NUR 676 Exam 3: Questions With Complete Solutions
What are complications of dog bites? Right Ans - crush injuries, destructive
soft tissue injuries, neurovascular and orthopedic injuries, and death.
Dog bites commonly affect Right Ans - the extremities, children and young
adults, and animals who are provoked.
Cat bites commonly affect Right Ans - the hand and forearm in older
women
Why is the infection rate of cat bites higher than dogs? Right Ans - cat bites
include a deeper puncture from the cats sharp teeth
What are the risk factors for bite wound infections? Right Ans - 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?
Right Ans - Aerobic: Pasturella multocida, streptococci, staphylococci, and
Coryneubacterium species.
anaerobic: bacteriodes, actinomyces, porphyromonas, and fusobacterium.
What rare bacterium in a dogs mouth can cause sepsis? Right Ans -
Capnocytophagia Canomoruses
What is often present and transmitted during human bite? Right Ans -
Eikinella Corroderes
why should you be concerned about E corredens? Right Ans - it can be
resistant to empirically chosen antibiotics and produce beta lactamases.
What needs to be included in history about bite injury? Right Ans - 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? Right Ans - 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? Right Ans - CBC,
ESR , CRP aerobic and anaerobic wound cultures, blood cultures if febrile
what diagnostics should you order for deep and complex wounds? Right
Ans - xray studies
what diagnostics should you order for human bites Right Ans - HIV, hep B,
Hep C and titer
What are CRP and ESR used for? Right Ans - to monitor response to
treatment
what is the first step of treatment after assessing for life threatening injuries
in bites? Right Ans - irrigate the wound with 150 ml sterile saline solution,
remove any foregin bodies or clots,
when do wounds develop signs of infection? Right Ans - 24-72 hours after
the bite
what is significant about management of bites to the face? Right Ans -
extensive irrigation, cautious debridement, preemptive antibiotics, primary
closure, referral to ED or plastics
What wounds should be left open? Right Ans - 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? Right Ans - They
should be immobilized and elevated for 1-3 days
Which bites require 5-7 days of prophylaxis? Right Ans - cat bites or bites
to the hand
What are complications of dog bites? Right Ans - crush injuries, destructive
soft tissue injuries, neurovascular and orthopedic injuries, and death.
Dog bites commonly affect Right Ans - the extremities, children and young
adults, and animals who are provoked.
Cat bites commonly affect Right Ans - the hand and forearm in older
women
Why is the infection rate of cat bites higher than dogs? Right Ans - cat bites
include a deeper puncture from the cats sharp teeth
What are the risk factors for bite wound infections? Right Ans - 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?
Right Ans - Aerobic: Pasturella multocida, streptococci, staphylococci, and
Coryneubacterium species.
anaerobic: bacteriodes, actinomyces, porphyromonas, and fusobacterium.
What rare bacterium in a dogs mouth can cause sepsis? Right Ans -
Capnocytophagia Canomoruses
What is often present and transmitted during human bite? Right Ans -
Eikinella Corroderes
why should you be concerned about E corredens? Right Ans - it can be
resistant to empirically chosen antibiotics and produce beta lactamases.
What needs to be included in history about bite injury? Right Ans - 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? Right Ans - 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? Right Ans - CBC,
ESR , CRP aerobic and anaerobic wound cultures, blood cultures if febrile
what diagnostics should you order for deep and complex wounds? Right
Ans - xray studies
what diagnostics should you order for human bites Right Ans - HIV, hep B,
Hep C and titer
What are CRP and ESR used for? Right Ans - to monitor response to
treatment
what is the first step of treatment after assessing for life threatening injuries
in bites? Right Ans - irrigate the wound with 150 ml sterile saline solution,
remove any foregin bodies or clots,
when do wounds develop signs of infection? Right Ans - 24-72 hours after
the bite
what is significant about management of bites to the face? Right Ans -
extensive irrigation, cautious debridement, preemptive antibiotics, primary
closure, referral to ED or plastics
What wounds should be left open? Right Ans - 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? Right Ans - They
should be immobilized and elevated for 1-3 days
Which bites require 5-7 days of prophylaxis? Right Ans - cat bites or bites
to the hand
