Exam (elaborations)

Maryville NURS 623 Exam 1 (2024) Questions with 100% Verified Correct Answers

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Maryville NURS 623

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Maryville NURS 623

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Uploaded on September 28, 2024
Number of pages 26
Written in 2024/2025
Type Exam (elaborations)
Contains Questions & answers

what is scabies
risk factors of scabies
what is the mode of transmission for scabies

Institution Maryville NURS 623
Course Maryville NURS 623

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Maryville NURS 623 Exam 1 (2024) Questions with
100% Verified Correct Answers
What is scabies? - Correct Answer -A highly contagious mite infestation

Risk factors of scabies - Correct Answer -Overcrowding

-Conditions of poverty

-Poor hygiene, malnutrition

What is the mode of transmission for scabies? - Correct Answer -Close personal contact

Subjective symptoms for scabies - Correct Answer -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

What are common areas for scabies infection? - Correct Answer -Webs of fingers

-Wrists

-Axillary folds

-Periumbilical

-Pelvic girdle

-Penis

-Ankles

Objective symptoms for scabies - Correct Answer -Early sign: small 1-2mm red papules

-Excoriation from itching, crusting, scaling

-Intraepidermal burrows, lichenification

-Burrows will be white with black specks

Diagnostic tests for scabies - Correct Answer -Burrow Ink Test: where excess ink will concentrate in
the mite tunnel

,-Burrow scraping

Management of scabies - Correct Answer -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

Follow-up for scabies - Correct Answer -1 week following initial treatment

-Derm referral for consistent scabetic nodules of crustosa

Patient education for scabies - Correct Answer -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

Risk factors for lice (pediculosis) - Correct Answer -School-age children

-Homeless, crowded conditions

Mode of transmission for lice - Correct Answer -Close personal contact

Subjective symptoms of lice - Correct Answer -Intense itching in areas of the body preferred by the
lice type

-Itching worse at night

-Children may be restless, irritable, trouble concentrating

Objective findings of lice - Correct Answer -Small 2-3mm red macules/papules that are itchy

-Hive like reaction in some patients

-Excoriation on scalp from itching

-Nits found on hair shafts

-Lice are 6 legged wingless insects

, Management of lice - Correct Answer -Treat patient and close contacts

-Shampoo/creams/rinses containing benzyl alcohol, Ivermectin, Permethrin, spinosad are commonly
used

-Manual delousing and nit removal using fine toothed comb

-Petroleum jelly, mayo/tea tree oil/olive oil left on overnight with showercap

-Secondary bacterial treatment use Dicloxacillin or Cephalexin for 7-10 days

Follow-up for lice - Correct Answer -Uncomplicated infestations do not require follow-up

-Follow-up in 1 week if symptoms persist

Patient education for lice - Correct Answer -Do not share hats, combs, scarves, towels, or bedding

-Combs and brushes should be washed in hot, soapy water and air dry

-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

Risk factors for candidiasis - Correct Answer -Any age/gender

-HIV/AIDS

-DM

-Corticosteroid use

Cardinal sign and symptom of candidiasis - Correct Answer -Itching and burning

-Bright red rash with macules or satellite lesions seen on the borders

-Other symptoms based on the area of infection

Symptoms of intertriginous candidiasis - Correct Answer -Red itchy rash that occasionally weeps and
is moist

-Sometimes the rash burns

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Exam (elaborations)

Maryville NURS 623 Exam 1 (2024) Questions with 100% Verified Correct Answers

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