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NSG 320
NSG 320/ NSG320 | Exam 3 | Qs & As | Grade A|
100% Correct | NEW (2025/ 2026) GCU
Conditions requiring Contact transmission precautions: • Lice
• Scabies
• MRSA
Common Pharm Tx for Infectious Conditions: • ABs
• Antivirals
• Antipyretics
Fever Assessment: • temp >38C/100.4F
• toddler esp. known, even 104-105, often viral related, OKAY
• could last 5 days with no concern
Fever Interventions: • supportive if "healthy" infant >3 months
• <3 months seek medical tx
• increase fluids, avoid overwarming
NSG
,• if uncomfortable or cannot maintain metabolic demand, antipyretics
(NO ASPIRIN, ibuprofen after 6 months)
Fever Education: • protective mechanism to fight infection
• sx of dehydration
• febrile seizures
• seek tx if very young infant, longer than 3-5 days, toxic acting/looking,
>105-106, underlying condition (like shunt)
Skin Rashes: • very common with many infectious diseases
• assess why, pruritis, appearance
• keep nails short, cool compress, avoid scratching, mittens,
colloid/oatmeal baths 16. Sepsis: systemic over-response to infection,
can lead to shock, decreased perfusion, multi-organ failure
Sepsis etiology: bacteria, fungi, viruses, parasites
Sepsis assessment: lethargic, pale, dehydration, petechiae, increased
respiratory effort, fever, hypothermia in neonates, hypotension
Sepsis interventions and education: lab/dx tests, ABs, antivirals,
monitor for shock, immunizations (best defense)
, CA-MRSA: • bacterial
• staph infection resistant to certain ABs, becoming more common
• risk factors include sports, daycare, break in skin integrity, poor hygiene
• contact transmission from person or surfaces
• assess skin lesions, abscess, spider bite like, rash, osteomyelitis, sepsis
• interventions include I&D, wound culture, ABs, hand washing, avoiding
sharing items, environment control, diluted bleach baths
Impetigo: bacterial, very common skin infection in toddler and
preschool because they pick their nose
Impetigo etiology: staphylococcus
Impetigo assessment: reddish macule to vesicular fluid-filled lesion,
ruptures, exudate dries to honey colored crust around lips, possible
pruritis
Impetigo interventions: burrows solution compress, topical AB cream
(Bactroban), possible oral ABs if uncooperative child, hand washing
Scarlet Fever: bacterial, strep throat that produces toxin that causes a
sandpaper rash, peak age 4-8 years, unlikely in <2 years
, Scarlet Fever complications: if left untreated can cause
glomerulonephritis and rheumatic fever
25. Scarlet Fever etiology: Group A streptococci, droplet transmission,
contagious during illness and 24 hours post-ABs
26. Scarlet Fever assessment: fever, HA, sore throat, lymphadenopathy,
sandpaper rash (fine, maculopapular, rough rash in groin/axilla/neck
folds), peeling skin on fingers, toes, pallor around mouth w/ strawberry
tongue, NO congestion 29. Scarlet Fever interventions and education: •
Penicillin and amoxicillin
• fluids, hydration
• cool mist humidifier
• acetaminophen, ibuprofen for pain, fever
• replace toothbrush
• throat lozenges
• wash hands and linens
• do not share drinks/utensils
• can return to school after aso and afebrile
NSG 320
NSG 320/ NSG320 | Exam 3 | Qs & As | Grade A|
100% Correct | NEW (2025/ 2026) GCU
Conditions requiring Contact transmission precautions: • Lice
• Scabies
• MRSA
Common Pharm Tx for Infectious Conditions: • ABs
• Antivirals
• Antipyretics
Fever Assessment: • temp >38C/100.4F
• toddler esp. known, even 104-105, often viral related, OKAY
• could last 5 days with no concern
Fever Interventions: • supportive if "healthy" infant >3 months
• <3 months seek medical tx
• increase fluids, avoid overwarming
NSG
,• if uncomfortable or cannot maintain metabolic demand, antipyretics
(NO ASPIRIN, ibuprofen after 6 months)
Fever Education: • protective mechanism to fight infection
• sx of dehydration
• febrile seizures
• seek tx if very young infant, longer than 3-5 days, toxic acting/looking,
>105-106, underlying condition (like shunt)
Skin Rashes: • very common with many infectious diseases
• assess why, pruritis, appearance
• keep nails short, cool compress, avoid scratching, mittens,
colloid/oatmeal baths 16. Sepsis: systemic over-response to infection,
can lead to shock, decreased perfusion, multi-organ failure
Sepsis etiology: bacteria, fungi, viruses, parasites
Sepsis assessment: lethargic, pale, dehydration, petechiae, increased
respiratory effort, fever, hypothermia in neonates, hypotension
Sepsis interventions and education: lab/dx tests, ABs, antivirals,
monitor for shock, immunizations (best defense)
, CA-MRSA: • bacterial
• staph infection resistant to certain ABs, becoming more common
• risk factors include sports, daycare, break in skin integrity, poor hygiene
• contact transmission from person or surfaces
• assess skin lesions, abscess, spider bite like, rash, osteomyelitis, sepsis
• interventions include I&D, wound culture, ABs, hand washing, avoiding
sharing items, environment control, diluted bleach baths
Impetigo: bacterial, very common skin infection in toddler and
preschool because they pick their nose
Impetigo etiology: staphylococcus
Impetigo assessment: reddish macule to vesicular fluid-filled lesion,
ruptures, exudate dries to honey colored crust around lips, possible
pruritis
Impetigo interventions: burrows solution compress, topical AB cream
(Bactroban), possible oral ABs if uncooperative child, hand washing
Scarlet Fever: bacterial, strep throat that produces toxin that causes a
sandpaper rash, peak age 4-8 years, unlikely in <2 years
, Scarlet Fever complications: if left untreated can cause
glomerulonephritis and rheumatic fever
25. Scarlet Fever etiology: Group A streptococci, droplet transmission,
contagious during illness and 24 hours post-ABs
26. Scarlet Fever assessment: fever, HA, sore throat, lymphadenopathy,
sandpaper rash (fine, maculopapular, rough rash in groin/axilla/neck
folds), peeling skin on fingers, toes, pallor around mouth w/ strawberry
tongue, NO congestion 29. Scarlet Fever interventions and education: •
Penicillin and amoxicillin
• fluids, hydration
• cool mist humidifier
• acetaminophen, ibuprofen for pain, fever
• replace toothbrush
• throat lozenges
• wash hands and linens
• do not share drinks/utensils
• can return to school after aso and afebrile
