NURS 651 EXAM 1 MARYVILLE UNIVERSITY LATEST 20232024 ACTUAL EXAM 75 QUESTIONS AND CORRECT DETAILED ANSWERS WITH RATIONALES |ALREADY GRADED A+

NURS 651 EXAM 1 MARYVILLE UNIVERSITY LATEST 2023-

2024 ACTUAL EXAM 75 QUESTIONS AND CORRECT

DETAILED ANSWERS WITH RATIONALES |ALREADY

GRADED A+

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

EPI can be repeated for persistent s/s or return of S/s

12 yr old female with persistent rash on upper arms, cheeks and upper

thighs gets worse with age and cold weather. Fine pearly papular rash,

with some excoriated lesions, no bleeding or drainage. Skin feels rough,

History of allergic rhinitis. - ANSWER- Keratosis Pilaris

Signs and symptoms of Keratosis Pilaris - ANSWER- Appears like skin

of plucked chicken or goosebumps

Genetic disorder of keratinization of hair follicles

Very common, benign condition

Described as a condition of childhood and teens

Usually improves with age

Can flare in adolescence

Treatment of keratosis pilaris - ANSWER- Prevent skin dryness, mild

soaps

Avoid hot baths or showers

Mild=treat with OTC moisturizers

Moderate= treat with topical keratolytics

Preparations with salicylic acid, or lactic acid will help soften and flatten

papule.

21 year old male with chronic sinusitis> most recent infection treated

with bactrim 1 month ago. Last week fatigue, cervial lymphadenopathy.

CBC lost at lab found after 1 week, showed increased Eosinophil count.

Called today dramatic onset erythematous rash, painful, itchy and

edematous. Awoke morning after wedding with rash. - ANSWERDRESS Syndrome

What is DRESS syndrome? - ANSWER- Drug Reaction with

Eosinophilia and Systemic Symptoms. Rare and potentially life

threatening.

Drug induced hypersensitivity

2-8 weeks between drug exposure and s/s. can have frequent relapses

despite stopping drug.