PNVN 1521 UPDATED EXAM SCRIPT QUESTIONS AND
SOLUTIONS GRADED A+
✔✔Stage 3 Burn - ✔✔Full Thickness
Appearance: Dry w/ leathery eschar, charred vessels visible under eschar, vesicles
rare, but think walled vesicles that do not increase in size may be present, no blanching
Color: White,charred, dark tan, black, red
Sensation: Little or no pain, hair easily pulls out
Treatment: Long-term rehabilitation phage, burn wound treatment
Complication: returning to baseline as possible
✔✔Nursing Interventions For All Burns - ✔✔• Prioritizing nursing care using ABC's
• Respiratory pattern
• High protein & high calories
• Vital signs
• Circulation
• Intake & output
• Ambulation
• Bowel sounds
• Inspection of wound
• Mental Status
✔✔Scabies - ✔✔Signs/Symptoms:
• Pruritus (Itching)
• Thin, irregular burrow tracks made up of tiny blisters or bumps
• Redness
Treatment:
• Contact precaution
• Treat family
• Permethrin 5%
• Highly contagious (Prevent reinfection)
✔✔Cellulitis patient education - ✔✔Take entire prescription of antibiotics and monitor for
Signs/Symptoms of secondary diseases such as yeast infections.
✔✔Melanoma - ✔✔Signs/Symptoms:
• Bigger mole diameter
• Darkening of the skin
• Mole color changes
• Skin mole with irregular border
, Treatment:
• Chemotherapy
• Immunotherapy
Patient Education:
• Avoid sunbathing and tanning beds
• Protect skin from exposure to sun, by applying sunscreen to exposed skin
• Monitor moles
✔✔Skin Assessment - ✔✔• Best when bathing patient
• Under natural light
• Use senses of sight, touch, and smell
• Temperature
• Color changes
• Pain
• Pruritus (itching)
• Tingling/Burning
• Psychosocial assessment
✔✔Tinea capitis - ✔✔ringworm of the scalp
✔✔Tinea corporis - ✔✔ringworm of the body
✔✔Tinea pedis - ✔✔athlete's foot
✔✔Tinea cruris - ✔✔jock itch
✔✔Herpes Simplex 1 - ✔✔Signs/Symptoms:
• Characterized by vesicle rupture &
encrust
• Symptoms of general malaise &
fatigue
• Tingling, burning, Pain
Treatment: Infection control & hand washing, Keep it clean and dry, Loose absorbent
clothing
✔✔Herpes Simplex 2 - ✔✔Signs/Symptoms:
• Various types of vesicles
• FLULIKE symptoms occur 3-4 days
after vesicles erupt
• Pain, redness , pruritis
• May experience difficulty voiding w/
severe outbreak
SOLUTIONS GRADED A+
✔✔Stage 3 Burn - ✔✔Full Thickness
Appearance: Dry w/ leathery eschar, charred vessels visible under eschar, vesicles
rare, but think walled vesicles that do not increase in size may be present, no blanching
Color: White,charred, dark tan, black, red
Sensation: Little or no pain, hair easily pulls out
Treatment: Long-term rehabilitation phage, burn wound treatment
Complication: returning to baseline as possible
✔✔Nursing Interventions For All Burns - ✔✔• Prioritizing nursing care using ABC's
• Respiratory pattern
• High protein & high calories
• Vital signs
• Circulation
• Intake & output
• Ambulation
• Bowel sounds
• Inspection of wound
• Mental Status
✔✔Scabies - ✔✔Signs/Symptoms:
• Pruritus (Itching)
• Thin, irregular burrow tracks made up of tiny blisters or bumps
• Redness
Treatment:
• Contact precaution
• Treat family
• Permethrin 5%
• Highly contagious (Prevent reinfection)
✔✔Cellulitis patient education - ✔✔Take entire prescription of antibiotics and monitor for
Signs/Symptoms of secondary diseases such as yeast infections.
✔✔Melanoma - ✔✔Signs/Symptoms:
• Bigger mole diameter
• Darkening of the skin
• Mole color changes
• Skin mole with irregular border
, Treatment:
• Chemotherapy
• Immunotherapy
Patient Education:
• Avoid sunbathing and tanning beds
• Protect skin from exposure to sun, by applying sunscreen to exposed skin
• Monitor moles
✔✔Skin Assessment - ✔✔• Best when bathing patient
• Under natural light
• Use senses of sight, touch, and smell
• Temperature
• Color changes
• Pain
• Pruritus (itching)
• Tingling/Burning
• Psychosocial assessment
✔✔Tinea capitis - ✔✔ringworm of the scalp
✔✔Tinea corporis - ✔✔ringworm of the body
✔✔Tinea pedis - ✔✔athlete's foot
✔✔Tinea cruris - ✔✔jock itch
✔✔Herpes Simplex 1 - ✔✔Signs/Symptoms:
• Characterized by vesicle rupture &
encrust
• Symptoms of general malaise &
fatigue
• Tingling, burning, Pain
Treatment: Infection control & hand washing, Keep it clean and dry, Loose absorbent
clothing
✔✔Herpes Simplex 2 - ✔✔Signs/Symptoms:
• Various types of vesicles
• FLULIKE symptoms occur 3-4 days
after vesicles erupt
• Pain, redness , pruritis
• May experience difficulty voiding w/
severe outbreak
