Skin

Question 1

First Aid for Tick Bites

Answer 1

remove tick by grasping close to skin with tweezers, pull gently until tick lets go
wash area with soap and water
put antiseptic on site and apply antibiotic ointment
seek medical attention if rash or flu like symptoms appear

Question 2

s/s of lyme disease

Answer 2

rash- bullseye
fever
chills
severe headache
joint and muscle aches

Question 3

type of tinea

Answer 3

tinea corporis-ring worm of the body
tinea capitis- ring worm of scalp
tinea cruris- jock itch
tinea pedia- athletes foot

Question 4

how is tinea transmitted and treated?

Answer 4

transmitted person to person or infected animals to humans
treatment- topical antifungals for infections on body and oral antifungals for tx of tinea on head (must monitor closely can cause liver toxicity)

Question 5

nursing considerations for tinea

Answer 5

emphasize good hygiene and health
examine household pets
teach children not to share hats, scarves, helmets, etc.

Question 6

diaper rash is caused by

Answer 6

contact or irritation (prolonged exposure to wet or soiled diapers)
yeast (satellite lesions with white around it)
can be bacterial ( MRSA, Strep)
rash does not extend into skin folds, yeast does

Question 7

nursing considerations for diaper rash

Answer 7

drying of affected area and prevention of contact with irritant
change wet diapers immediately
occlusive ointments
wash off feces with water and mild soap
expose irritated skin to air

Question 8

yeast infection (diaper rash)

Answer 8

beefy red, extends into creases, satellite lesions
caused by antibiotic use, immunosuppression, or exposure to yeast
treat with antifungal; nystatin cream

Question 9

poison ivy

Answer 9

redness, swelling, and itching at site of contact; advances to streaked or spotty blisters
flush area immediately after contact with cold, running water
wash clothing and pets
scratching does not help and can spread rash and cause secondary infection

Question 10

chicken pox (varicella)

Answer 10

spread primarily via respiratory tract and contact with skin lesions
communicable
incubation period 14-21 days

Question 11

clinical manifestations of chicken pox

Answer 11

slight fever
malaise
anorexia
pruritic rash

Question 12

nursing considerations for varicella

Answer 12

strict isolation when hospitalized
immunization at 12 months and 4 yrs
isolate at home until lesions crust
good skin care
NO ASA
VZIG

Question 13

head lice

Answer 13

infestation of hair scalp

common areas nape of neck and behind ears

Question 14

education for pediculosis (head lice)

Answer 14

avoid shampoo/cream rinse contact with eyes
do not treat in bathtub or shower
apply to affected areas only
wash bedding, clothes in hot water and dry in hot dryer for over 20 min
put un-washable things in freezer
soak brushes and combs
comb out nits with fine tooth comb
vacuum carpets, drapes, window treatments, bedding

Question 15

impetigo

Answer 15

honey comb crusts
remove lesions before applying antibiotic ointment
contact precautions
return to school 24 hours after start of treatment