NUR 3045 LATRINA WALDEN REVIEW STUDY GUIDE LATEST UPDATE 2023 GRADED A+

NUR 3045 LATRINA WALDEN REVIEW STUDY GUIDE LATEST UPDATE 2023 GRADED A+. Actinic Keratosis- dry round pink to red lesion, they do not heals!! You usually see it in face and sun exposed areas, forehead, ears, nose, face, neck. We treated for small areas with Cryotherapy, big area use 5-fluorouracil. Punch Biopsy gold standard!! * Seborrheic Keratosis- Black or tan spots (pasted on someone) benign * 5 years old complaining of itching at night assessment fingers and toes with burrowing “scabies”, you used permethrin cream and wash everything in hot water * If you have a patient who is diabetes and has cellulitis, what will be your most concern? Osteomyelitis. Let’s supposed you Treated one leg over and over the patient for cellulitis and it is not clearing up and when the Doppler you don’t hear anything.. you have to rule out DVT. Absent pulses of one leg rule out DVT!! * If skin infection Keflex or penicillin *MRSA you give Bactrim, clindamycin or doxycycline. * You have a patient with mastitis you give penicillin or Keflex for any skin infection. What are the instructions you will give is to continue breastfeed. NUR 3045 LATRINA WALDEN REVIEW STUDY GUIDE LATEST UPDATE 2023 GRADED A+ * If some is allergy to penicillin you will give a macrolide (azithromycin) * Asymetrical, has irregular border, with different color, dark brown, light brown “Melanoma”, Punch Biopsy is the gold standard. Know the presentation *Moluscum contangious- papules with indurate center, sometimes describe as belly bottom, Dome shaped, white encapsulated rash, itchy you should never see it in the private areas of the children *Erysipelas it cause by Group A Strep- clear marked lines on the checks (face cellulitis). Treatment with penicillin or Dicloxacillin *Pearly, waxy, may or may have an ulcerated center… Basal cell carcinoma! * Acne- treatment is a topical retinoids, returned and said it’s not working, next give ABX (oral tetracycline ), still not working refer to dermatology.Treatment is working but is causing the face to turn red, DO NOT STOP the medication have them use the topical every other day * Impetigo- honey crusted lesions Treatment: Topical mupirocin ( Bactrobam ) *Pityriasis rosea- herald patch (Christmas tree) found on chest/ abdomen Two possible drug test questions *Morton’s neuroma- Stepping on a pebble, Burning, numbness sensation 3 to 4 metatarsal. What is the name of the test? Squeeze test or Mulder's click” * Adam forward test is the test for scoliosis * Straight leg test Is the test for sciatica *Lumbar stenosis- feels better when sitting *Gold standard for imaging if someone has a back pain? MRI *Tennis Elbow is lateral twisting or grasping it is where it hurt * Addison’s disease- Fatigue, “bronzy or tan skin”. Check cortisol level (low), sodium(low), potassium (high) * Cushing- moon face, obese, check cortisol level (high) sodium (high) potassium (low) * Dawn effect in diabetics- you want to Increase night time insulin. Tend to have a naturally increased morning BS * Somogyi effects in diabetics- a dip (decrease) in BS during the night 3AM- treatment give bedtime snack or decrease night time insulin *PTH- it is the gland you need to check for the calcium. *Which drug to treat essential tremor? Propanolol * COPD- 1st line treatment is anticholinergic/SABA. Still can’t breathe what you do next? Add LABA, still can’t breathe what’s next? Inhaled