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MARYVILLE NURS 623 EXAM 1 (2021) QUESTIONS & ANSWERS UPDATED, Exams of Gerontology

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

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MARYVILLE NURS
623 EXAM
1 (2021)
QUESTIONS & ANSWERS
1. What is scabies?: -A highly contagious mite infestation
2. Risk factors of scabies: -Overcrowding
-Conditions of poverty
-Poor hygiene, malnutrition
3. What is the mode of transmission for scabies?: -Close personal contact
4. Subjective symptoms for scabies: -Itching, worse at night and often does not
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
5. What are common areas for scabies infection?: -Webs of fingers
-Wrists
-Axillary folds
-Periumbilical
-Pelvic girdle
-Penis
-Ankles
6. Objective symptoms for scabies: -Early sign: small 1-2mm red papules
-Excoriation from itching, crusting, scaling
-Intraepidermal burrows, lichenification
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MARYVILLE NURS 623 EXAM 1 (2021)

QUESTIONS & ANSWERS

1. What is scabies?: -A highly contagious mite infestation

2. Risk factors of scabies: -Overcrowding

-Conditions of poverty -Poor hygiene, malnutrition

3. What is the mode of transmission for scabies?: -Close personal contact

4. Subjective symptoms for scabies: -Itching, worse at night and often does not

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

5. What are common areas for scabies infection?: -Webs of fingers

-Wrists -Axillary folds -Periumbilical -Pelvic girdle -Penis -Ankles

6. Objective symptoms for scabies: -Early sign: small 1-2mm red papules

-Excoriation from itching, crusting, scaling -Intraepidermal burrows, lichenification

-Burrows will be white with black specks

7. Diagnostic tests for scabies: -Burrow Ink Test: where excess ink will concen-

trate in the mite tunnel -Burrow scraping

8. Management of scabies: -Whole household needs to be treated

-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

9. Follow-up for scabies: -1 week following initial treatment

-Derm referral for consistent scabetic nodules of crustosa

10. Patient education for scabies: -Trim fingernails to prevent re-infestation

-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

18. Risk factors for candidiasis: -Any age/gender

-HIV/AIDS

-DM

-Corticosteroid use

19. Cardinal sign and symptom of candidiasis: -Itching and burning

-Bright red rash with macules or satellite lesions seen on the borders -Other symptoms based on the area of infection

20. Symptoms of intertriginous candidiasis: -Red itchy rash that occasionally

weeps and is moist -Sometimes the rash burns -Macerated skin -Bright red patches with satellite lesions

21. Intertrigo candidiasis: What is this rash?

22. Management of intertriginous candidiasis: -Topical antifungals (powders for

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)

23. Follow-up for candidiasis: -Follow-up in 2 weeks to determine response to

treatment, if no response refer to dermatology -If partial response recheck in another 1-2 weeks then dermatology referral if it persists

24. Patient education for candidiasis: -Decrease moisture, warmth, and poor air

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

30. Symptoms of tinea corporis: -Ring like lesion with an erythematous elevated

border that is covered in scales, grows in size and has a central clearing -Pruritic -History of another family member with the same infection

31. Symptoms of tinea cruris: -Obese man who complains of pruritic rash on

groin that spreads to upper thigh (spares the scrotom) -Moist lesions that are round to half circle -Can become macerated from infection and scratching

32. Symptoms of tinea pedis: -Strong foot odor

-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

33. Symptoms of tinea versicolor: -Often recognized in the summer

-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

34. Tinea capitis: What is this rash?

35. Tinea pedis: What is this rash?

36. Tinea corporis: What is this rash?

37. Tinea cruris: What is this rash?

-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

42. Management for tinea versicolor: -Topical selenium sulfide lotion daily x 7

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

43. Follow-up for dermatophytoses: -Follow-up 2 weeks after start of therapy

-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)

44. What is onychomycosis?: -A benign superficial infection of the toenails and

fingernails

45. Symptoms of onychomycosis: -Thick dystropic nails

-Nails with cloudy, white colored patches -Nail discoloration from yellow-green or brown-black -Nail appears dry with sharp borders

46. Onychomycosis: What is this?

47. Management of onychomycosis: -Topical: ciclopirox 8% BID x 6-18 mo or

efinaconazole 10% once daily x 48 weeks -Systemic: Itraconazole and terbinafine

53. Symptoms of impetigo: -Pruritus

-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

54. Impetigo: What is this rash?

55. Diagnostic tests for impetigo: -Not needed

-Can do bacterial culture and gram stain -Can obtain viral culture to r/o HSV

56. Management of impetigo: -Nonpharm: to debride lesions and expose skin

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

57. Follow-up for impetigo: -For uncomplicated cases follow-up in 10-14 days

-Patients with fever watch closely -Recurrent cases test for MRSA carrier

58. Patient education for impetigo: -Good handwashing and personal hygiene

measures -Keep fingernails short

-Do not participate in contact sports -Do not attend daycare or school until 24 hours of abx therapy

59. What is folliculitis?: -A superficial to deep skin infection of the hair follicles

60. What are the main pathogens in folliculitis?: -Staph

-Klebsiella -E. Coli

61. Risk factors for folliculitis?: -DM, obesity, chronic staph carrier

-Poor hygiene, exposure to chemicals -Trauma from shaving -Immunocompromised

62. Symptoms of folliculitis: -Primary lesion are small pustules surrounded by

1-2mm of erythema over pilosebaceous orifce sometimes perforated by a hair -Most common sites are eyelids, face, scalp, extremities

70. Risk factors for furuncles/carbuncles: -Immunocompromised

-DM

-Poor hygiene, incarceration -Chronic staph carrier -Moisture, occluded skin

71. Symptoms of furuncle: -Hot, tender, bright red bump that may come to a head

or drain spontaneously -Initially appears as 0.5-1cm, red, indurated nodule as it grows it develops yellow central plug and becomes conical

72. Symptoms of carbuncle: -Initially appear as multiple furuncles that develop

into large erythematous lump that drains pus from multiple follicular openings

73. Diagnostic tests for furuncles/carbuncles: -Gram stain and culture

74. Management for furuncles/carbuncles: -Carbuncles must drain before heal-

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

75. Follow-up for furuncles/carbuncles: -Within a few days to 1 week

-Subsequent visit in 7-10 day -Do not pop, squeeze, or manipulate

76. Furuncle: What is this?

77. Carbuncle: What is this?

78. What is cellulitis?: -A bacterial infection of the skin involving the dermis and

subcutaneous tissue

79. What are common organisms in cellulitis?: -S. Aureus

82. Diagnostics in cellulitis: -Gram stain if discharge present

-CBC if systemic symptoms

83. Management of cellulitis: Uncomplicated: Penicillin VK, Dicloxacillin, Clin-

damycin, Cephalexin x 5 days PCN allergy: Clindamycin, Azithromycin, Clarithromycin Animal bites: Augmentin x 2 weeks Complicated: ED

84. Follow-up for cellulitis: -Improvement usually noted within 48-72hrs

-Mark borders during initial visit -Seen weekly until resolved -If no response within 48-72 hrs of pt appears toxic--ED

85. Patient education for cellulitis: -Call PCP if infection worsens or fever per-

sists despite abx for 48hrs -Report progress to clinic within 3 days -Elevate limp as much as possible to decrease swelling

86. Cellulitis: What is this?

87. What are warts?: -Contagious skin lesion formed by infected keratinocytes

caused by HPV

-HPV serotypes 1-5, 7, 27, 29

88. What is the mode of transmission of warts?: -Touch, trauma to skin tissue

89. Risk factors for warts: -Walking barefoot

-Biting nails -Using public showers/pools -Immunocompromised

90. Symptoms of warts: -Small bump for weeks-years

-Small or large -Fleshy or firm growth -Can be raised, flat, single, multiple -Centrally located capillaries (black dots) -Commonly occurs on hands, knees