MARYVILLE NURS 623 EXAM 1 | LATEST UPDATED| 103 REAL EXAM AND COMPLETE
QUESTIONS AND ANSWERS | 100% RATED CORRECT | 100% VERFIED | ALREADY
GRADED A+
1. Mode of transmission for parasitic skin infections: Close direct skin
contact.
2. Clinical presentation for Scabies: Intense itching, worse at night. Burrows
noted between webs of fingers.
3. Commonly prescribed medications for Scabies: Permethrin Cream 5%
(Elimite) is the first-line treatment. Safe in 2 months and older. Apply to all
areas from neck down and leave on for 8-12 hours. Repeat application in 1
week. May repeat a third time in another week. Follow up in 1 week.
Antihistamines and topical steroids if the pruritis is bad.
4. What should you include in the patient education to prevent spreading of
the various parasitic skin problems?: Avoid close contact. Wash all
bedding, clothing, cloth items, and stuffed animals in hot water. All close
, contacts family members, people you live with and sexual partners need to be
treated as well.
5. Which bacterial skin infection is considered highly contagious?: Impetigo
6. What is the "classic" presentation of impetigo?: Honey crusted lesions
7. What is the management of a minor case of folliculitis (non-
pharmacologic)?: Gentle cleansing by washing the skin twice a day with
antibacterial soap.
8. What are the commonly prescribed medications for folliculitis?:
Mupirocin (Bactroban) 2% ointment or cream, TID, 5-14 days, for secondarily
infected skin lesions.
Mupirocin (Bactroban) twice daily for 5 days in the nose for people with recurrent
folliculitis to clear the colonization of S. Aureus.
9. Furuncles: Initially appear small (0.5-1 cm), red, tender, indurated nodule. As
it grows it develops a central yellow plug. They eventually rupture
spontaneously. Fluctuant or larger furuncles should be treated with I&D and
, covered with a simple dry sterile dressing. Patients should be instructed to use
warm compresses twice daily to encourage drainage of pus.
10. Carbuncles: Initially appear as multiple furuncles and develops into a large,
erythematous lump and must be drained before healing will take place and this
typically occurs spontaneously within 2 weeks. Carbuncles frequently require
I&D and need systemic antibiotics and a referral. Antibiotics include: TMP-
SMX (MRSA converage), dicloxacillin, cephalexin, or doxycycline. A gram stain
is recommended to check for MRSA strains.
11. What are the considerations when determining treatment for cellulitis?:
Severe infections, infections around the eyes, or systemic involvement (fever
& chills), immunocompromised should be sent to the ED for inpatient IV
treatment. Mild cases can be treated with PO antibiotics that should show
improvement within 48-72 hours. Penicillin VK, dicloxacillin, clindamycin, or
cephalexin for 5 days.
Infected human & animal bites need to be treated with amoxicillin-clavulanic acid
(Augmentin) for 2 weeks. Prophylaxis treatment for human & animal bites (within 6
hours) amoxicillin-clavulanic acid (Augmentin) for 3-5 days.
QUESTIONS AND ANSWERS | 100% RATED CORRECT | 100% VERFIED | ALREADY
GRADED A+
1. Mode of transmission for parasitic skin infections: Close direct skin
contact.
2. Clinical presentation for Scabies: Intense itching, worse at night. Burrows
noted between webs of fingers.
3. Commonly prescribed medications for Scabies: Permethrin Cream 5%
(Elimite) is the first-line treatment. Safe in 2 months and older. Apply to all
areas from neck down and leave on for 8-12 hours. Repeat application in 1
week. May repeat a third time in another week. Follow up in 1 week.
Antihistamines and topical steroids if the pruritis is bad.
4. What should you include in the patient education to prevent spreading of
the various parasitic skin problems?: Avoid close contact. Wash all
bedding, clothing, cloth items, and stuffed animals in hot water. All close
, contacts family members, people you live with and sexual partners need to be
treated as well.
5. Which bacterial skin infection is considered highly contagious?: Impetigo
6. What is the "classic" presentation of impetigo?: Honey crusted lesions
7. What is the management of a minor case of folliculitis (non-
pharmacologic)?: Gentle cleansing by washing the skin twice a day with
antibacterial soap.
8. What are the commonly prescribed medications for folliculitis?:
Mupirocin (Bactroban) 2% ointment or cream, TID, 5-14 days, for secondarily
infected skin lesions.
Mupirocin (Bactroban) twice daily for 5 days in the nose for people with recurrent
folliculitis to clear the colonization of S. Aureus.
9. Furuncles: Initially appear small (0.5-1 cm), red, tender, indurated nodule. As
it grows it develops a central yellow plug. They eventually rupture
spontaneously. Fluctuant or larger furuncles should be treated with I&D and
, covered with a simple dry sterile dressing. Patients should be instructed to use
warm compresses twice daily to encourage drainage of pus.
10. Carbuncles: Initially appear as multiple furuncles and develops into a large,
erythematous lump and must be drained before healing will take place and this
typically occurs spontaneously within 2 weeks. Carbuncles frequently require
I&D and need systemic antibiotics and a referral. Antibiotics include: TMP-
SMX (MRSA converage), dicloxacillin, cephalexin, or doxycycline. A gram stain
is recommended to check for MRSA strains.
11. What are the considerations when determining treatment for cellulitis?:
Severe infections, infections around the eyes, or systemic involvement (fever
& chills), immunocompromised should be sent to the ED for inpatient IV
treatment. Mild cases can be treated with PO antibiotics that should show
improvement within 48-72 hours. Penicillin VK, dicloxacillin, clindamycin, or
cephalexin for 5 days.
Infected human & animal bites need to be treated with amoxicillin-clavulanic acid
(Augmentin) for 2 weeks. Prophylaxis treatment for human & animal bites (within 6
hours) amoxicillin-clavulanic acid (Augmentin) for 3-5 days.
