NURS 629 EXAM 3 Questions With 100%
Correct Answers Graded A+ 2024/2025
Hand, Foot, and Mouth Disease (HFMD)
Caused by the coxsacki virus
3-6 day incubation period
Symptoms:
-Low grade fevvers
-sore throat, poor appetite
-malaise prior to rash
-Rash is petechial rash, then blisters start.
-Oral lesions and then hands and feet lesions as well.
-Sometimes can have on torso and extremities.
-Look like canker sores with yellow ulcers and red halo.
Treatment- tylenol, warm baths. Oragel depending on age. Magic moulthwash (benadryl and maalox)
mixture. push hydration.
Education:
-very contagious- must have all of the lesions crusted prior to going back to schoo.
-Illness can last up to one week.
Hand-foot-and-mouth disease
· pustular, ulcerating lesions
o on the hands and feet
o oral ulcers
Herpes Simplex Virus
Spread by respiratory droplets, contact with active lesion, and contact with body fluid.
Symptoms
-fever
-malaise
-fever
-swollen glands
-grouped vesicles with an erythematous base
-gingiva that bleeds easily with small yellow ulcers.
Treatment
-Symptomatic treatments- oral antivirals or topical antivirals to shorten length of illness.
-will most likely last 2-3 weeks
Roseola
Caused by
-human herpesvirus 6 (HHV-6) and 7 (HHV-7)
Symptoms
-High fever for several days
-rash lasting for 1-2 days small pink spots that are patches with white rings around spots
-rash usually starts on trunk and moves to extremities
Treatment
,-Fluids, Tylenol, ibuprofen for fever, and rest.
-Symptoms appear within two weeks post exposure
Chickenpox
-Seeing an uptake in this disease as a lot of people are not vaccinating with MMR
Caused by Varicella zoster
Symptoms
-crusted painful itchy lesions- can cause severe scabbing
-huge incubation period (21 days)
-fever
-headache
-URI symptoms
Diagnostics
-history and PE
-VZV PCR
Treatment
-supportive care, tylenol, fluids, rest
-Keep from scratching
-Benadryl or caladyl
-cool compreses
-severe admit for IV acyclovir
Influenza
Multiple types: A and B most common
Symptoms
-high grade fever
-headache
-chills
-body aches
-runny nose
-dry hacking cough
-N/V and diarrhea
-Croup
Complications
-myocarditis
-pneumonia
-atelectasis
-Otitis media secondary bacterial infection
Diagnosis
-Rapid flu
Treatment
-supportive therapy
-Tamiflu in the first 48 hours of onset of symptoms
-for those under ages of 2, patients with respiratory disease, or immunocompromised patients
Measals
, Acute viral respiratory illness that is transported through contact
Symptoms
-fevers, malaise, cough
-conjunctivitis
-kolpik spots (maculopapular rash 14 days after exposure)
-measles rash spreads from head to trunk to lower extremities so top to bottom.
Treatment
-supportive
-High dose vitamin A
Mumps
Paramyxoviridae family of virus
Symptoms
-painful enlargement of one or more salivary glands
-fever
-headache
-anorexia
-neck and muscular pain
-can get a macular rash on trunk
Diagnosis
-PCR or serological tests
Treatment
-Corticosteroids for the swelling, and NSAIDS for pain
Fifths disease
Erythema infectiosum
Human parvovirus B19
Incubation 4-14 days
Symptoms
-Prodromal, fever, headache, nausea, and diarrhea
-sore throat
-Slapped cheek rash
-Followed by reticular lace like rash on trunk
-Maybe associated with arthralgia
-petechia on hands and feet
Diagnosis
-parovirus IGM IGG
Treatment
-symptomatic treatment
Fifth disease
· fiery red, maculopapular facial rash concentrated on the cheeks
o Slapped cheek appearance
Lime disease stage 1
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