Maryville University NURS 623 Exam 1 Latest

Maryville University NURS 623 Exam 1 Latest Update - 100 Questions and 100% Verified Correct Answers Guaranteed A+

ABCDE of malignant melanoma - CORRECT ANSWER: A" stands for asymmetrical.

Does the mole or spot have an irregular shape "B" stands for border. Is the border irregular or jagged?"C" is for color. Is the color uneven?"D" is for diameter. Is the mole or spot larger than the size of pencil eraser 6mm?"E" is for evolving. Has the mole or spot changed during the past few weeks or months?

acne vulgaris patient teaching - CORRECT ANSWER: Wash face gently at least twice daily with antibacterial soap (dial). Wait 30 minutes after washing face to before applying topical acne medications in order to minimize skin irritation. Do not use topicals on sunburned or irritated skin, abrasion, cuts, or eczema. The medication needs to be temporarily stopped while the skin heals. Avoid contact to eyes, lips, angle of nose, and mucous membranes with applying. Avoid oily makeup or oily hair conditioners. Avoid excessive handling of face and cradling phones on the chin. Avoid excessive scrubbing of the face.

Acute Lymphocytic Leukemia (ALL) - CORRECT ANSWER: the most common form of

leukemia in adults over 70 years of age; characterized by overproduction of lymphocytes

Anemia from Thalassemia - CORRECT ANSWER: referral to hematologist.

Anemia of Chronic Disease treatment - CORRECT ANSWER: Must be differentiated

from other etiologies -best treatment is correction of underlying disorder -if severe, blood transfusions 1 / 3

-erythropoietin therapy Parental iron is given in these patients, SQ erythropoietin (CBC checked twice weekly for 2-6 weeks) and seen by PCP every 30 days.

basal cell carcinoma - CORRECT ANSWER: BCC elevated papules with a pearly

appearance that may have some crusting. Telangiectatc blood vessels are seen on the border. A central ulceration is seen at later stages.

Carbuncles - CORRECT ANSWER: Initially appear as multiple furuncles and develops into a large, erythematous lump and must be drained before healing will take place and this typically occurs spontaneously within 2 weeks. Carbuncles frequently require I&D and need systemic antibiotics and a referral. Antibiotics include: TMP-SMX (MRSA converage), dicloxacillin, cephalexin, or doxycycline.A gram stain is recommended to check for MRSA strains.

chronic fatigue syndrome (CFS) - CORRECT ANSWER: Sudden and may precede

mononucleosis-like illness or by significant GI findings. It tends to affect active highly functional adults. The patient may appear tired and pale. Cervical lymph nodes may be shotty and nontender, the rest of the exam my be unremarkable.

clinical presentation for infectious mononucleosis - CORRECT ANSWER: • Primarily EBV transmitted through saliva typically seen in ages 10-35.• Fever, pharyngitis, lymphadenopathy (posterior cervical and posterior auricular nodes), malaise, fatigue, sweats. The syndrome is often heralded by malaise, headache, and low-grade fever. Sore throat is often accompanied by pharyngeal inflammation and tonsillar exudates.• Splenomegaly is seen in 50 to 60 percent of patients, it begins to recede at 3 weeks.

Clinical presentation for Scabies - CORRECT ANSWER: Intense itching, worse at night.Burrows noted between webs of fingers.

Clinical presentation of RA - CORRECT ANSWER: Early in disease malaise, diffuse

arthritis, weight loss, anorexia, and low grade fever are common. The patient may report they wake in the night with joint pain & stiffness and it eases as the day progresses and 2 / 3

the joint swelling also decreases with activity. With disease progression both small and large joints may cause diminished activity, worsening pain, and immobility.**Key findings on exam are symmetric polyarthritis and morning stiffness, which typically lasts longer than one hour. Affected joints are tender, painful to pressure, edematous, and partially immobile

CML (chronic myelogenous leukemia) - CORRECT ANSWER: - Clonal, neoplastic

expansion of multipotent myeloid stem cell [myeloproliferative disease) -NEB cells Etiology - Philadelphia chromosome - reciprocal translocation of long arms of 9 & 22

Commonly prescribed medications for Scabies - CORRECT ANSWER: Permethrin

Cream 5% (Elimite) is the first-line treatment. Safe in 2 months and older. Apply to all areas from neck down and leave on for 8-12 hours. Repeat application in 1 week. May repeat a third time in another week. Follow up in 1 week.Antihistamines and topical steroids if the pruritis is bad.

contact dermatitis - CORRECT ANSWER: Rough, red patches, weeping lesions with

tiny vesicles.

Describe risk factors of individuals who should be started on post-exposure prophylaxis (PEP). - CORRECT ANSWER: • An uninfected individual has a recent exposure that has a substantial risk of HIV infection.• Percutaneous contact • Exposure of mucosal surfaces And must be started within 72 hours of exposure

Describe the risk groups you would start HIV pre-exposure prophylaxis (PrEP). -

CORRECT ANSWER: For individuals who are at ongoing high risk for HIV infection,

pre-exposure prophylaxis with an antiretroviral-based regimen is an effective strategy to reduce the risk of infection.Ongoing relationship with HIV infected partner.Gay or bisexual man who has anal sex without condoms and is not in a monogamous relationship, or who has had an STI in last 6 months

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