NUR 265 Exam 2 UPDATED Questions and
CORRECT Answers
Identify the management and nursing care of the pt with infectious and inflammatory dermatoses
(Bacterial) - CORRECT ANSWER - (cellulitis)
pt education: antibiotic use, skin care and lesion care, don't share personal items, bath daily with
antibacterial soap, DO NOT squeeze furuncles, boils, or pimples
Identify the management and nursing care of the pt with infectious and inflammatory dermatoses
(Viral) - CORRECT ANSWER - -herpes zoster: prescribed antivirals, lesion care,
dressings, and hand hygiene
-herpes simplex: prescribed antivirals and prophylactic use, information regarding spread of
herpes, measures to reduce spread to partner or neonates born to mothers with genital herpes
Identify the management and nursing care of the pt with infectious and inflammatory dermatoses
(Fungal) - CORRECT ANSWER - (candidiasis)
pt education: use of--oral, topical agents, and shampoos, hygiene, using clean towels and wash
clothes each day, DO NOT share personal items, keep skin folds and feet dry, wear clean dry
clothing (underwear and socks also), avoid synthetic, tight-fitting garments, wet bathing suits,
and plastic shoes, avoid excessive heat and humidity
Use the nursing process as a framework for care of its with Stevens-Johnson syndrome -
CORRECT ANSWER - A: skin and oral inspection, VS (fever, rest status, tachycardia),
fatigue, pain levels, urine--volume/specific gravity/color, local s/s infection at IV site, daily
weight evaluate anxiety and coping mechanism
Dx: impaired tissue integrity, deficient fluid volume and electrolyte loss related to loss of fluids
from denuded skin, risk for imbalanced body temp--hypothermia--related to heat loss secondary
to skin loss, acute pain related to denuded skin/oral lesions/ possible infections, anxiety related to
physical appearance
P: maintain skin and mucous integrity, attain fluid balance, preventing hypothermia, pain relief,
preventing infection, reduce anxiety, monitor/manage for complications, and promote home and
community based care
Implement: keep skin moisturized, use barrier cream if needed, keep skin clean, oral care,
provide plenty of fluids, ensure enough sodium is in the diet, provide warm blankets/proper
, clothing, provide pain meds or other non pharmacological pain interventions, teaching on how to
prevent infection, proper hygiene, provided anxiety meds, promote a relaxing environment, teach
about relaxation techniques, check in on pt every 15-30 mins, monitor VS, talk about living
situation/special services available (meals programs, safety measures, etc.), and meet with social
worker/family
E: skin and mucous integrity has improved, proper fluid balance, maintain body temp, pain
relief, no infection m anxiety has reduced, no complications
Compare the various types of vaginal infections and the signs, symptoms, and treatments of each
(Vaginitis) - CORRECT ANSWER - S&S: discharge and irritation from alkaline pH of
vaginal secretions
Treatments: topical vaginal estrogen therapy; improve nutrition if necessary; relieve dryness:
using moisturizing medications
Compare the various types of vaginal infections and the signs, symptoms, and treatments of each
(Candiasis) - CORRECT ANSWER - S&S: inflammation of vaginal epithelium = pruritus,
reddish irritation, & white-cheeselike discharge clinging to epithelium
Treatments: anti fungal agents miconazole (Monistat) and clotrimazole (Gyne-Lotrimin), review
any other causative factors
Compare the various types of vaginal infections and the signs, symptoms, and treatments of each
(Bacterial Vaginalis) - CORRECT ANSWER - S&S:
Gardnella Vaginalis- usually no edema or erythema, gray-white to yellow-white discharge
Trichomonas Vainalis- inflammation of vaginal epithelium--burning and itchy/frothy yellow-
white or yellow-green discharge
Treatments:
Gardnella Vaginalis- administer metronidazole (Flagyl), avoid alcohol while taking, if recurrent
treat partner
Trichomonas Vainalis- oral metronidazole for patient and partner
Compare the various types of vaginal infections and the signs, symptoms, and treatments of each
(Risk factors to All) - CORRECT ANSWER - premenarche, perimenopause, menopause,
and low estrogen, pregnancy or oral contraceptives, poor hygiene, tight garments and synthetic
CORRECT Answers
Identify the management and nursing care of the pt with infectious and inflammatory dermatoses
(Bacterial) - CORRECT ANSWER - (cellulitis)
pt education: antibiotic use, skin care and lesion care, don't share personal items, bath daily with
antibacterial soap, DO NOT squeeze furuncles, boils, or pimples
Identify the management and nursing care of the pt with infectious and inflammatory dermatoses
(Viral) - CORRECT ANSWER - -herpes zoster: prescribed antivirals, lesion care,
dressings, and hand hygiene
-herpes simplex: prescribed antivirals and prophylactic use, information regarding spread of
herpes, measures to reduce spread to partner or neonates born to mothers with genital herpes
Identify the management and nursing care of the pt with infectious and inflammatory dermatoses
(Fungal) - CORRECT ANSWER - (candidiasis)
pt education: use of--oral, topical agents, and shampoos, hygiene, using clean towels and wash
clothes each day, DO NOT share personal items, keep skin folds and feet dry, wear clean dry
clothing (underwear and socks also), avoid synthetic, tight-fitting garments, wet bathing suits,
and plastic shoes, avoid excessive heat and humidity
Use the nursing process as a framework for care of its with Stevens-Johnson syndrome -
CORRECT ANSWER - A: skin and oral inspection, VS (fever, rest status, tachycardia),
fatigue, pain levels, urine--volume/specific gravity/color, local s/s infection at IV site, daily
weight evaluate anxiety and coping mechanism
Dx: impaired tissue integrity, deficient fluid volume and electrolyte loss related to loss of fluids
from denuded skin, risk for imbalanced body temp--hypothermia--related to heat loss secondary
to skin loss, acute pain related to denuded skin/oral lesions/ possible infections, anxiety related to
physical appearance
P: maintain skin and mucous integrity, attain fluid balance, preventing hypothermia, pain relief,
preventing infection, reduce anxiety, monitor/manage for complications, and promote home and
community based care
Implement: keep skin moisturized, use barrier cream if needed, keep skin clean, oral care,
provide plenty of fluids, ensure enough sodium is in the diet, provide warm blankets/proper
, clothing, provide pain meds or other non pharmacological pain interventions, teaching on how to
prevent infection, proper hygiene, provided anxiety meds, promote a relaxing environment, teach
about relaxation techniques, check in on pt every 15-30 mins, monitor VS, talk about living
situation/special services available (meals programs, safety measures, etc.), and meet with social
worker/family
E: skin and mucous integrity has improved, proper fluid balance, maintain body temp, pain
relief, no infection m anxiety has reduced, no complications
Compare the various types of vaginal infections and the signs, symptoms, and treatments of each
(Vaginitis) - CORRECT ANSWER - S&S: discharge and irritation from alkaline pH of
vaginal secretions
Treatments: topical vaginal estrogen therapy; improve nutrition if necessary; relieve dryness:
using moisturizing medications
Compare the various types of vaginal infections and the signs, symptoms, and treatments of each
(Candiasis) - CORRECT ANSWER - S&S: inflammation of vaginal epithelium = pruritus,
reddish irritation, & white-cheeselike discharge clinging to epithelium
Treatments: anti fungal agents miconazole (Monistat) and clotrimazole (Gyne-Lotrimin), review
any other causative factors
Compare the various types of vaginal infections and the signs, symptoms, and treatments of each
(Bacterial Vaginalis) - CORRECT ANSWER - S&S:
Gardnella Vaginalis- usually no edema or erythema, gray-white to yellow-white discharge
Trichomonas Vainalis- inflammation of vaginal epithelium--burning and itchy/frothy yellow-
white or yellow-green discharge
Treatments:
Gardnella Vaginalis- administer metronidazole (Flagyl), avoid alcohol while taking, if recurrent
treat partner
Trichomonas Vainalis- oral metronidazole for patient and partner
Compare the various types of vaginal infections and the signs, symptoms, and treatments of each
(Risk factors to All) - CORRECT ANSWER - premenarche, perimenopause, menopause,
and low estrogen, pregnancy or oral contraceptives, poor hygiene, tight garments and synthetic
