NURS 651 Exam Maryville University Questions and 100% Correct Answers Updated 2023-2024 New Latest Version (Best Studying Material)
12 month old male Past 3 months increased erythema and pruritus scratches all night, sheets bloody in the am family history of allergic rhinitis and asthma -------- Correct Answer --------- Acute atopic dermatitis
treatment for acute atopic dermatitis -------- Correct Answer --------- Daily lukewarm bath 5-20min, mild or no soap.pat dry after bath, add emollient, ie. aquaphor Repeat emollient with each diaper change Topical steroids first line, least potent first calcineurini inhibitors to face (tacrolimus, and pimecrolimus) Consider bleach baths and wet wraps
14 year old female, healthy Itchy rash on stomach and feet dryness, erythema, irritated Tried to treat with topical steroids at home, moisturizer and lots of bath and body works creams -------- Correct Answer --------- Contact dermatitis
Treatment for contact dermatitis -------- Correct Answer --------- Remove offending agent
- nickel allergy to jeans buttons, rubber from latex flip flops)
Clean area, treat with emoillents Topical steroids will not recur if agent is avoided can occur from poison ivy, latex, fragrances
11 year old female healthy developed rash over last week intense pruritic circular raised papular rash -------- Correct Answer --------- Insect bites due to bed bugs
Information about bed bugs -------- Correct Answer --------- Visible to naked eye, small Wingless Yellow to reddish oval shaped, prominent eyes Mostly night feeders, attracted to warm blooded animals and humans
Life cycle: egg 4-5 days, nymph state 5 stages, adult 1 year,
Can survive 1 year without feeding Hide in luggage, mattresses, box springs, clothing 1 / 2
Signs and symptoms of bed bug insect bites -------- Correct Answer --------- Erythemous papule with or wheal 2-5mm with punctuate center Most common reaction small inflamed Itchy bump where each bite occurred ( resolves in 1-2 weeks if not exposed further) can become widespread bullies rash
Other factors of when to consider bed bug diagnosis -------- Correct Answer --------- recent travel, pruritic papule noted on awakening, skin reaction with linear configuration
Treatment of bed bugs -------- Correct Answer --------- professional pest management all mattresses should be checked for dark stains usually around the head of bed, use scraper to remove.bag all stuffed animals for 3 days at freeze at 18 degrees or below. Or high heat at 122 degrees
Prevention of Bed bugs -------- Correct Answer --------- Check all hotel mattresses on arrival for small dark stains around head of bed.Keep luggage up and away from bed.Clothes worn in hotel room should be bagged and sealed.Use caution with garage sale items.
- year old boy known food allergy to milk, egg and peanut. At birthday party came to
mom, itchy, coughing and sneezing. Child given Benadryl and brought to your office, Diffuse generalized hives, papular and erythema areas. -------- Correct Answer --------- Uritcaria and angioedema in setting of anaphylaxis
Treatment for Urticaria and angioedema in setting of anaphylaxis -------- Correct Answer --------- Administer EPI and activate EMS Give Albuterol only after EPI given Monitor VS and airway compromise EPI can be repeated for persistent s/s or return of S/s
12 yr old female with persistent rash on upper arms, cheeks and upper thighs gets worse with age and cold weather. Fine pearly papular rash, with some excoriated lesions, no bleeding or drainage. Skin feels rough, History of allergic rhinitis. -------- Correct Answer --------- Keratosis Pilaris
Signs and symptoms of Keratosis Pilaris -------- Correct Answer --------- Appears like skin of plucked chicken or goosebumps Genetic disorder of keratinization of hair follicles Very common, benign condition Described as a condition of childhood and teens Usually improves with age Can flare in adolescence
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