NUR 915 Module 6 Test With
Complete Solution
What are some signs/symptoms of contact dermatitis? - ANSWER -vesicles,
erosions, or bullae
-localized and asymmetrical
-not contagious
-inflammation/redness/ swelling
-itching, burning, stinging
-crusting, scaling, or weeping
-lichenification (thick/leathery)
-within 24-72 hrs of exposure
-occupational or recreational hazards
How is contact dermatitis diagnosed? - ANSWER -patch test
-H/P findings
What is the first line treatment for contact dermatitis? - ANSWER -supportive
tx
-skin care
-identify irritants
-cool compress
,-calamine lotion or zinc oxide
-bandage with wet dressing
What is the second line treatment for contact dermatitis? - ANSWER
-corticosteroid gels or creams
-2x/day, see results in a few days
*consider potency based on location of rash
What is the third line treatment for contact dermatitis? - ANSWER -oral
corticosteroids
-prednisone taper
-provides relief in 12-24 hrs
*for severe or widespread rash
What are some signs/symptoms of herpes zoster? - ANSWER -unilateral rash
-painful, itching, burning, tingling
-clustered vesicles or bullae
-crusting and erosions
-follows dermatomal pattern
How is herpes zoster diagnosed? - ANSWER -H/P findings
-PCR
-viral culture or Tzanck smear (not common)
How is herpes zoster treated? - ANSWER 1st: valacyclovir 3x/day for 7 days
, 2nd: famciclovir 3x/day for 7 days
3rd: acyclovir 5x/day for 7-10 days
*continue until lesions crust over
What education is helpful in herpes zoster? - ANSWER -skin care
-loose clothing
-may use NSAIDs/pain relief
-usually heals in 2-4 weeks but could take longer
-more common if hx of chickenpox
*vaccination still recommended even after acute exposure
When should someone with herpes zoster follow up? - ANSWER -no need if
symptoms improving with antivirals
-immediate referral if eye involvement
What are some signs/symptoms of molluscum contagiosum? - ANSWER
-white/pink/fleshy tone
-pearly
-umbilicated papule(s)
-may have redness and itching
-not painful
How is molluscum contagiosum diagnosed? - ANSWER -H/P findings
-dermoscopy
Complete Solution
What are some signs/symptoms of contact dermatitis? - ANSWER -vesicles,
erosions, or bullae
-localized and asymmetrical
-not contagious
-inflammation/redness/ swelling
-itching, burning, stinging
-crusting, scaling, or weeping
-lichenification (thick/leathery)
-within 24-72 hrs of exposure
-occupational or recreational hazards
How is contact dermatitis diagnosed? - ANSWER -patch test
-H/P findings
What is the first line treatment for contact dermatitis? - ANSWER -supportive
tx
-skin care
-identify irritants
-cool compress
,-calamine lotion or zinc oxide
-bandage with wet dressing
What is the second line treatment for contact dermatitis? - ANSWER
-corticosteroid gels or creams
-2x/day, see results in a few days
*consider potency based on location of rash
What is the third line treatment for contact dermatitis? - ANSWER -oral
corticosteroids
-prednisone taper
-provides relief in 12-24 hrs
*for severe or widespread rash
What are some signs/symptoms of herpes zoster? - ANSWER -unilateral rash
-painful, itching, burning, tingling
-clustered vesicles or bullae
-crusting and erosions
-follows dermatomal pattern
How is herpes zoster diagnosed? - ANSWER -H/P findings
-PCR
-viral culture or Tzanck smear (not common)
How is herpes zoster treated? - ANSWER 1st: valacyclovir 3x/day for 7 days
, 2nd: famciclovir 3x/day for 7 days
3rd: acyclovir 5x/day for 7-10 days
*continue until lesions crust over
What education is helpful in herpes zoster? - ANSWER -skin care
-loose clothing
-may use NSAIDs/pain relief
-usually heals in 2-4 weeks but could take longer
-more common if hx of chickenpox
*vaccination still recommended even after acute exposure
When should someone with herpes zoster follow up? - ANSWER -no need if
symptoms improving with antivirals
-immediate referral if eye involvement
What are some signs/symptoms of molluscum contagiosum? - ANSWER
-white/pink/fleshy tone
-pearly
-umbilicated papule(s)
-may have redness and itching
-not painful
How is molluscum contagiosum diagnosed? - ANSWER -H/P findings
-dermoscopy
