NUR 676 Exam 3 Questions with Verified Solutions Rated A+ Latest 2025
What are complications of dog bites? - Answers crush injuries, destructive soft tissue injuries,
neurovascular and orthopedic injuries, and death.
Dog bites commonly affect - Answers the extremities, children and young adults, and animals who are
provoked.
Cat bites commonly affect - Answers the hand and forearm in older women
Why is the infection rate of cat bites higher than dogs? - Answers cat bites include a deeper puncture
from the cats sharp teeth
What are the risk factors for bite wound infections? - Answers age older than 50 years, advanced liver
disease, alcoholism, DM, location of bite on the hand or foot, failure to irrigate or debride wound during
initial management, treatment delay of more than 12 hours, edema at the bite site, and peripheral
vascular disease
What are the most common pathogens that cause animal bite infections? - Answers Aerobic: Pasturella
multocida, streptococci, staphylococci, and Coryneubacterium species.
anaerobic: bacteriodes, actinomyces, porphyromonas, and fusobacterium.
What rare bacterium in a dogs mouth can cause sepsis? - Answers Capnocytophagia Canomoruses
What is often present and transmitted during human bite? - Answers Eikinella Corroderes
why should you be concerned about E corredens? - Answers it can be resistant to empirically chosen
antibiotics and produce beta lactamases.
What needs to be included in history about bite injury? - Answers the location and time of the bite,
species and behavior of animal, rabies vaccine of animal, and provoktion status.
what needs to be included in documentation for bite? - Answers location, extent, depth of wound, type
of wound (puncture, scratch, tear, avulsion), tenderness and other signs of infection (fever, erythema,
edema, warmth, streaking, flcutuation, adenopathy, and purulent discharge), testing for tendon
lacerations, joints and nerves, and signs of compartment syndrome (pain, paresthesia, pallor, paralysis)
what diagnostics should you order for infected wounds? - Answers CBC, ESR , CRP aerobic and anaerobic
wound cultures, blood cultures if febrile
what diagnostics should you order for deep and complex wounds? - Answers xray studies
what diagnostics should you order for human bites - Answers HIV, hep B, Hep C and titer
What are CRP and ESR used for? - Answers to monitor response to treatment
, what is the first step of treatment after assessing for life threatening injuries in bites? - Answers irrigate
the wound with 150 ml sterile saline solution, remove any foregin bodies or clots,
when do wounds develop signs of infection? - Answers 24-72 hours after the bite
what is significant about management of bites to the face? - Answers extensive irrigation, cautious
debridement, preemptive antibiotics, primary closure, referral to ED or plastics
What wounds should be left open? - Answers cat and human bites, deep puncture wounds, infectied
wounds, wounds more than 6-12 hours old, and bites to the hand.
What is significant about wounds to the hand or foot? - Answers They should be immobilized and
elevated for 1-3 days
Which bites require 5-7 days of prophylaxis? - Answers cat bites or bites to the hand
What is the most effective prophylactic therapy for fresh bites? - Answers Augmentin 500/125 every 8
hours for 5-7 days
What is the treatment for bites with penicillin allergy? - Answers Clindamycin in combination with doxy
or batrim (additional would be levo or cipro)
What should pregnant patients receive for bites? - Answers Macrolides (azith, claryth, eryth)
What is the treatment protocol for older infected bites? - Answers 7-14 days of hospitalization and IV
antibiotics (possible referral to infectious diseases for bone and joint damage)
How to treat outpatient MRSA? - Answers oral linezolid
how to treat inpatient MRSA? - Answers Bactrim, Doxy, Clindamycin
What is treatment for complicated MRSA infections? - Answers Pareneteral vanc, daptomycin, linezolid,
ceftaroline, or tigecycline.
What do you administer if the patient has completed full tdap series, but no booster? - Answers Td or
Tdap booster should be administered
If the victim has not completed Tdap series, what should you adminsiter? - Answers 250-500 units of
tetanus immunoglobulin with first three doses of Tetanus.
What should you do when a bite is reported and the animal may have rabies? - Answers immediately
wash the wound with soap and water and iodine solution
What does postexposure prophylaxis consist of? - Answers immunization of 20 IU of HRIG, active
immune of HDCV or PCEVC
What are complications of dog bites? - Answers crush injuries, destructive soft tissue injuries,
neurovascular and orthopedic injuries, and death.
Dog bites commonly affect - Answers the extremities, children and young adults, and animals who are
provoked.
Cat bites commonly affect - Answers the hand and forearm in older women
Why is the infection rate of cat bites higher than dogs? - Answers cat bites include a deeper puncture
from the cats sharp teeth
What are the risk factors for bite wound infections? - Answers age older than 50 years, advanced liver
disease, alcoholism, DM, location of bite on the hand or foot, failure to irrigate or debride wound during
initial management, treatment delay of more than 12 hours, edema at the bite site, and peripheral
vascular disease
What are the most common pathogens that cause animal bite infections? - Answers Aerobic: Pasturella
multocida, streptococci, staphylococci, and Coryneubacterium species.
anaerobic: bacteriodes, actinomyces, porphyromonas, and fusobacterium.
What rare bacterium in a dogs mouth can cause sepsis? - Answers Capnocytophagia Canomoruses
What is often present and transmitted during human bite? - Answers Eikinella Corroderes
why should you be concerned about E corredens? - Answers it can be resistant to empirically chosen
antibiotics and produce beta lactamases.
What needs to be included in history about bite injury? - Answers the location and time of the bite,
species and behavior of animal, rabies vaccine of animal, and provoktion status.
what needs to be included in documentation for bite? - Answers location, extent, depth of wound, type
of wound (puncture, scratch, tear, avulsion), tenderness and other signs of infection (fever, erythema,
edema, warmth, streaking, flcutuation, adenopathy, and purulent discharge), testing for tendon
lacerations, joints and nerves, and signs of compartment syndrome (pain, paresthesia, pallor, paralysis)
what diagnostics should you order for infected wounds? - Answers CBC, ESR , CRP aerobic and anaerobic
wound cultures, blood cultures if febrile
what diagnostics should you order for deep and complex wounds? - Answers xray studies
what diagnostics should you order for human bites - Answers HIV, hep B, Hep C and titer
What are CRP and ESR used for? - Answers to monitor response to treatment
, what is the first step of treatment after assessing for life threatening injuries in bites? - Answers irrigate
the wound with 150 ml sterile saline solution, remove any foregin bodies or clots,
when do wounds develop signs of infection? - Answers 24-72 hours after the bite
what is significant about management of bites to the face? - Answers extensive irrigation, cautious
debridement, preemptive antibiotics, primary closure, referral to ED or plastics
What wounds should be left open? - Answers cat and human bites, deep puncture wounds, infectied
wounds, wounds more than 6-12 hours old, and bites to the hand.
What is significant about wounds to the hand or foot? - Answers They should be immobilized and
elevated for 1-3 days
Which bites require 5-7 days of prophylaxis? - Answers cat bites or bites to the hand
What is the most effective prophylactic therapy for fresh bites? - Answers Augmentin 500/125 every 8
hours for 5-7 days
What is the treatment for bites with penicillin allergy? - Answers Clindamycin in combination with doxy
or batrim (additional would be levo or cipro)
What should pregnant patients receive for bites? - Answers Macrolides (azith, claryth, eryth)
What is the treatment protocol for older infected bites? - Answers 7-14 days of hospitalization and IV
antibiotics (possible referral to infectious diseases for bone and joint damage)
How to treat outpatient MRSA? - Answers oral linezolid
how to treat inpatient MRSA? - Answers Bactrim, Doxy, Clindamycin
What is treatment for complicated MRSA infections? - Answers Pareneteral vanc, daptomycin, linezolid,
ceftaroline, or tigecycline.
What do you administer if the patient has completed full tdap series, but no booster? - Answers Td or
Tdap booster should be administered
If the victim has not completed Tdap series, what should you adminsiter? - Answers 250-500 units of
tetanus immunoglobulin with first three doses of Tetanus.
What should you do when a bite is reported and the animal may have rabies? - Answers immediately
wash the wound with soap and water and iodine solution
What does postexposure prophylaxis consist of? - Answers immunization of 20 IU of HRIG, active
immune of HDCV or PCEVC
