Maryville University NURS 623 Exam 1 (100% Error-free)

Mode of transmission for parasitic skin infections correct answers Close direct skin contact. Clinical presentation for Scabies correct answers Intense itching, worse at night. Burrows noted between webs of fingers. Commonly prescribed medications for Scabies correct answers 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. What should you include in the patient education to prevent spreading of the various parasitic skin problems? correct answers 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. Which bacterial skin infection is considered highly contagious? correct answers Impetigo What is the "classic" presentation of impetigo? correct answers Honey crusted lesions What is the management of a minor case of folliculitis (non-pharmacologic)? correct answers Gentle cleansing by washing the skin twice a day with antibacterial soap. What are the commonly prescribed medications for folliculitis? correct answers 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. Furuncles correct answers 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. Carbuncles correct answers 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. What are the considerations when determining treatment for cellulitis? correct answers Severe infections, infections around the eyes, or systemic involvement (fever & chills), immunocompromised should be sent to the ED for inpatient IV treatment.