Maryville Nurs 623 Exam 1 Comprehensive Questions with Complete Solutions, 2024.
Maryville Nurs 623 Exam 1
Basics with skin conditions Correct Answer:
... [Show More] •Alopecia
•Rash
•Pruritus
•Uticaria
•Pigmentation change
Skin lesion—New vs. Change
HPI questions for skin problems Correct Answer: Duration of symptoms
Precipitating factors
•Medications
•Food
•Occupation
•Outdoors
•Hobbies/Sport participation
•Exposure to insects
•Jewelry/metals/chemicals
•Family history
Is it:
Local or systemic
Pruritus- all day or worse at night
Uticaria - duration
Pigmented changes
Pigmentation/Changes of the skin Diff diagnosis Correct Answer: Nevi- brown, beige or pink(< 5mm)
Melanoma
Related to pregnancy- melasma (mask of pregnancy)
Addison disease
Side effect of medication- steroid therapy
skin lesions Correct Answer: Macule - flat, nonpalpable (freckle, petechia)
Papule - PALPABLE, solid elevation of skin (elevated nevus)
Nodule - elevated solid mass, deeper and firmer than papule (wart)
Tumor - solid mass deep in subcutaneous tissue (epithelioma)
Wheal - irregularly shaped, elevated area (hive, mosquito bite
Vesicle - elevation of skin with serous (clear) fluid
Pustule - similar to vesicle but filled with pus (acne)
Ulcer - deep loss of skin (venous statis ulcer)
Atophy - thinning of skin
Bullae-Clear fluid-filled blisters > 10 mm in diameter. These may be caused by burns, bites, irritant or
allergic contact dermatitis, and drug reactions.
primary versus secondary skin lesions Correct Answer: Primary skin lesions are those which develop as a
direct result of the disease process.
Secondary lesions are those which evolve from primary lesions or develop as a consequence of the
patient's activities.
Parasitic Skin Infections Correct Answer: scabies and lice
Scabies Correct Answer: Highly contagious infestation that occurs mainly in children, young adults,
health care workers, and institutionalized persons of all ages.
Subjective: Complaints of intense itching that is usually more severe at night.
Objective:Earliest physical sign is small 1 to 2 mm red papules located in areas of body most attractive to
mites. Itching, excoriation, , crusting, and scaling may be present making it hard to see scabies.
Diagnostics:Ink burrow test
Scabies treatment Correct Answer: Permethrin 5% cream (Remember you have 5 fingers)- leave on for
8-14 hours then shower- daily for 7 days.
Oral antihistamines for itching, topical steroids for itching.
The entire household must be treated. Everything should be washed with hot water/detergent, treat
any infection that is present.
Starve mites by sealing them in a bag for about 10 days.
Lice treatment Correct Answer: Permethrin 1% leave on for 10 mins then rinse. May repeat in 7 days if
needed.
Fungal skin infections Correct Answer: · Candidiasis- bright, beefy red rash treat with topical antifungal,
· Dermatophytoses - the tineas (ringworm). [Show Less]