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NURS 629 EXAM 3 | QUESTIONS AND ANSWERS | 2025-2026 | GRADED A+
Typology: Exams
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Painful rash Herpes simplex Rash that occurs in children before the age of 2 Roseola Rash that occurs in children before the age of 10 Hfm disease Avoid sugary/acidic drinks with this rash Hfm disease Contagious 2 days before and 2 days after eruption Hfm disease
3 - 5 days of fever then rash develops Roseola Stars on torso then spreads to neck and arms Roseola Rash is super, super itchy Varicella (chickenpox) Lesions occur in multiple stages Varicella (chickenpox) Contagious 2 days before rash appears until the lesions crust Varicella (chickenpox) Airborne
Erythematous maculopapular rash that begins at forehead and spreads down to trunk and out to extremities Rubeola (measles) Treatment is vitamin a Rubeola (measles) Dx of rubeola (measles) Igm antibody and measles rt pcr Contagious 4 days before and up to 4 days after rash appears Rubeola (measles) Coryza and kolpik spots in rubeola (measles) Mucous and inflammation of membrane in the nose & white/gray patches inside the mouth
Painful enlargement of 1+ salivary glands Mumps Transmissible 1-2 days before glandular swelling and 5 days after onset of swelling Mumps Positive pickle sign Mumps Diagnosis for mumps Pcr, igm or igg antibodies Slapped check syndrome Fifths disease Parvovirus Fifths disease
Treatment of lymes disease < Amoxicillin Treatment of lymes disease > Doxycycline Lyme diagnosis Igm 2-4 weeks and igg at 4-6 weeks Ifa is gold standard Rocky mountain spotted fever Caused by tick bite Lymes disease and rocky mountain spotted fever Maculopapular rash 2-5 days after fever, as well as fever, chills, headache, body aches, gi upset, cough, conjunctival injection, altered loc, and photophobia Rocky mountain spotted fever
Can also do what tests besides ifa for rocky mountain spotted fever Pcr and immunohistochemical staining (skin biopsy) Doxycycline within 5 days of clinical symptoms for treatment Rocky mountain spotted fever Severely ill within 24-48 hours Meningitis Besides fifths disease, what other rash has a lacey like appearance? Scarlet fever Petechial rash that starts on the extremities, stiff neck, flu-like symptoms, cold hands/feet Meningitis
Scarlet fever Low hemoglobin and mcv Ida Treatment for ida Supplemental iron Micro and hypochronic Ida At what age do you no longer need to check hemoglobin at wellness visits After age 6 Check cbc after how long after treating ida 3 - 6 months after treatment
Macrocytic, elevated mcv, low hemoglobin B12 deficiency Symptoms of b12 deficiency anemia Fatigue, numbness and tingling, rls Hereditary microcytic anemia Thalassemia Symptoms that occur within the first year of life with thalassemia Failure to thrive, severe anemia, can have hepatosplenomegaly Elevated retic account, splenomegaly, chest pain, dehydration, chronic organ damage (especially spleen), and joint swelling are characteristics that are associated with what blood disorder Sickle cell anemia
Molloscum contagiosum Herald patch first, major christmas tree pattern, most commonly on the trunk, can develop other symptoms Pityriasis rosea Common in 10-35 years Pityriasis rosea Less than age 5, strawberry tongue, and peeling of skin of the fingers and toes (2-3 weeks later) Kawasaki disease 4/5 criteria are needed for diagnosis: changes in extremities (edema, erythema, desquamation; polymorphous exanthem (trunk); conjunctival injection; erythema and/or fissuring of lips and oral cavity, and anterior cervical lymphadenopathy Kawasaki disease
Rash that starts on trunk and spreads to armpits, groin, hands and feet Kawasaki disease Not contagious Kawasaki disease If left untreated. Can develop coronary aneurysms that can result in ischemia or death Kawasaki disease Needs to be sent to er and receive iv immunoglobulin Kawasaki disease If fluid is present in effusion for at least how many weeks, a referral to ent is warranted 12 weeks
Kawasaki disease If iv immunoglobulin is given for kawasaki disease, wait to vaccinate for chickenpox or measles at least how many months after because it can affect the vaccine efficacy 11 months Can result in rheumatic fever is not treated properly Scarlet fever Obstruction of sebaceous glands of eyelid, is painful, and often caused by staph Hordeolum (stye) Chronic inflammation of the eyelid due to a blocked meibomian gland and is not painful but gives sensation of pressue Chalazion
Fever, exudative pharyngitis, malaise, fatigue, headache, and posterior cervical adenopathy Mono Epstein-barr virus Mono No contact sports for 1 month Mono Murmur left sternal border and split heart sounds Atrial septal defect Cardiomegaly on chest x-ray and right atrial enlargement on ecg Atrial septal defect Combined ventricular hypertrophy on ecg and a normal to enlarged heart on chest x-ray
Tetralogy of fallot Bp is higher in arms than legs, bounding pulse in arms, neck, and head and weakness/pain with exercise Coarctation of aorta Systolic ejection murmur left interclavicular Coarctation of aorta Lifetime risk of recoarctation Coarctation of aorta Infants have rv hypertrophy and old children have lv hypertrophy Coarctation of aorta Heart may be normal or slightly enlarged, vascular markings may be normal or increased on chest x-ray Coarctation of aorta
Will require surgery soon after birth Transposition of great arteries Egg shaped heart, r axis deviation, rv hypertrophy Transposition of great arteries Cyanosis not improved with o2, immediately after birth Transposition of great arteries Pmi displaced, radiation, diastolic, grade >iv, interferes with s1 and s Pathologic murmur Increases with sitting/standing Pathologic murmur
