MARYVILLE NURS 623 EXAM 1 | 105 COMPLETE QUESTIONS WITH
100% GRADED EXPERT SOLUTIONS| 2026 LATEST UPDATED | GET
A+
Mode of transmission for parasitic skin infections - (Answer)Close direct skin contact.
Clinical presentation for Scabies - (Answer)Intense itching, worse at night. Burrows noted
between webs of fingers.
Commonly prescribed medications for Scabies - (Answer)Permethrin Cream 5% (Elimite) is the
first-line treatment. Safe in 2 months and older. Apply to all areas from neck down and leave on
for 8-12 hours. Repeat application in 1 week. May repeat a third time in another week. Follow up
in 1 week.
Antihistamines and topical steroids if the pruritis is bad.
What should you include in the patient education to prevent spreading of the various parasitic
skin problems? - (Answer)Avoid close contact. Wash all bedding, clothing, cloth items, and
stuffed animals in hot water. All close contacts family members, people you live with and sexual
partners need to be treated as well.
Which bacterial skin infection is considered highly contagious? - (Answer)Impetigo
,What is the "classic" presentation of impetigo? - (Answer)Honey crusted lesions
What is the management of a minor case of folliculitis (non-pharmacologic)? - (Answer)Gentle
cleansing by washing the skin twice a day with antibacterial soap.
What are the commonly prescribed medications for folliculitis? - (Answer)Mupirocin
(Bactroban) 2% ointment or cream, TID, 5-14 days, for secondarily infected skin lesions.
Mupirocin (Bactroban) twice daily for 5 days in the nose for people with recurrent folliculitis to
clear the colonization of S. Aureus.
Furuncles - (Answer)Initially appear small (0.5-1 cm), red, tender, indurated nodule. As it grows
it develops a central yellow plug. They eventually rupture spontaneously. Fluctuant or larger
furuncles should be treated with I&D and covered with a simple dry sterile dressing. Patients
should be instructed to use warm compresses twice daily to encourage drainage of pus.
Carbuncles - (Answer)Initially appear as multiple furuncles and develops into a large,
erythematous lump and must be drained before healing will take place and this typically occurs
spontaneously within 2 weeks. Carbuncles frequently require I&D and need systemic antibiotics
and a referral. Antibiotics include: TMP-SMX (MRSA converage), dicloxacillin, cephalexin, or
doxycycline.
, A gram stain is recommended to check for MRSA strains.
What are the considerations when determining treatment for cellulitis? - (Answer)Severe
infections, infections around the eyes, or systemic involvement (fever & chills),
immunocompromised should be sent to the ED for inpatient IV treatment.
Mild cases can be treated with PO antibiotics that should show improvement within 48-72 hours.
Penicillin VK, dicloxacillin, clindamycin, or cephalexin for 5 days.
Infected human & animal bites need to be treated with amoxicillin-clavulanic acid (Augmentin)
for 2 weeks. Prophylaxis treatment for human & animal bites (within 6 hours) amoxicillin-
clavulanic acid (Augmentin) for 3-5 days.
HSV - (Answer)grouped vesicles on an erythematous base, followed by ulcers or erosions that
crust over with honey color. Lesions typically heal in 7-10 days. Mouth, face, or genitals.
Diagnostic tests for HSV - (Answer)Viral Culture Gold Standard & PCR tests are standard for
diagnosis. Vesicle fluid can be cultured with 72 hours of outbreak. Tzanck smear. HIV testing is
advisable in HSV-2 patients.
Herpetic keratoconjunctivitis - (Answer)requires immediate referral to an ophthalmologist.
100% GRADED EXPERT SOLUTIONS| 2026 LATEST UPDATED | GET
A+
Mode of transmission for parasitic skin infections - (Answer)Close direct skin contact.
Clinical presentation for Scabies - (Answer)Intense itching, worse at night. Burrows noted
between webs of fingers.
Commonly prescribed medications for Scabies - (Answer)Permethrin Cream 5% (Elimite) is the
first-line treatment. Safe in 2 months and older. Apply to all areas from neck down and leave on
for 8-12 hours. Repeat application in 1 week. May repeat a third time in another week. Follow up
in 1 week.
Antihistamines and topical steroids if the pruritis is bad.
What should you include in the patient education to prevent spreading of the various parasitic
skin problems? - (Answer)Avoid close contact. Wash all bedding, clothing, cloth items, and
stuffed animals in hot water. All close contacts family members, people you live with and sexual
partners need to be treated as well.
Which bacterial skin infection is considered highly contagious? - (Answer)Impetigo
,What is the "classic" presentation of impetigo? - (Answer)Honey crusted lesions
What is the management of a minor case of folliculitis (non-pharmacologic)? - (Answer)Gentle
cleansing by washing the skin twice a day with antibacterial soap.
What are the commonly prescribed medications for folliculitis? - (Answer)Mupirocin
(Bactroban) 2% ointment or cream, TID, 5-14 days, for secondarily infected skin lesions.
Mupirocin (Bactroban) twice daily for 5 days in the nose for people with recurrent folliculitis to
clear the colonization of S. Aureus.
Furuncles - (Answer)Initially appear small (0.5-1 cm), red, tender, indurated nodule. As it grows
it develops a central yellow plug. They eventually rupture spontaneously. Fluctuant or larger
furuncles should be treated with I&D and covered with a simple dry sterile dressing. Patients
should be instructed to use warm compresses twice daily to encourage drainage of pus.
Carbuncles - (Answer)Initially appear as multiple furuncles and develops into a large,
erythematous lump and must be drained before healing will take place and this typically occurs
spontaneously within 2 weeks. Carbuncles frequently require I&D and need systemic antibiotics
and a referral. Antibiotics include: TMP-SMX (MRSA converage), dicloxacillin, cephalexin, or
doxycycline.
, A gram stain is recommended to check for MRSA strains.
What are the considerations when determining treatment for cellulitis? - (Answer)Severe
infections, infections around the eyes, or systemic involvement (fever & chills),
immunocompromised should be sent to the ED for inpatient IV treatment.
Mild cases can be treated with PO antibiotics that should show improvement within 48-72 hours.
Penicillin VK, dicloxacillin, clindamycin, or cephalexin for 5 days.
Infected human & animal bites need to be treated with amoxicillin-clavulanic acid (Augmentin)
for 2 weeks. Prophylaxis treatment for human & animal bites (within 6 hours) amoxicillin-
clavulanic acid (Augmentin) for 3-5 days.
HSV - (Answer)grouped vesicles on an erythematous base, followed by ulcers or erosions that
crust over with honey color. Lesions typically heal in 7-10 days. Mouth, face, or genitals.
Diagnostic tests for HSV - (Answer)Viral Culture Gold Standard & PCR tests are standard for
diagnosis. Vesicle fluid can be cultured with 72 hours of outbreak. Tzanck smear. HIV testing is
advisable in HSV-2 patients.
Herpetic keratoconjunctivitis - (Answer)requires immediate referral to an ophthalmologist.
