Exam (elaborations)
MARYVILLE NURS 623 EXAM 2 QUESTIONS AND ANSWERS WITH COMPLETE SOLUTIO1
- Course
- Institution
MARYVILLE NURS 623 EXAM 2 QUESTIONS AND ANSWERS WITH COMPLETE SOLUTIO1
[Show more]
Seller
Follow
tutorsection1
Reviews received
Content preview
MARYVILLE NURS 623 EXAM 2 QUESTIONS AND ANSWERS WITH COMPLETESOLUTION
Basics with skin conditions - ANSWER •Alopecia
•Rash
•Pruritus
•Uticaria
•Pigmentation change
Skin lesion—New vs. Change
HPI questions for skin problems - ANSWER Duration of symptoms
Precipitating factors
•Medications
•Food
•Occupation
•Outdoors
•Hobbies/Sport participation
•Exposure to insects
•Jewelry/metals/chemicals
•Family history
Is it:
Local or systemic
Pruritus- all day or worse at night
Uticaria - duration
Pigmented changes
Pigmentation/Changes of the skin Diff diagnosis - ANSWER Nevi- brown, beige or
pink(< 5mm)
Melanoma
Related to pregnancy- melasma (mask of pregnancy)
Addison disease
Side effect of medication- steroid therapy
skin lesions - ANSWER 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
Vesicle - elevation of skin with serous (clear) fluid
Pustule - similar to vesicle but filled with pus (acne)
,Ulcer - deep loss of skin (venous statis ulcer)
Atophy - thinning of skin
Bullae-Clear fluid-filled blisters > 10 mm in diameter. These may be caused by
burns, bites, irritant or allergic contact dermatitis, and drug reactions.
primary versus secondary skin lesions - ANSWER Primary skin lesions are those
which develop as a direct result of the disease process.
Secondary lesions are those which evolve from primary lesions or develop as a
consequence of the patient's activities.
Parasitic Skin Infections - ANSWER scabies and lice
Scabies - ANSWER 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 - ANSWER 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.
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 - ANSWER Permethrin 1% leave on for 10 mins then rinse. May
repeat in 7 days if needed.
Fungal skin infections - ANSWER · 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
(Ringworm of body) - ANSWER Hx of erythematous round and elevated pruritic
lesion that grows in size & starts to clear in the center
Miconazole 2% cream BID x4 weeks, Clotrimazole 1%, Terbafine 1%
Tinea capitus (ringworm of head) - ANSWER Children common. Painless bald spot,
may have kerion that looks like honeycomb, inflammation. Boggy mass containing
broken hairs and oozing purulent material from follicular orifices
Systemic antifungals - Griseofulvin BID for 2-4 months or 2 weeks after negative
cultures. Teratogenic - use 2nd method of contraception.
OR terbinafine cream
Tinea versicolor (skin, AKA pityriasis versicolor) - ANSWER Round or oval lesions
of hypo or hyperpigmentation macule, located mainly on back chest, arms,
sometimes neck/face. Sometimes very fine scales seen. Agent P oribiculare causes
round, pityrosporum ovale causes oval
Clotrimazole 1% cream and solution BID up to 4 weeks
Bacterial infections of the skin - ANSWER · Impetigo
· highly contagious
Cellulitis
· Keflex (1st gen cephalosporine) 10-14 days, or dicloxacillin,
· PCN allergy use Erythromycin.
· non purulent assume staph aureus
Purulent cellulitis
· I&D first line
· NO 1st gen cephalosporine
· Consider MRSA- Bactrim, Cleocin, Doxycycline
Impetigo - ANSWER Honey crusted plaques, usually on face
Bullous: begin as small vesicles that rupture easily with serous fluid turning into crust
Nonbullous, vesticulopustular: thick, adherent lesions, dirty yellow-colored crust with
erythematous margins
Treatment:
Clean lesions. Bactroban TID x 7 days. Antibiotic (Keflex, Augmentin, Cloxacillin).
With no treatment, it is self-limiting 2-3 wks
follilculitis - ANSWER Staphylococcus. Multiple small papules on erythematous
base, can be large yellow white tender pustules in adults. Common in places hair is
present, widespread is characteristic, bumpy rash, no itching.
Treatment:
The benefits of buying summaries with Stuvia:
Guaranteed quality through customer reviews
Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.
Quick and easy check-out
You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.
Focus on what matters
Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!
Frequently asked questions
What do I get when I buy this document?
You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.
Satisfaction guarantee: how does it work?
Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.
Who am I buying these notes from?
Stuvia is a marketplace, so you are not buying this document from us, but from seller tutorsection1. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $17.99. You're not tied to anything after your purchase.
Can Stuvia be trusted?
4.6 stars on Google & Trustpilot (+1000 reviews)
75323 documents were sold in the last 30 days
Founded in 2010, the go-to place to buy study notes for 14 years now