NURS 651 Exam 1 Maryville University questions with correct answers latest update 2023

NURS 651 Exam 1 Maryville University questions with correct answers latest update 2023 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 - ANSWER Acute atopic dermatitis treatment for acute atopic dermatitis - 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 - ANSWER Contact dermatitis Treatment for contact dermatitis - 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 - ANSWER Insect bites due to bed bugs Information about bed bugs - 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 Signs and symptoms of bed bug insect bites - 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 - ANSWER recent travel, pruritic papule noted on awakening, skin reaction with linear configuration Treatment of bed bugs - 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 - 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. 5 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. - ANSWER Uritcaria and angioedema in setting of anaphylaxis Treatment for Urticaria and angioedema in setting of anaphylaxis - ANSWER Administer EPI and activate EMS Give Albuterol only after EPI given Monitor VS and airway compromise