NURS 629 EXAM 3 Questions With 100% Correct Answers 2024/2025
NURS 629 EXAM 3 Questions With 100% Correct Answers 2024/2025 Hand, Foot, and Mouth Disease (HFMD) - answerCaused by the coxsacki virus 3-6 day incubation period Symptoms: -Low grade fevers -sore throat, poor appetite -malaise prior to rash -Petechial rash, blisters start. -Oral lesions, then hands and feet. -Sometimes can have on torso and extremities. -Look like canker sores with yellow ulcers and red halo. Treatment- tylenol, warm baths. Oragel depending on age. Magic moulthwash (benadryl and maalox) mixture. push hydration. Education: -very contagious- must have all of the lesions crusted prior to going back to school. -Illness can last up to one week. Hand-foot-and-mouth disease - answer· pustular, ulcerating lesions o on the hands and feet o oral ulcers Herpes Simplex Virus - answerSpread by respiratory droplets, contact with active lesion, and contact with body fluid. Symptoms -fever -malaise -fever -swollen glands -grouped vesicles with an erythematous base -gingiva that bleeds easily with small yellow ulcers. Treatment -Symptomatic treatments- oral antivirals or topical antivirals to shorten length of illness. -will most likely last 2-3 weeks Roseola - answerCaused by -human herpesvirus 6 (HHV-6) and 7 (HHV-7) Symptoms -High fever for several days -rash lasting for 1-2 days small pink spots that are patches with white rings around spots -rash usually starts on trunk and moves to extremities Treatment -Fluids, Tylenol, ibuprofen for fever, and rest. -Symptoms appear within two weeks post exposure Chickenpox - answer-Seeing an uptake in this disease as a lot of people are not vaccinating with MMR Caused by Varicella zoster Symptoms -crusted painful itchy lesions- can cause severe scabbing -huge incubation period (21 days) -fever -headache -URI symptoms Diagnostics -history and PE -VZV PCR Treatment -supportive care, tylenol, fluids, rest -Keep from scratching -Benadryl or caladyl -cool compreses -severe- admit for IV acyclovir Influenza - answerMultiple types: A and B most common Symptoms -high grade fever -headache -chills -body aches -runny nose -dry hacking cough -N/V and diarrhea -Croup Complications -myocarditis -pneumonia -atelectasis -Otitis media secondary bacterial infection Diagnosis -Rapid flu Treatment -supportive therapy -Tamiflu in the first 48 hours of onset of symptoms -for those under ages of 2, patients with respiratory disease, or immunocompromised patients Measals - answerAcute viral respiratory illness that is transported through contact Symptoms -fevers, malaise, cough -conjunctivitis -kolpik spots (maculopapular rash 14 days after exposure) -measles rash spreads from head to trunk to lower extremities so top to bottom. Treatment -supportive -High dose vitamin A Mumps - answerParamyxoviridae family of virus Symptoms
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