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Dr. Chen NUR 7010 GSU Geriatric Gerontology Nursing Quiz 3 Questions with correct answers
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Dr. Chen NUR 7010 GSU Geriatric Gerontology Nursing Quiz 3 Questions with correct answers
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Dr. Chen NUR 7010 GSU Geriatric GerontologyNursing Quiz 3 Questions with correct answers
Cellulitis Signal Symptoms Correct Answer-Erythema, warmth, blisters,
local tenderness, erysipelas
Symptoms of cellulitis Correct Answer-Sx usually sudden; include
rapidly spreading warmth, localized tenderness, erythema, edema and
pain.
Signs of cellulitis Correct Answer-Often atypical in elderly. Signs
include c/o trauma or injury to skin, pre-existing skin conditions,
recurrent cellulitis & worsening erythema, edema, tenderness, and pain
over past few days. May be purulent or nonpurulent.
Systemic symptoms of cellulitis Correct Answer-Indicate serious
toxicity: fever, hypotension, tachycardia, leukocytosis,
lymphadenopathy, lymphangitis
Cellulitis: contributing/pre-disposing factors Correct Answer-arterial or
venous insufficiency, diabetes mellitus, lacerations, obesity, lower
extremity edema, lymphedema, human or animal bites, tinea infections,
recurring cellulitis, burns, trauma, stasis ulceration, ischemia, toe web
maceration, IV drug use and puncture wounds;
Immunosuppressive medications, HIV/AIDS, drug/ETOH abuse, long-
term corticosteroid use or cancer chemotherapy
, Cellulitis diagnostic tests Correct Answer-Tissue culture not necessary
unless pus in wound; if extensive infection infection or suspected system
toxicity: blood cultures and CBC w/differential; C-reactive protein and
ESR may be elevated in pts w/severe cellulitis
Mild Cellulitis treatment Correct Answer-oral antibiotics: drug of choice
usually 7 days: dicloxacillin 500mg 4x/day; clindamycin 300mg 4x/day,
amoxicillin/clavulanate 875mg/125mg BID; and a first generation
cephalosporin such as Cephalexin 250-500mg 4x/day
Acute and chronic sinusitis can lead to __________ Correct Answer-
(___&_____ can lead to) periorbital or orbital cellulitis
What makes elderly at increased risk of cellulitis? Correct Answer-
predisposition to skin tears and edema
Diagnostic tests for diabetic patients with cellulitis Correct Answer-
radiograph of area and ESR to rule out presence of osteomyelitis
Why/when might skin biopsies be necessary in cellulitis? Correct
Answer-To rule out presence of fungal, viral, parasitic or mycobacterial
etiologies
Tetanus Tx for cellulitis Correct Answer-If open wound present: if most
recent booster 10 yrs ago, administer 0.5ml tetanus toxoid; if wound
grossly contaminated and last booster 5-10 years ago, consider another
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