribing opioids - ---Answers---not first-line or routine therapy for chronic pain & should be used in conjunction with nonpharm interventions -continue if improvements only

Use immediate-release opioids when starting; Start low and go slow • acute pain, prescribe no more than needed [3-7 days] • Do not prescribe ER/LA opioids for acute pain • Follow-up and re-evaluate risk of harm; reduce dose or taper and discontinue if needed

• / 3

Evaluate risk factors for opioid-related harms {substance abuse, benzo use, OD history} • Check PDMP for high dosages and prescriptions from other providers • Use urine drug testing to identify prescribed substances and undisclosed use • Avoid concurrent benzodiazepine and opioid prescribing • Arrange treatment for opioid use disorder if needed

Documenting pain with opioid Rx at each visit: - ---Answers--

-Degree of pain control (including patient self-reported pain intensity, pattern, and effects) -Functional status (level of functioning and progress toward achieving functional therapeutic goals) -Health-related quality of life Opioid-related AEs (frequency and intensity, and response to any treatment) -Adherence to the PPA and other aspects of treatment plan; may include UDT or querying state PDMPs -Possible changes in the underlying medical condition

side effects of opioids: - ---Answers---Respiratory

depression -- most serious (Naloxone) constipation-most common N/V Sedation, cognitive impairment

• / 3