NUR 431 - SKIN DISORDER EXAM
QUESTIONS WITH COMPLETE
SOLUTIONS
hot tub folliculitis - Answer-psuedomanas aeruginosa
1-4 days after poorly chlorinated hot tub use
erythematous pustules on torso, buttocks, limbs
folliculitis - treatment - Answer-cleanse the area - chlorhexidene and apply saline
compress
2% mupirocin ointment for limited bacterial folliculitis
pseudomonas treated with ciprofloxacin
Staph aureus treated with dicloxacillin
Herpes Simplex Virus - Answer-HSV 1 - above the waist
HSV 2 - genital
burning or itching
vesicles and erythema
pustules, ulcers, crusts
persists
Changes in Skin (aging) - Answer-increases in capillary fragility and collagen stiffens
decreases in melanocytes, function of sweat and subcutaneous glands, sensory nerves,
degeneration of elastic fibers
vitilligo - Answer-pigment disappears from an area of the skin
sudden onset of pernicious anemia, hyperthyroidism usually before 21
most common infectious disorders of the skin - Answer-caused by staph and strep
Folliculitis - Answer-inflammation of the hair follicle
staphylococcal folliculitis most common form - diabetes is risk factor
painful, yellow pustules surrounded by erythema with presence of central hair
treatment with herpes simplex virus - Answer-acyclovir - topical, oral, IV, 400 mg t.i.d
Varicella Zoster Virus - Answer-chicken pox
lives in the nerve root and does not go away - can develop into shingles
herpes zoster - Answer-shingles
inflammatory
follows dermatome
latent in the sensory dorsal ganglia
, unilateral severe pain
parathesias - pain in the nerve root even after the lesions are gone
treatment for shingles - Answer-shingrix - inactivated recombinant vaccine
over age 50
zostavax - live vaccine, recommended over age 50
cellulitis - Answer-superficial inflammation of the skin
erythema, warmth, tenderness of involved areas
infection that penetrates into subcutaneous tissues
risk - immunocompromised, and poor venous circulation
cellulitis causative agents - Answer-staph or strep
Fournier's gangrene - Answer-A serious infection of the subcutaneous tissues of the
peritoneum.
life threatening
Periorbital cellulitis - Answer-potentially life threatening
infection of the eyelids that causes pain with EOMs, mental status change, and severe
systemic symptoms
Rule of 9's - Answer-Calculations for assessing percentage of body surface burned.
anteriot chest, abdomen, and legs = 9%
anterior arms and face = 4.5%
same with the posterior
treatment of cellulitis - Answer-immobilize and elevate the limbs
erysipelas - pcn, erythromycin, cephalosporins, or vanco
staphyloccocus - dicloxacillin, nafcillin, vanco
gas gangrene - Answer-occurs with trauma and surgical wounds
clostridia
severe pain
skin is yellow-bronze, hemorrhagic bullae
gas present in the xray
extensive surgical treatment and amputation
necrotizing fasciitis - Answer-DM, trauma, surgery, perineal infection
mixed aerobic and anaerobic causes
blanched skin with hemorrhagic bullae
wide filleting incisions to treat
streoptococcal skin infection - Answer-occurs with trauma and surgical wounds
severe pain
skin - erythmatic and nectrotic
QUESTIONS WITH COMPLETE
SOLUTIONS
hot tub folliculitis - Answer-psuedomanas aeruginosa
1-4 days after poorly chlorinated hot tub use
erythematous pustules on torso, buttocks, limbs
folliculitis - treatment - Answer-cleanse the area - chlorhexidene and apply saline
compress
2% mupirocin ointment for limited bacterial folliculitis
pseudomonas treated with ciprofloxacin
Staph aureus treated with dicloxacillin
Herpes Simplex Virus - Answer-HSV 1 - above the waist
HSV 2 - genital
burning or itching
vesicles and erythema
pustules, ulcers, crusts
persists
Changes in Skin (aging) - Answer-increases in capillary fragility and collagen stiffens
decreases in melanocytes, function of sweat and subcutaneous glands, sensory nerves,
degeneration of elastic fibers
vitilligo - Answer-pigment disappears from an area of the skin
sudden onset of pernicious anemia, hyperthyroidism usually before 21
most common infectious disorders of the skin - Answer-caused by staph and strep
Folliculitis - Answer-inflammation of the hair follicle
staphylococcal folliculitis most common form - diabetes is risk factor
painful, yellow pustules surrounded by erythema with presence of central hair
treatment with herpes simplex virus - Answer-acyclovir - topical, oral, IV, 400 mg t.i.d
Varicella Zoster Virus - Answer-chicken pox
lives in the nerve root and does not go away - can develop into shingles
herpes zoster - Answer-shingles
inflammatory
follows dermatome
latent in the sensory dorsal ganglia
, unilateral severe pain
parathesias - pain in the nerve root even after the lesions are gone
treatment for shingles - Answer-shingrix - inactivated recombinant vaccine
over age 50
zostavax - live vaccine, recommended over age 50
cellulitis - Answer-superficial inflammation of the skin
erythema, warmth, tenderness of involved areas
infection that penetrates into subcutaneous tissues
risk - immunocompromised, and poor venous circulation
cellulitis causative agents - Answer-staph or strep
Fournier's gangrene - Answer-A serious infection of the subcutaneous tissues of the
peritoneum.
life threatening
Periorbital cellulitis - Answer-potentially life threatening
infection of the eyelids that causes pain with EOMs, mental status change, and severe
systemic symptoms
Rule of 9's - Answer-Calculations for assessing percentage of body surface burned.
anteriot chest, abdomen, and legs = 9%
anterior arms and face = 4.5%
same with the posterior
treatment of cellulitis - Answer-immobilize and elevate the limbs
erysipelas - pcn, erythromycin, cephalosporins, or vanco
staphyloccocus - dicloxacillin, nafcillin, vanco
gas gangrene - Answer-occurs with trauma and surgical wounds
clostridia
severe pain
skin is yellow-bronze, hemorrhagic bullae
gas present in the xray
extensive surgical treatment and amputation
necrotizing fasciitis - Answer-DM, trauma, surgery, perineal infection
mixed aerobic and anaerobic causes
blanched skin with hemorrhagic bullae
wide filleting incisions to treat
streoptococcal skin infection - Answer-occurs with trauma and surgical wounds
severe pain
skin - erythmatic and nectrotic
