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Maryville Nurs 623 Exam 1- Questions and Answers
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Maryville Nurs 623 Exam 1- Questions and AnswersSecondary lesions are those which evolve from primary lesions or develop as a consequence
of the patient's activities.
Parasitic Skin Infections Correct Ans-scabies and lice
Scabies Correct Ans-Highly contagious infestation that occurs mainly in children, young
adults, health care workers, and institutionalized persons of all ages.
Subjective: Complaints of intense itching that is usually more severe at night.
Objective:Earliest physical sign is small 1 to 2 mm red papules located in areas of body most
attractive to mites. Itching, excoriation, , crusting, and scaling may be present making it hard
to see scabies.
Diagnostics:Ink burrow test
Scabies treatment Correct Ans-Permethrin 5% cream (Remember you have 5 fingers)-
leave on for 8-14 hours then shower- daily for 7 days.
Oral antihistamines for itching, topical steroids for itching.
, Maryville Nurs 623 Exam 1- Questions and Answers
The entire household must be treated. Everything should be washed with hot
water/detergent, treat any infection that is present.
Starve mites by sealing them in a bag for about 10 days.
Lice treatment Correct Ans-Permethrin 1% leave on for 10 mins then rinse. May repeat in 7
days if needed.
Fungal skin infections Correct Ans-· Candidiasis- bright, beefy red rash treat with topical
antifungal,
· Dermatophytoses - the tineas (ringworm)
· Onychomycosis treat with Terbinafine for 6-12 weeks (only 73-79% effective, educate
patient.
· Fungal infections survive on keratin, so considered superficial.
· Pathogens: Epidermophyton, trichophyton, microsporum.
· Those at risk are DM and immunocompromised.
· Diagnostics: KOH
Tinea corporis
, Maryville Nurs 623 Exam 1- Questions and Answers
(Ringworm of body) Correct Ans-Hx of erythematous round and elevated pruritic lesion
that grows in size & starts to clear in the center
Basics with skin conditions Correct Ans-•Alopecia
•Rash
•Pruritus
•Uticaria
•Pigmentation change
Skin lesion—New vs. Change
HPI questions for skin problems Correct Ans-Duration of symptoms
Precipitating factors
•Medications
•Food
•Occupation
•Outdoors
•Hobbies/Sport participation
•Exposure to insects
•Jewelry/metals/chemicals
•Family history
Is it:
, Maryville Nurs 623 Exam 1- Questions and Answers
Local or systemic
Pruritus- all day or worse at night
Uticaria - duration
Pigmented changes
Pigmentation/Changes of the skin Diff diagnosis Correct Ans-Nevi- brown, beige or pink(<
5mm)
Melanoma
Related to pregnancy- melasma (mask of pregnancy)
Addison disease
Side effect of medication- steroid therapy
skin lesions Correct Ans-Macule - flat, nonpalpable (freckle, petechia)
Papule - PALPABLE, solid elevation of skin (elevated nevus)
Nodule - elevated solid mass, deeper and firmer than papule (wart)
Tumor - solid mass deep in subcutaneous tissue (epithelioma)
Wheal - irregularly shaped, elevated area (hive, mosquito bite
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