Maryville University NURS 623 Exam 1 Questions And Answers Rated A

Maryville University NURS 623 Exam 1 Questions And Answers Rated A+
Maryville University NURS 623 Exam 1 questions with correct answers
Mode of transmission for parasitic skin infections - CORRECT ANSWER-Close direct skin contact.
Clinical presentation for Scabies - CORRECT ANSWER-Intense itching, worse at night. Burrows
noted between webs of fingers.
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.
What should you include in the patient education to prevent spreading of the various parasitic
skin problems? - CORRECT ANSWER-Avoid close contact. Wash all bedding, clothing, cloth
items, and stuffed animals in hot water. All close contacts family members, people you live with
and sexual partners need to be treated as well.
Which bacterial skin infection is considered highly contagious? - CORRECT ANSWER-Impetigo
What is the "classic" presentation of impetigo? - CORRECT ANSWER-Honey crusted lesions
What is the management of a minor case of folliculitis (non-pharmacologic)? - CORRECT
ANSWER-Gentle cleansing by washing the skin twice a day with antibacterial soap.
What are the commonly prescribed medications for folliculitis? - CORRECT ANSWER-Mupirocin
(Bactroban) 2% ointment or cream, TID, 5-14 days, for secondarily infected skin lesions.
Mupirocin (Bactroban) twice daily for 5 days in the nose for people with recurrent folliculitis to
clear the colonization of S. Aureus.
Maryville University NURS 623 Exam 1 Questions And
Answers Rated A+
Maryville University NURS 623 Exam 1 questions with correct answers
Furuncles - CORRECT ANSWER-Initially appear small (0.5-1 cm), red, tender, indurated nodule.
As it grows it develops a central yellow plug. They eventually rupture spontaneously. Fluctuant
or larger furuncles should be treated with I&D and covered with a simple dry sterile dressing.
Patients should be instructed to use warm compresses twice daily to encourage drainage of
pus.
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.
What are the considerations when determining treatment for cellulitis? - CORRECT ANSWERSevere infections, infections around the eyes, or systemic involvement (fever & chills),
immunocompromised should be sent to the ED for inpatient IV treatment.
Mild cases can be treated with PO antibiotics that should show improvement within 48-72
hours. Penicillin VK, dicloxacillin, clindamycin, or cephalexin for 5 days.
Infected human & animal bites need to be treated with amoxicillin-clavulanic acid (Augmentin)
for 2 weeks. Prophylaxis treatment for human & animal bites (within 6 hours) amoxicillinclavulanic acid (Augmentin) for 3-5 days.
HSV - CORRECT ANSWER-grouped vesicles on an erythematous base, followed by ulcers or
erosions that crust over with honey color. Lesions typically heal in 7-10 days. Mouth, face, or
genitals.
Diagnostic tests for HSV - CORRECT ANSWER-Viral Culture Gold Standard & PCR tests are
standard for diagnosis. Vesicle fluid can be cultured with 72 hours of outbreak. Tzanck smear.
HIV testing is advisable in HSV-2 patients.
Herpetic keratoconjunctivitis - CORRECT ANSWER-requires immediate referral to an
ophthalmologist.

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