NURS 623 EXAM 1 | ALL QUESTIONS
AND CORRECT ANSWERS | ALREADY
GRADED A+ | LATEST VERSION |
VERIFIED ANSWERS | MARYVILLE
UNIVERSITY
What pt ed do you provide when start a pt on iron supplement? ------
CORRECT ANSWER---------------take on an empty stomach with water or
juice 1 hr before or 2 hrs after a meal, avoid taking with milk or calcium, if
upsets stomach can take immediately after meal
How is mono transmitted? ------CORRECT ANSWER---------------
droplets/saliva
What virus causes mono? ------CORRECT ANSWER---------------EBV
How long should someone take it easy after Mono diagnosis? ------
CORRECT ANSWER---------------4 weeks
Treatment for mono ------CORRECT ANSWER---------------Supportive care
with Tylenol or NSAIDs. Adequate fluids
Treatment for contact dermatitis? ------CORRECT ANSWER---------------
triamcimilone cream, oral or IM steroid, use lower dose sparingly on face
,What lab findings are presented with scleroderma ------CORRECT
ANSWER---------------Will have abnormal PFTs, Pulmonary HTN, Aspiration
Pneumonia, ANA elevated to greater than 1:80
Well-circumscribed, raised, erythematous papules and plaques, covered
with silvery-white scales, usually involving extensor areas in adults such as
the elbows and knees, the scalp, and, in some forms, the flexural surfaces -
-----CORRECT ANSWER---------------Psoriasis
Treatment for psoriasis ------CORRECT ANSWER---------------topical steriod
if <20% body, systemic if >20%, refer to derm, UV light therapy
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.
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 ANSWER---------------Severe 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) amoxicillin-clavulanic 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.
