MARYVILLE NURS 623 EXAM 1 REAL EXAM GUIDE
NEWEST VERSION 2024-2025 EXPECTED QUESTION AND
CORRECT ANSWER FROM VERIFIED SOURCES.
Localized cellulitis treatment ✔ANSWER-✔✔Diagnostic testing- most
cases are diagnosed by history and PE . Usually no discharge or obvious
wound therefore unable to obtain a culture. If open wound or purulent
discharge present a culture and gram stain should be obtained. For
patients with fever a CBC should be done . If periorbital cellulitis EOM
should be done and test of cranial nerves.
Management- Take into consideration severity of infection, site of
infection, underlying disease, and virulence of the pathogen.
For those who have cellulitis not related to human or animal bites takes
DICLOXACILLIN or CEPHALEXIN for 10-14 days. Patients with penicillin
allergy get Erythromycin.
Infected human and animal bites are treated with Augmentin for at
least 2 weeks.
LE's cellulitis requires bedrest and elevation of the leg.
Need to consider comorbid conditions and consider referral of
treatment.
,Hemophilus influenza can e treated with Ceftin
If gram neg microorganism treat with fluoroquinolones such as
levofloxacin can be used.
Diabetic are typically treated with Augmentin
purulent cellulitis treatment ✔ANSWER-✔✔· I&D first line
· NO 1st gen cephalosporine
· Consider MRSA- Bactrim, Cleocin, Doxycycline
,herpes simplex ✔ANSWER-✔✔Oral or genital, can be asymptomatic.
Tenderness, pain, mild paresthesia's, or burning before onset.
Prodrome can include headache, fever, muscle ache, lymphadenopathy,
local pain. Grouped vesicles on erythematous base.
No cure.
Oral: lip ointment Blistex. OTC Abreva. Denavir for extensive lesions.
Genital: Valacyclovir and famciclovir better choices
acne vulgaris ✔ANSWER-✔✔Located on face, chest, back, and upper
outer arms.
· Mild = total lesions <30, noninflammatory. Comedones with small
papules.
· Moderate = total lesions 30-125, inflammation. Papules & pustules
with yellow/green tops.
· Severe = lesions > 125, nodulocystic acne.
Treatments:
Tretinoin, topical vs. systemic antibiotics, Isotretinoin
Basics with skin conditions ✔ANSWER-✔✔•Alopecia
•Rash
, •Pruritus
•Uticaria
•Pigmentation change
Skin lesion—New vs. Change
HPI questions for skin problems ✔ANSWER-✔✔Duration of symptoms
Precipitating factors
•Medications
•Food
•Occupation
•Outdoors
•Hobbies/Sport participation
•Exposure to insects
•Jewelry/metals/chemicals
•Family history
Is it:
Local or systemic
Pruritus- all day or worse at night
Uticaria - duration
Pigmented changes
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