Nursing Guidance and Care

Jul 17, 2024

Nursing Guidance and Care

Primary Herpes Genitalis

  • Correct Option: Apply acyclovir ointment to lesions every 4 hours, six times a day for 10 days.
  • Explanations:
    • Acyclovir Ointment: Effective for treating primary herpes genitalis.

    • Other Options:

Toonol and Ty conazol: Used for vulvovaginal candidiasis. - Sorol nitrate: Indicated for tinea versicolor.

Post Skin Graft Care

  • Correct Option: Protect the graft from direct sunlight.
  • Priority: Prevent burning and sloughing of the graft.
  • Other Care Measures:
    • Physical therapy.
    • Cosmetic camouflage techniques.
    • Applying lubricating lotion.

Preventing Sun Damage

  • Correct Option: Use sunscreen even when the sky is cloudy.
  • Reason: Suns rays can still cause harm despite cloud cover.
  • Sunscreen Recommendation: SPF of at least 15.
  • Other Measures:
    • Minimize sun exposure between 10 a.m. and 2 p.m.
    • Shade at the beach may not be sufficient due to reflective surfaces.

Skin Disorder Treatment

  • Primary Prescription: Topical agent.
  • Explanation: Preferred primary approach in managing skin disorders.

Understanding Intertrigo

  • Definition: Irritation and inflammation between skin folds or adjacent skin surfaces due to friction.
  • Differentiation: Not to be confused with dermal infections (folliculitis, urticaria).

Genital Herpes Simplex Risks

  • Correct Option: Cancer of the cervix.
  • Explanation: Primary risk associated with genital herpes simplex in women.

Post-Treatment for Third Degree Burn

  • Correct Option: Reducing range of motion.
  • Reason: Prevent disruption of artificial skin adherence to the wound bed.
  • Other Recommendations:
    • Protein and fluid intake are crucial for healing.
    • Outdoor activities are acceptable if the affected area is protected from direct sunlight.

Rule of Nines

  • Case Study Calculation: Left arm, left anterior leg, and anterior trunk burns cover 36% of the body surface area.
  • Total Calculation:
    • Each arm: 9%
    • Anterior leg: 9%
    • Anterior trunk: 18%

Solar Burn Concern

  • Primary Concern: Pain management.
  • Priority: Main priority in superficial partial thickness burns like sunburn.
  • Other Concerns: Infections and fluid resuscitation, if deeper. Body image disturbance.

Aminoglycoside (Gentamicin Sulfate) IV Adverse Effect

  • Correct Option: Auditory nerve damage.
  • Symptoms: Vertigo, tinnitus, hearing loss.

Maintaining Skin Health

  • Correct Option: Ensure the client remains adequately hydrated.
  • Reason: Prevents skin cracking and infection.
  • Other Measures:
    • Use mild detergents.
    • Avoid swift removal of adhesive tape.
    • Loose fitting clothing for heat dissipation.

Scabies Treatment in a Shared Living Environment

  • Correct Option: All household members should undergo treatment.
  • Reason: Prevent further infestation spread.
  • Preventive Measures: Avoid sharing linens and towels.

Scabies Prevention in Healthcare Setting

  • Correct Option: Quarantine the client's bedding until no longer contagious.
  • Additional Measures: Hand hygiene, gloves during treatment.
  • Other Unnecessary Measures: Anic precautions not needed.

Snake Bite Management

  • Primary Action: Relocate the victim to safety and recommend rest.
  • Sequence: Remove tight attire, stabilize extremity at heart level, maintain warmth and calmness, avoid alcohol or caffeine, transport to emergency facility.

Poison Ivy Exposure

  • Correct Option: Take a shower ensuring thorough lathering and rinsing.
  • Reason: Remove invisible sap film to reduce risk of irritation.
  • Additional Advice: Calamine lotion for subsequent dermatitis.

Acute Cellulitis

  • Clinical Signs: Infection affecting the dermis and layer beneath it.
  • Presentation: Redness, swelling, tenderness, and possibly nodularity.
  • Differentiation: From erysipelas—acute superficial inflammation of the dermis and lymphatics.

Herpes Zoster (Shingles) Diagnosis

  • Gold Standard Test: Positive culture examination findings.
  • Explanation: Definitive diagnosis relies on presence of varicella-zoster virus.

Frostbite Assessment

  • Observation: Skin appears white with an absence of sensation.
  • Progression: As thawing proceeds, skin flushing, blistering, or tissue edema.

Stage 2 Pressure Ulcer

  • Expectation: Partial loss of skin thickness involving the dermis.
  • Presentation: Shallow open sore, red-pink wound bed, possibly intact or ruptured blister.

Escarotomy for Circumferential Burns

  • Expected Result: Restoration of distal pulses.
  • Purpose: Relieve compartment syndrome due to edema under eschar.