NRNP6540 week 3 knowledge check Q & As Best study guide latest update 2023 GRADED A+, Exams of Nursing

Download NRNP6540 week 3 knowledge check Q & As Best study guide latest update 2023 GRADED A+ and more Exams Nursing in PDF only on Docsity! NRNP6540 week 3 knowledge check Q & As Best study guide latest update 2023 GRADED A+ NRNP6540 week 3 knowledge check 1. Tinea pedis is also known as “athlete’s foot.” What is the most common presentation of athlete’s foot? According to the CDC, athlete's foot is typically characterized by skin fissures or scales that can be red and itchy. Additionally, tinea pedis is a common dermatophyte infection and can present with many different signs and symptoms. It may present in classic ringworm pattern, involve interdigitally, and in the soles of the foot. 1. Interdigital - Erythema and scaling between the 4th and 5th toes, although any digit can be affected. 2. Mocassin type - Affects entire sole and chronic silvery white scale may also occur in the palms of the hand. The creases of the palms and the soles are thickened and the creases are white. 3. Vesicular-type - Appears on the sole or top of the foot. Blisters may involve remote site. 2. Describe the etiology of lymphedema. The swelling that results from lymphedema is nonpitting. It may be primarily due to congenital or inherited conditions, or secondary caused by damage to the lymphatic system, cancers (usually breast, ovarian, and NRNP6540 week 3 knowledge check Q & As Best study guide latest update 2023 GRADED A+ NRNP6540 week 3 knowledge check Q & As Best study guide latest update 2023 GRADED A+ prostate), infection, inflammation, or obesity. Chronic lymphedema is commonly due to surgery, radiation, or infection that damages the lymphatic system. 3.Cellulitis is most commonly caused by which pathogens? Cellulitis is commonly caused by groups A, B, C, and G beta- hemolytic streptococci, Staphylococcus aureus [both methicillin susceptible (MSSA) and methicillin resistant (MRSA)], and occasionally a gram-negative organism. It can also be caused by human or animal bite pathogens. 4.Your 78-year-old patient comes in yearly for a skin check. She was a self- proclaimed “sun worshipper” in her younger days. She has multiple freckles over her face, arms, and back. She is concerned about a freckle on her back that seems to be getter larger. This is what you see, what is your impression? The patient's lesion appears to me as a melanoma. This fits the description of melanoma which is a flat to slightly raised pigmented lesions with irregular borders. Melanoma is a type of skin cancer and the incidence of all skin cancers increase with age, degree, and intensity of sun exposure. This patient is 78 years old and reported she was a "sun worshipper" so there has been a lot of exposure to the sun in her younger days that puts her at risk to developing melanoma. NRNP6540 week 3 knowledge check Q & As Best study guide latest update 2023 GRADED A+ NRNP6540 week 3 knowledge check Q & As Best study guide latest update 2023 GRADED A+ breast have more breast cells and are constantly exposed to growth promoting effects of the female hormones. Men can develop breast cancer but the disease is 100 times ore common among women than men. Due to this, women are more affected by lymphedema development as a result of the cancer, surgery or radiation. 7.Your patient has herpes zoster ophthalmicus (HZO) as shown in the photo. What would your treatment plan for this patient be? The treatment plan for the patient with herpes zoster ophthalmicus (HZO): 1. First-line interventions include treatment with systemic antiviral medication, such as acyclovir, and testing to uncover potential immunocompromised. Oral antivirals must be started within 72 hours of the onset of symptoms to reduce the severity of the disease and long term complications. 2.The use of oral corticosteroids in conjunction with antiviral agents is recommended, as this has been shown to reduce the duration of pain during the acute phase of the disease. 3. Topical steroids can be used in certain ocular complications of herpes zoster ophthalmicus, but should be used cautiously, with direct NRNP6540 week 3 knowledge check Q & As Best study guide latest update 2023 GRADED A+ NRNP6540 week 3 knowledge check Q & As Best study guide latest update 2023 GRADED A+ consultation with an ophthalmologist. 8. What is the preferred treatment of tinea infections of the skin? NRNP6540 week 3 knowledge check Q & As Best study guide latest update 2023 GRADED A+ NRNP6540 week 3 knowledge check Q & As Best study guide latest update 2023 GRADED A+ The preferred treatment of tinea infections of the skin is the use of topical antifungal agents. Usually, systemic antifungals are reserved for patients who fail topical therapy. Antifungal agents like clotrimazole (fungistatic) and terbinafine (fungicidal) may be used. Topical treatments are not useful for tinea capitis and failure is common in tinea manuum and tinea ungium. Use of topical agents is twice a day for 2-4 weeks and discontinued for 1 week after the lesion clear. 9.Your 82-year-old patient comes in for a routine checkup and mentions that she is worried about a skin lesion on her back. She is concerned that it might be “cancer” because it looks ugly, warty, and is getting bigger over 5 years. You examine it and determine it to be a seborrheic keratosis. What would your differential diagnoses include? The differential diagnosis for seborrheic keratosis may include the following: 1. Malignant melanoma- The lesion is rather assymetrical, has irregular border, pigmented (color), growing (diameter)and evolving (ABCDE- typical for melanoma) 2. Actinic keratosis - They appear as round or irregular-shaped erythematosus or tan plaques with a scaly of rough surface which is also similar in the skin lesion presented in the picture. 3. Squamous cell carcinoma- This presents as discrete lesions or a cluster of crusted, scaly papules or sun exposed skin; hence, quite like what the picture looks like. 10. Explain why diuretics are not helpful in the treatment of lymphedema. NRNP6540 week 3 knowledge check Q & As Best study guide latest update 2023 GRADED A+