



































Study with the several resources on Docsity
Earn points by helping other students or get them with a premium plan
Prepare for your exams
Study with the several resources on Docsity
Earn points to download
Earn points by helping other students or get them with a premium plan
Community
Ask the community for help and clear up your study doubts
Discover the best universities in your country according to Docsity users
Free resources
Download our free guides on studying techniques, anxiety management strategies, and thesis advice from Docsity tutors
MARYVILLE NURS 623 EXAM 1 (2021) QUESTIONS & ANSWERS UPDATED 1. MARYVILLE NURS 623 EXAM 1 2021 study guide 2. NURS 623 EXAM 1 Maryville University practice questions 3. Maryville nursing 623 exam 1 review materials 4. NURS 623 EXAM 1 2021 Maryville answer key 5. Maryville University NURS 623 first exam preparation 6. NURS 623 EXAM 1 Maryville sample questions and answers 7. Maryville nursing 623 exam 1 2021 test bank 8. NURS 623 EXAM 1 Maryville University quizlet 9. Maryville NURS 623 first exam tips and tricks 10. NURS 623 EXAM 1 2021 Maryville study strategies 11. Maryville nursing 623 exam 1 past papers 12. NURS 623 EXAM 1 Maryville University course outline 13. Maryville NURS 623 first exam topic breakdown 14. NURS 623 EXAM 1 2021 Maryville exam format 15. Maryville nursing 623 exam 1 key concepts 16. NURS 623 EXAM 1 Maryville University grading criteria 17. Maryville NURS 623 first exam difficulty level 18. NURS 623 EXAM 1 2021 Maryville exam duration 19. Maryville nursing 623
Typology: Exams
1 / 43
This page cannot be seen from the preview
Don't miss anything!
-Conditions of poverty -Poor hygiene, malnutrition
respond to treatment -Some will have rash, some will not -Children may be irritable and have changes in feeding -Close contacts may have similar symptoms
-Wrists -Axillary folds -Periumbilical -Pelvic girdle -Penis -Ankles
-Excoriation from itching, crusting, scaling -Intraepidermal burrows, lichenification
-Burrows will be white with black specks
trate in the mite tunnel -Burrow scraping
-Permethrin 5% cream leave on for 8-12 hours, rinse off, repeat in 1 week -Ivermectin 200mcg/kg x 1 and then repeat in 1-2 weeks in conjunction with topical cream -Antihistamines, topical steroids for itching (triamcinolone 0.1% BID x 7 days) -If concurrent bacterial infection then Dicloxacillin or Cephalexin for 7-10 days
-Derm referral for consistent scabetic nodules of crustosa
-Do not exceed recommended exposure time for creams -Itching can continue for up to 1 week -Wash bed sheets and clothing in hot soapy water
-When using shampoo: do not exceed exposure time, rinse over the sink -Itching can continue for up to 1 week -Do not need to treat pets -Bedclothes and sheets should be washed in hot soapy water and dried in a hot dryer, vacuum carpets/upholstery -Children can return to school after treatment, screen weekly
-Corticosteroid use
-Bright red rash with macules or satellite lesions seen on the borders -Other symptoms based on the area of infection
weeps and is moist -Sometimes the rash burns -Macerated skin -Bright red patches with satellite lesions
moist infections, creams for dry infections) -(Nystatin, Clotrimazole, Miconazole BID x 2 weeks) -Apply creams sparingly -Systemic antifungal therapy if unresponsive to topicals -(Fluconazole x 10-14 days, Iatroconazole x 2-3 weeks)
treatment, if no response refer to dermatology -If partial response recheck in another 1-2 weeks then dermatology referral if it persists
circulation -Use clean, dry, white tissue in between skin folds -Keep affected area dry -Can use hair dryer to keep area dry on low
-Gray patchy: patchy alopecia with grey/white scales -Kerion: large, bright red, boggy bump on scalp with drainage
border that is covered in scales, grows in size and has a central clearing -Pruritic -History of another family member with the same infection
groin that spreads to upper thigh (spares the scrotom) -Moist lesions that are round to half circle -Can become macerated from infection and scratching
-Macerated soft white skin between the toes -Pruritic and sometimes painful from fissures -Scaling and thickening of skin can also occur -Burning/pruritic and sometimes pain during warm weather with vesicles and bullae
-Hypopigmented spots that do not tan -Pruritus is rare -Usual sites are back, upper chest, arms, neck/face -Oval to round pink or hypopigmented or hyperpigmented macules
-Drying foot powders for moisture (miconazole, tolnaftate) -If weeping lesions then compresses of Burow's solution -Expose feet to air as much as possible -Change socks one or two times a day -Severe cases oral itraconazole or terbinafine -Avoid scratching feet, avoid tight shoes/socks, change socks, wear sandals, wash/dry feet thoroughly can use a hair dryer on low, clean shower and sheets
days x 10 min then rinse off x 1 month then monthly for maintenance -Ketoconazole shampoo weekly for maintenance -Will eradicate infection but not remove hypopigmented sports which take longer
to resolve -More aggressive treatment with Fluconazole and itraconazole weekly for 2- weeks -Exposure to sunlight will help pigmentation
-For resistant cases confirm diagnosis with fungal cases and/or refer to dermatol- ogy or if pt only on topicals consider systemic therapy -If on systemic therapy check baseline liver fx and repeat in 4 weeks -Pt should be advised of symptoms of hepatotoxicity (anorexia, N/V, malaise, dark urine, jaundice, rash)
fingernails
-Nails with cloudy, white colored patches -Nail discoloration from yellow-green or brown-black -Nail appears dry with sharp borders
efinaconazole 10% once daily x 48 weeks -Systemic: Itraconazole and terbinafine
-Red, crusty rash that spreads -Usually rash is on the face or extremities -Plaques begin as vesicles that break down, leave shallow erosions with yellow crusts, erythematous margins, lymphadenopathy, burning, itching -Bullous form may present as bullae that rupture fast
-Can do bacterial culture and gram stain -Can obtain viral culture to r/o HSV
normal saline, plain tap water, Burow's solution for 10-20min TID -Pharm topical: Mupirocin 2% cream BID x 5 days after washing with Hibiclens -Pharm systemic used when fever or toxicity or large area of skin involved: Di- cloxacillin or Cephalexin x 7 days -If MRSA suspected then: Doxycycline, Clindamycin, or Bactrim
-Patients with fever watch closely -Recurrent cases test for MRSA carrier
measures -Keep fingernails short
-Do not participate in contact sports -Do not attend daycare or school until 24 hours of abx therapy
-Klebsiella -E. Coli
-Poor hygiene, exposure to chemicals -Trauma from shaving -Immunocompromised
1-2mm of erythema over pilosebaceous orifce sometimes perforated by a hair -Most common sites are eyelids, face, scalp, extremities
-Poor hygiene, incarceration -Chronic staph carrier -Moisture, occluded skin
or drain spontaneously -Initially appears as 0.5-1cm, red, indurated nodule as it grows it develops yellow central plug and becomes conical
into large erythematous lump that drains pus from multiple follicular openings
ing will occur (usually occurs spontaneously in 2 weeks) -Warm compresses to furuncles to help with rupture -Topical abx: Mupirocin or Neosporin BID until resolution -Systemic abx only needed if surrounding cellulitis -Fluctuant furuncles treated with I&D then warm compresses BID -Carbuncles always get systemic abx (Dicloxacillin, Cephalexin, Bactrim, Doxycy- cline
-Subsequent visit in 7-10 day -Do not pop, squeeze, or manipulate
subcutaneous tissue
-CBC if systemic symptoms
damycin, Cephalexin x 5 days PCN allergy: Clindamycin, Azithromycin, Clarithromycin Animal bites: Augmentin x 2 weeks Complicated: ED
-Mark borders during initial visit -Seen weekly until resolved -If no response within 48-72 hrs of pt appears toxic--ED
sists despite abx for 48hrs -Report progress to clinic within 3 days -Elevate limp as much as possible to decrease swelling
caused by HPV
-HPV serotypes 1-5, 7, 27, 29
-Biting nails -Using public showers/pools -Immunocompromised
-Small or large -Fleshy or firm growth -Can be raised, flat, single, multiple -Centrally located capillaries (black dots) -Commonly occurs on hands, knees