NURS 651 Exam 1 Maryville University
questions with correct answers latest
update 2023
12 month old male
Past 3 months increased erythema and
... [Show More] pruritus
scratches all night, sheets bloody in the am
family history of allergic rhinitis and asthma - ANSWER Acute atopic
dermatitis
treatment for acute atopic dermatitis - ANSWER Daily lukewarm bath
5-20min, mild or no soap.
pat dry after bath, add emollient, ie. aquaphor
Repeat emollient with each diaper change
Topical steroids first line, least potent first
calcineurini inhibitors to face (tacrolimus, and pimecrolimus)
Consider bleach baths and wet wraps
14 year old female, healthy
Itchy rash on stomach and feet
dryness, erythema, irritated
Tried to treat with topical steroids at home, moisturizer and lots of bath and
body works creams - ANSWER Contact dermatitis
Treatment for contact dermatitis - ANSWER Remove offending agent ( nickel
allergy to jeans buttons, rubber from latex flip flops)
Clean area, treat with emoillents
Topical steroids
will not recur if agent is avoided
can occur from poison ivy, latex, fragrances
11 year old female healthy
developed rash over last week
intense pruritic circular raised papular rash - ANSWER Insect bites due to bed
bugs
Information about bed bugs - ANSWER Visible to naked eye, small
Wingless
Yellow to reddish oval shaped, prominent eyes
Mostly night feeders, attracted to warm blooded animals and humans
Life cycle: egg 4-5 days, nymph state 5 stages, adult 1 year,
Can survive 1 year without feeding
Hide in luggage, mattresses, box springs, clothing
Signs and symptoms of bed bug insect bites - ANSWER Erythemous papule
with or wheal 2-5mm with punctuate center
Most common reaction small inflamed
Itchy bump where each bite occurred ( resolves in 1-2 weeks if not exposed
further)
can become widespread bullies rash
Other factors of when to consider bed bug diagnosis - ANSWER recent travel,
pruritic papule noted on awakening, skin reaction with linear configuration
Treatment of bed bugs - ANSWER professional pest management
all mattresses should be checked for dark stains usually around the head of
bed, use scraper to remove.
bag all stuffed animals for 3 days at freeze at 18 degrees or below. Or high
heat at 122 degrees
Prevention of Bed bugs - ANSWER Check all hotel mattresses on arrival for
small dark stains around head of bed.
Keep luggage up and away from bed.
Clothes worn in hotel room should be bagged and sealed.
Use caution with garage sale items.
5 year old boy 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 [Show Less]