{"id":130814,"date":"2023-12-21T09:18:41","date_gmt":"2023-12-21T09:18:41","guid":{"rendered":"https:\/\/learnexams.com\/blog\/?p=130814"},"modified":"2023-12-21T09:18:43","modified_gmt":"2023-12-21T09:18:43","slug":"exam-2-nsg554-nsg-554-new-2023-2024-nurse-practitioners-in-primary-care-i-exam-review-100-correct-complete-guide-with-verified-answers","status":"publish","type":"post","link":"https:\/\/www.learnexams.com\/blog\/2023\/12\/21\/exam-2-nsg554-nsg-554-new-2023-2024-nurse-practitioners-in-primary-care-i-exam-review-100-correct-complete-guide-with-verified-answers\/","title":{"rendered":"Exam 2: NSG554\/ NSG 554 (NEW 2023\/ 2024) – Nurse Practitioners in Primary Care I Exam Review| | 100% Correct | Complete Guide with Verified Answers"},"content":{"rendered":"\n

Exam 2: NSG554\/ NSG 554 (NEW 2023\/ 2024) – Nurse Practitioners in Primary Care I Exam Review| | 100% Correct | Complete Guide with Verified Answers<\/p>\n\n\n\n

Exam 2: NSG554\/ NSG 554 (NEW 2023\/
2024) – Nurse Practitioners in Primary Care I
Exam Review| | 100% Correct | Complete
Guide with Verified Answers
QUESTION
Aminopenicillins side effects
Answer:
a type of penicillin antibiotic, and they are commonly used to treat bacterial infections. Common
side effects of aminopenicillins include:
\u00b7 Allergic Reactions: Allergic reactions, ranging from mild rashes to severe anaphy- laxis, can
occur with aminopenicillin use.
\u00b7 Gastrointestinal Disturbances: Nausea, vomiting, diarrhea, and abdominal pain are common
gastrointestinal side effects.
\u00b7 Skin Reactions: Skin rashes and hives can occur.
\u00b7 Yeast Infections: Aminopenicillin use can sometimes lead to yeast infections, particularly in
women.
QUESTION
Nonsteroidal Anti-Inflammatory Drugs (NSAIDs): side effects
Answer:
a class of drugs commonly used to relieve pain and reduce inflammation. Some common side
effects of NSAIDs include:
\u00b7 Gastrointestinal Issues: NSAIDs can irritate the stomach lining and may lead to gastrointestinal
problems such as ulcers, bleeding, heartburn, and stomach pain.
\u00b7 Kidney Problems: Prolonged use of NSAIDs can affect kidney function and may cause kidney
damage.
\u00b7 Cardiovascular Effects: NSAIDs have been associated with an increased risk of heart attack and
stroke, especially when used in high doses or for a long duration.
\u00b7 Allergic Reactions: Some individuals may experience allergic reactions to NSAIDs, such as
skin rashes or swelling.
\u00b7 Blood Clotting: NSAIDs can interfere with blood clotting, which may lead to bleeding
problems.<\/p>\n\n\n\n

QUESTION
Sulfonamides
Answer:
\u00a7 Indications ( Just to name most common use in primary care office but there are other uses
also not listed)
o UTI
o MRSA
o SKIN infections
\u00a7 Should be renally dosed
\u00a7 Contraindications
o Hypersensitivity to sulfa drug
o History of drug induced thrombocytopenia
\u00a7 Adverse reactions
o Leukopenia, neutropenia, & thrombocytopenia
o RASH- ( If peeling rash can be r\/t Stevens Johnson Syndrome and require emergent care)
o Tinnitus
o GI side effects- n\/v\/d
QUESTION
Cellulitis
Answer:
o Skin and soft tissue infections (SSTIs) are among the most frequent reasons for abx tx.
o Types
\u00a7 Purulent SSTI
\u00b7 e.g., abscesses, furuncles, and carbuncles
\u00a7 Non-purulent SSTI
\u00b7 Erysipelas, necrotizing fasciitis
o Cellulitis is considered a secondary infection with similar pathways to both SSTIs. o Classified
as mild, moderate, or severe
o Most prevalent organism
\u00a7 Group A hemolytic strep
\u00a7 Non-group A strep should be considered in underlying lymphatic disease (e.g., lymphedema).
\u00a7 S. aureus should be considered in deep penetrating wounds.
\u00a7 Consider other pathogens (in animal bites, Pasteurella, for instance)<\/p>\n\n\n\n

QUESTION
Erysipelas
Answer:
o Nonpurulent SSTI
\u00a7 Lower legs, face, ears
\u00a7 Symptoms:
\u00b7 Spreading erythema, warmth, induration and pain\u2014may be accompanied by systemic Sx\u2014
chills, fevers, malaise
\u00b7 Possible lymphadenitis
\u00a7 Diagnostics\u2014based on PE findings
\u00b7 Labs\u2014CBC, ESR, CRP
\u00b7 Treatment\u2014Penicillin V 500 mg po 4\u00d7\/day \u00d7 10 days
QUESTION
Impetigo
Answer:
o Common Skin infection
\u00a7 Two patterns recognized:
\u00b7 (1) bullous and
\u00b7 (2) nonbullous (most common)
\u00a7 Cutaneous lesions with crust’s, translucent vesicle or pustules; moist erythema- tous weeping
base when the crust is removed.
\u00a7 Crust is honey colored.
o Labs\u2014Gram stain o Treatment
\u00a7 Mupirocin, 2% ointment 3\u00d7\/day \u00d7 10 days.
\u00a7 Retapamulin 1% 2\u00d7\/day \u00d7 5 days
\u00a7 May also try oral abx
QUESTION
Erythrasma
Answer:
o Chronic, mild bacterial infection of skin o Well-demarcated, brown-red macular patches<\/p>\n\n\n\n

o Inner thighs, inguinal area, scrotum, and toe webs which appear macerated o Diagnostic\u2014
based on location and characteristics of lesions
o Labs\u2014direct KOH, Wood lamp, gram stain, culture
o Treatment\u2014benzoyl peroxide wash and 5% gel; Clindamycin 5% creams BID \u00d7 2 weeks
\u00a7 Oral therapy in combination with topical
QUESTION
Paronychia
Answer:
o Acute or chronic inflammation of the tissues surrounding the nail o If paronychial
inflammation is present >6 weeks, considered chronic paronychia
o Usually localized, throbbing pain
o Diagnostics\u2014KOH preparation, CBC w\/diff, biopsy
o Treatment\u2014topical abx for minor infection; oral abx for more severe infections
\u00a7 Trimethoprim-sulfamethoxazole (if MRSA suspected), clindamycin, amoxi- cillin-clavulanate,
and cephalexin
QUESTION
Intertrigo
Answer:
o Superficial inflammatory bacterial or fungal skin disorder
\u00a7 Varying degrees of erythema, peripheral scaling, and macerated erythematous plaques
\u00a7 Initially mildly erythematous, moist, glistening plaques, patches, papules, and\/or pustules;
borders are well defined
o Diagnosis\u2014based on clinical appearance o Labs\u2014KOH wet mount
o Treatment\u2014burrow solution, drying agents (zinc oxide); if oral therapy needed, culture for
treatment
QUESTION
Herpes Simplex
Answer:
o HSV 1 or HSV 2 o Transmission by direct contact
o Three distinct phases: primary, latent, and recurrent infection o Definitive test is viral culture.
o Topical Acyclovir\/hydrocortisone (Xerese, Denavir)
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