MARYVILLE UNIVERSITY
NURS 623 EXAM 1
• Mode of transmission for parasitic skin infections ANSWER
Close direct skin contact.
• Clinical presentation for Scabies ANSWER
Intense itching, worse at night. Burrows noted
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 stutted 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 lesion
• What is the management of a minor case of folliculitis (non-
phar
, ANSWER Gentle cleansing by washing the skin twice a day
with antibacterial soap.
• What are the commonly prescribed medications for
folliculitis? ANSWER Mupirocin (Bac- troban) 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 de yellow plug. They
eventually rupture spontaneously. Fluctuant or
larger furuncles should be treat covered with a
simple dry sterile dressing. Patients should be
, instructed to use warm compresses 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. Car
require I&D and need systemic antibiotics and a
referral. Antibiotics include ANSWER TMP-SMX
(MRSA conv 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 &
NURS 623 EXAM 1
• Mode of transmission for parasitic skin infections ANSWER
Close direct skin contact.
• Clinical presentation for Scabies ANSWER
Intense itching, worse at night. Burrows noted
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 stutted 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 lesion
• What is the management of a minor case of folliculitis (non-
phar
, ANSWER Gentle cleansing by washing the skin twice a day
with antibacterial soap.
• What are the commonly prescribed medications for
folliculitis? ANSWER Mupirocin (Bac- troban) 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 de yellow plug. They
eventually rupture spontaneously. Fluctuant or
larger furuncles should be treat covered with a
simple dry sterile dressing. Patients should be
, instructed to use warm compresses 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. Car
require I&D and need systemic antibiotics and a
referral. Antibiotics include ANSWER TMP-SMX
(MRSA conv 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 &
