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 f...
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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