Maryville NURS 623 Exam 1 with || || || || || ||
verified detailed solutions || ||
What is scabies? - Correct answer ✔-A highly contagious mite infestation
|| || || || || || || || || ||
Risk factors of scabies - Correct answer ✔-Overcrowding
|| || || || || || ||
-Conditions of poverty || ||
-Poor hygiene, malnutrition
|| ||
What is the mode of transmission for scabies? - Correct answer ✔-Close
|| || || || || || || || || || || ||
personal contact ||
Subjective symptoms for scabies - Correct answer ✔-Itching, worse at night and
|| || || || || || || || || || ||
often does not respond to treatment
|| || || || || ||
-Some will have rash, some will not
|| || || || || ||
-Children may be irritable and have changes in feeding
|| || || || || || || ||
-Close contacts may have similar symptoms
|| || || || ||
What are common areas for scabies infection? - Correct answer ✔-Webs of
|| || || || || || || || || || || ||
fingers
-Wrists
-Axillary folds ||
,-Periumbilical
-Pelvic girdle
||
-Penis
-Ankles
Objective symptoms for scabies - Correct answer ✔-Early sign: small 1-2mm
|| || || || || || || || || || ||
red papules
||
-Excoriation from itching, crusting, scaling || || || ||
-Intraepidermal burrows, lichenification || ||
-Burrows will be white with black specks
|| || || || || ||
Diagnostic tests for scabies - Correct answer ✔-Burrow Ink Test: where excess
|| || || || || || || || || || || ||
ink will concentrate in the mite tunnel
|| || || || || ||
-Burrow scraping ||
Management of scabies - Correct answer ✔-Whole household needs to be
|| || || || || || || || || || ||
treated
-Permethrin 5% cream leave on for 8-12 hours, rinse off, repeat in 1 week
|| || || || || || || || || || || || ||
-Ivermectin 200mcg/kg x 1 and then repeat in 1-2 weeks in conjunction with
|| || || || || || || || || || || || ||
topical cream
||
-Antihistamines, topical steroids for itching (triamcinolone 0.1% BID x 7 days) || || || || || || || || || ||
-If concurrent bacterial infection then Dicloxacillin or Cephalexin for 7-10 days
|| || || || || || || || || ||
Follow-up for scabies - Correct answer ✔-1 week following initial treatment
|| || || || || || || || || ||
,-Derm referral for consistent scabetic nodules of crustosa
|| || || || || || ||
Patient education for scabies - Correct answer ✔-Trim fingernails to prevent re-
|| || || || || || || || || || ||
infestation
-Do not exceed recommended exposure time for creams
|| || || || || || ||
-Itching can continue for up to 1 week || || || || || || ||
-Wash bed sheets and clothing in hot soapy water
|| || || || || || || ||
Risk factors for lice (pediculosis) - Correct answer ✔-School-age children
|| || || || || || || || ||
-Homeless, crowded conditions || ||
Mode of transmission for lice - Correct answer ✔-Close personal contact
|| || || || || || || || || ||
Subjective symptoms of lice - Correct answer ✔-Intense itching in areas of the
|| || || || || || || || || || || || ||
body preferred by the lice type
|| || || || ||
-Itching worse at night || || ||
-Children may be restless, irritable, trouble concentrating || || || || || ||
Objective findings of lice - Correct answer ✔-Small 2-3mm red
|| || || || || || || || || ||
macules/papules that are itchy || || ||
-Hive like reaction in some patients
|| || || || ||
-Excoriation on scalp from itching || || || ||
-Nits found on hair shafts
|| || || ||
-Lice are 6 legged wingless insects
|| || || || ||
, Management of lice - Correct answer ✔-Treat patient and close contacts || || || || || || || || || ||
-Shampoo/creams/rinses containing benzyl alcohol, Ivermectin, Permethrin, || || || || || ||
spinosad are commonly used || || ||
-Manual delousing and nit removal using fine toothed comb
|| || || || || || || ||
-Petroleum jelly, mayo/tea tree oil/olive oil left on overnight with showercap
|| || || || || || || || || ||
-Secondary bacterial treatment use Dicloxacillin or Cephalexin for 7-10 days
|| || || || || || || || ||
Follow-up for lice - Correct answer ✔-Uncomplicated infestations do not
|| || || || || || || || || ||
require follow-up ||
-Follow-up in 1 week if symptoms persist || || || || || ||
Patient education for lice - Correct answer ✔-Do not share hats, combs, scarves,
|| || || || || || || || || || || ||
towels, or bedding
|| || ||
-Combs and brushes should be washed in hot, soapy water and air dry
|| || || || || || || || || || || ||
-When using shampoo: do not exceed exposure time, rinse over the sink
|| || || || || || || || || || ||
-Itching can continue for up to 1 week
|| || || || || || ||
-Do not need to treat pets
|| || || || ||
-Bedclothes and sheets should be washed in hot soapy water and dried in a hot
|| || || || || || || || || || || || || || ||
dryer, vacuum carpets/upholstery
|| ||
-Children can return to school after treatment, screen weekly
|| || || || || || || ||
Risk factors for candidiasis - Correct answer ✔-Any age/gender
|| || || || || || || ||
-HIV/AIDS
verified detailed solutions || ||
What is scabies? - Correct answer ✔-A highly contagious mite infestation
|| || || || || || || || || ||
Risk factors of scabies - Correct answer ✔-Overcrowding
|| || || || || || ||
-Conditions of poverty || ||
-Poor hygiene, malnutrition
|| ||
What is the mode of transmission for scabies? - Correct answer ✔-Close
|| || || || || || || || || || || ||
personal contact ||
Subjective symptoms for scabies - Correct answer ✔-Itching, worse at night and
|| || || || || || || || || || ||
often does not respond to treatment
|| || || || || ||
-Some will have rash, some will not
|| || || || || ||
-Children may be irritable and have changes in feeding
|| || || || || || || ||
-Close contacts may have similar symptoms
|| || || || ||
What are common areas for scabies infection? - Correct answer ✔-Webs of
|| || || || || || || || || || || ||
fingers
-Wrists
-Axillary folds ||
,-Periumbilical
-Pelvic girdle
||
-Penis
-Ankles
Objective symptoms for scabies - Correct answer ✔-Early sign: small 1-2mm
|| || || || || || || || || || ||
red papules
||
-Excoriation from itching, crusting, scaling || || || ||
-Intraepidermal burrows, lichenification || ||
-Burrows will be white with black specks
|| || || || || ||
Diagnostic tests for scabies - Correct answer ✔-Burrow Ink Test: where excess
|| || || || || || || || || || || ||
ink will concentrate in the mite tunnel
|| || || || || ||
-Burrow scraping ||
Management of scabies - Correct answer ✔-Whole household needs to be
|| || || || || || || || || || ||
treated
-Permethrin 5% cream leave on for 8-12 hours, rinse off, repeat in 1 week
|| || || || || || || || || || || || ||
-Ivermectin 200mcg/kg x 1 and then repeat in 1-2 weeks in conjunction with
|| || || || || || || || || || || || ||
topical cream
||
-Antihistamines, topical steroids for itching (triamcinolone 0.1% BID x 7 days) || || || || || || || || || ||
-If concurrent bacterial infection then Dicloxacillin or Cephalexin for 7-10 days
|| || || || || || || || || ||
Follow-up for scabies - Correct answer ✔-1 week following initial treatment
|| || || || || || || || || ||
,-Derm referral for consistent scabetic nodules of crustosa
|| || || || || || ||
Patient education for scabies - Correct answer ✔-Trim fingernails to prevent re-
|| || || || || || || || || || ||
infestation
-Do not exceed recommended exposure time for creams
|| || || || || || ||
-Itching can continue for up to 1 week || || || || || || ||
-Wash bed sheets and clothing in hot soapy water
|| || || || || || || ||
Risk factors for lice (pediculosis) - Correct answer ✔-School-age children
|| || || || || || || || ||
-Homeless, crowded conditions || ||
Mode of transmission for lice - Correct answer ✔-Close personal contact
|| || || || || || || || || ||
Subjective symptoms of lice - Correct answer ✔-Intense itching in areas of the
|| || || || || || || || || || || || ||
body preferred by the lice type
|| || || || ||
-Itching worse at night || || ||
-Children may be restless, irritable, trouble concentrating || || || || || ||
Objective findings of lice - Correct answer ✔-Small 2-3mm red
|| || || || || || || || || ||
macules/papules that are itchy || || ||
-Hive like reaction in some patients
|| || || || ||
-Excoriation on scalp from itching || || || ||
-Nits found on hair shafts
|| || || ||
-Lice are 6 legged wingless insects
|| || || || ||
, Management of lice - Correct answer ✔-Treat patient and close contacts || || || || || || || || || ||
-Shampoo/creams/rinses containing benzyl alcohol, Ivermectin, Permethrin, || || || || || ||
spinosad are commonly used || || ||
-Manual delousing and nit removal using fine toothed comb
|| || || || || || || ||
-Petroleum jelly, mayo/tea tree oil/olive oil left on overnight with showercap
|| || || || || || || || || ||
-Secondary bacterial treatment use Dicloxacillin or Cephalexin for 7-10 days
|| || || || || || || || ||
Follow-up for lice - Correct answer ✔-Uncomplicated infestations do not
|| || || || || || || || || ||
require follow-up ||
-Follow-up in 1 week if symptoms persist || || || || || ||
Patient education for lice - Correct answer ✔-Do not share hats, combs, scarves,
|| || || || || || || || || || || ||
towels, or bedding
|| || ||
-Combs and brushes should be washed in hot, soapy water and air dry
|| || || || || || || || || || || ||
-When using shampoo: do not exceed exposure time, rinse over the sink
|| || || || || || || || || || ||
-Itching can continue for up to 1 week
|| || || || || || ||
-Do not need to treat pets
|| || || || ||
-Bedclothes and sheets should be washed in hot soapy water and dried in a hot
|| || || || || || || || || || || || || || ||
dryer, vacuum carpets/upholstery
|| ||
-Children can return to school after treatment, screen weekly
|| || || || || || || ||
Risk factors for candidiasis - Correct answer ✔-Any age/gender
|| || || || || || || ||
-HIV/AIDS
