Final exam format,,,,,cushNURS 6541 Comprehensive Final Exam Review (Week 1-11) You will be tested over weeks 1-11 on this Blackboard Exam

cushNURS 6541 Comprehensive Final Exam Review (Week 1-11) You will be tested over weeks 1-11 on this Blackboard Exam Week 7: Dermatology disorders  Bug bites and bee stings –  Dog bites, cat bites – Dog Bite: about the circumstances surrounding the bite including the type of animal, domesticated or feral animal, provoked or unprovoked attack, and location of the attack. History of drug allergies and immunization status of the child also should be ascertained. Physical Examination. The wound should be assessed for the type, size, and depth of injury. Explore for the presence of foreign material and the status of underlying structures. If the bite is on an extremity, assess its range of motion and sensory intactness. Likewise, assess functioning of the facial nerve with deep facial bite injuries. At minimum, a diagram of the injury should be recorded in the child's chart (Ginsburg, 2011). If possible, it is best to photograph the injury for documentation. Diagnostic Studies. Aerobic and anaerobic cultures should be obtained from wounds exhibiting signs of infection (Buttaravoli and Leffler, 2012). A radiograph of the affected part should be obtained if it is likely that a bone or joint could have been penetrated or fractured or if retained foreign material may be present. Differential Diagnosis The differential diagnosis includes lacerations or puncture wounds from other causes. Management Management involves both physical and psychological care of the child and includes the following (Mandt and Grubenhoff, 2014): • Administer tetanus booster and rabies prophylaxis if indicated (consult with local animal control or public health department). • Provide/administer appropriate analgesia or anesthesia. • Débride avulsed or devitalized tissue and remove foreign matter. • Using normal saline, irrigate the wounds using high pressure (greater than 4 pounds per square inch) and high volume (greater than 1 L). • Isolated puncture wounds should not be irrigated, instead soak the wound in a diluted solution of tap water and povidone-iodine for 15 minutes