NURS 6531 FINAL EXAM BANK (PART 1 & 2) |
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NURS 6531 Final Exam , part one
What instructions will the primary care provider give to parents
of a child who has scabies who is ordered to use 5% permethrin
cream? (Select all that apply.)
a. Apply the cream at bedtime and rinse it off in the morning.
b. It is not necessary to wash bedding or clothing when using this
cream.
c. Massage the cream into the skin from head to toe.
d. The rash should disappear within a day or two after using the
cream.
e. Use once now and repeat the treatment in 1 to 2 weeks.
ANS: A, E
Permethrin cream should be applied from the neck down in
children and rinsed off in 8 to 12 hours. The treatment should be
done once and then repeated in 1 to 2 weeks. Bedding and
clothing should be washed thoroughly. Adults should apply from
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head to toe, since the scabies can infest the hairline of adults.
The rash may still be present for several weeks after treatment.
A child's optic assessment data include unilateral eyelid edema,
warmth, and erythema but no pain with ocular movement is
reported. Which characteristic is most likely true about this
child's infection?
a. Decreased visual acuity may occur.
b. Increased intraocular pressure will be present.
c. Optic nerve compromise is a complication.
d. The eye is typically spared without conjunctivitis.
ANS: D
This child has symptoms of preseptal cellulitis in which the eye is
typically spared. The other findings are consistent with orbital
cellulitis.
When recommending ongoing treatment for a patient who has
recurrent intertrigo, what will the provider suggest? (Select all
that apply.)
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a. Aluminum sulfate solution
b. Burrow's solution compresses
c. Cornstarch application
d. Nystatin cream
e. Topical steroid cream
ANS: A, B
Aluminum sulfate solution and other drying agents are
recommended, and Burrow's solution compresses may be
soothing. Cornstarch is ineffective and may result in fungal
growth. Nystatin cream is used only for candida intertrigo.
Topical steroids may promote infection.
A patient is diagnosed with herpetic whitlow and in a 2 weeks
follow - up evaluation, is noted to have paronychial inflammation
of the tendon sheath in one finger that has responded to
treatment. What is a priority treatment for this patient?
a. Begin therapy with an oral antiviral medication.
b. Obtain a consult for incision and drainage of the lesion.
c. Order a creatinine clearance test to evaluate renal function.
d. Refer the patient to the emergency department.
ANS: D
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When paronychial infection of the tendon sheath is suspected in
patients with herpetic whitlow, they should be immediately
referred to the emergency department for a surgical referral.
Oral antiviral medications are given for severe cases and
recurrences, but the emergent situation is a priority. Incision and
drainage may lead to superinfection of longer healing. Creatinine
clearance is ordered when beginning oral antiviral therapy.
A patient diagnosed with recurrent herpetic whitlow is counseled
about management of symptoms and prevention of
complications. What will be included in this teaching? (Select all
that apply.)
a. Begin antiviral medications within 3 days of onset of
symptoms.
b. Contact the provider if symptoms persist longer than 3 weeks.
c. Cool compresses may help with comfort and decrease
erythema.
d. Keep hands away from the mouth and eyes to prevent
inoculation.
e. Wear gloves when preparing foods to prevent spread to others.
ANS: B, C, D
Patients with herpetic whitlow should be seen by a physician if
symptoms are recalcitrant to treatment after 3 weeks. Cool