Exam 1: NUR 6111 / NUR6111 (Latest Update
) Advanced Practice Nursing I |
Review Questions & Answers | 100% Correct |
Grade A.
1. Immunization: Pneumonia: 1. Pneumococcal vaccine (PCV 15 or PCV
20)
2. PCV 15 follow with PPSV23 1 year later
3. PCV 20, no need for PPSV23
-Interval of 8 weeks for immunocompromised, cochlear implant, cerebrospinal
fluid
4. What is Dermatitis?: Common skin irritation
5. General Atopic Dermatitis: Eczema
1. Occurs in flexural locations of skin
2. Often caused by genetic mutations or propensity for allergy
3. Most often occurs in children age 5 or younger
, 6. . General Contact Dermatitis: 1. Caused by rxn to to chemical
exposure (substance, plant)
2. Less common in younger children
3. Occurs at site of chemical exposure
7. Atopic Dermatitis definition: Intermittent exacerbations and
remissions of dry, itchy skin
8. Atopic: areas affected: behind knees/ elbows, hands, feet, upper chest,
ankles, wrists, neck, eyelids -infants: face, scalp
9. What is Atopic associated with (diseases): asthma, urticaria, allergic
rhinitis
(hay fever), atopic diseases (IgE)
10. Atopic: Assessment: pruritus, dry and scaly skin, erythema, lichenification,
flexural folds, linear excoriations
11. Atopic Tx: Pharm: -Topical cortico/steroid: Triamcinolone (or
hydrocortisone)
-Antihistamine: Clartin, Zytec, Benadryl
12.Atopic Tx: Non-Pharm: -Cool humified environment
,-Shower in lukewarm/ tepid water (not hot water)
-Pat skin dry (no rub)
-Lubricate skin: Aquaphor, Celaphil
-Control itching
13.Contact Dermaitis: Definition: a red, itchy rash caused by direct
contact with substance or an allergic rxn to it (not contagious or life-
threatening)
14.Contact Dermatitis: Causes: Soaps, fragrances, jewelry, plants,
cosemtius
15.Contact Derm: Tx: -Need to identify and avoid cause of rxn
-Antihistamines
-Topical corticosterioids: Triamcinolone (0.1% to affected area),
Hydrocortisone, baclomethodone
-Soothing skin with cool, wet compresses
16.Most common bacteria that causes skin infection: 1. S. Aureus
2. S. pyogenes
17.Most common Gram positive bacteria: Staph, MRSA
, 18.Most common Gram negative bacteria: -frequently present in wound
infections caused by animal bites, trauma, surgery, or infected water
-E.Coli, pseudomonas aeruginosa, proteus mirabilis
19.SSTI Types: Purulent and Non-Purulent
20.Purulent Types: folliculitis, furucle, carbuncle, abscess
21.Non-Purulent Types: cellulitis, erysipelas, necrotizing infection
22.Purulent infection: most commonly caused by: S. Aureus and MRSA
23.Purulent Infection: most common in (people): athletes, shaving,
waxing hot tubes
24.where does purulent infections most commonly occur: in areas with
coarse hair (axilla, peroneal area)
25.Purulent clinical presentation & DS: -pustule in hair shaft
-tenderness, redness
-culture: for recurrent furuncles and for carbuncles
-Usually no diagnostic tests
-If MRSA suspected: culture nares and axilla
26.Initial Tx of Purulent infections: -hygiene