NURS 651 EXAM 1 MARYVILLE UNIVERSITY
LATEST ACTUAL EXAM 75 QUESTIONS AND
CORRECT DETAILED ANSWERS WITH
RATIONALES |ALREADY GRADED A+
5 year old boy
... [Show More] known food allergy to milk, egg and peanut. At birthday party came to
mom, itchy, coughing and sneezing. Child given Benadryl and brought to your office,
Diffuse generalized hives, papular and erythema areas. - ...ANSWER...Uritcaria and
angioedema in setting of anaphylaxis
Treatment for Urticaria and angioedema in setting of anaphylaxis -
...ANSWER...Administer EPI and activate EMS
Give Albuterol only after EPI given
Monitor VS and airway compromise
EPI can be repeated for persistent s/s or return of S/s
12 yr old female with persistent rash on upper arms, cheeks and upper thighs gets
worse with age and cold weather. Fine pearly papular rash, with some excoriated
lesions, no bleeding or drainage. Skin feels rough, History of allergic rhinitis. -
...ANSWER...Keratosis Pilaris
Signs and symptoms of Keratosis Pilaris - ...ANSWER...Appears like skin of plucked
chicken or goosebumps
Genetic disorder of keratinization of hair follicles
Very common, benign condition
Described as a condition of childhood and teens
Usually improves with age
Can flare in adolescence
Treatment of keratosis pilaris - ...ANSWER...Prevent skin dryness, mild soaps
Avoid hot baths or showers
Mild=treat with OTC moisturizers
Moderate= treat with topical keratolytics
Preparations with salicylic acid, or lactic acid will help soften and flatten papule.
21 year old male with chronic sinusitis> most recent infection treated with bactrim 1
month ago. Last week fatigue, cervial lymphadenopathy. CBC lost at lab found after 1
week, showed increased Eosinophil count. Called today dramatic onset erythematous
rash, painful, itchy and edematous. Awoke morning after wedding with rash. -
...ANSWER...DRESS Syndrome
What is DRESS syndrome? - ...ANSWER...Drug Reaction with Eosinophilia and
Systemic Symptoms. Rare and potentially life threatening.
Drug induced hypersensitivity
2-8 weeks between drug exposure and s/s. can have frequent relapses despite stopping
drug.
Drugs that cause DRESS syndrome - ...ANSWER...Sulfonamides, Anit seizure meds,
Dapsone, Bactrim, Vancomycin.
How to Treat DRESS? - ...ANSWER...Stop culprit drug. Most recover completely after
drug stopped and given weeks to months.
Treated with high dose oral and topical steroids, for comfort. Strict Lifetime avoidance of
drug.
admit if severe.
14 year old female with embarrassing thing behind her ear. Ears pierced one year ago, [Show Less]