Nokea
Treatment for herpes simplex virus (type 1 or 2) includes which?
- A. Corticosteroids
- B. Oral griseofulvin
- C. Oral antiviral agent
- D. Topical or systemic antibiotic
Correct Answer: C
Rationale: Oral antiviral agents are effective for viral infections such as herpes simplex. Corticosteroids, antibiotics, and griseofulvin (an antifungal agent) are not effective for viral infections.
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What is the primary treatment for warts?
- A. Vaccination
- B. Local destruction
- C. Corticosteroids
- D. Specific antibiotic therapy
Correct Answer: B
Rationale: Local destructive therapy is individualized according to location, type, and number; surgical removal, electrocautery, curettage, cryotherapy, caustic solutions, x-ray treatment, and laser therapies are used. Vaccination is prophylaxis for warts, not a treatment. Corticosteroids and specific antibiotic therapy are not effective in the treatment of warts.
What is most important in the management of cellulitis?
- A. Burow solution compresses
- B. Oral or parenteral antibiotics
- C. Topical application of an antibiotic
- D. Incision and drainage of severe lesions
Correct Answer: B
Rationale: Oral or parenteral antibiotics are indicated depending on the extent of the cellulitis. Warm water compresses may be indicated for limited cellulitis. The antibiotic needs to be administered systemically. Incision and drainage of severe lesions presents a risk of spreading infection or making the lesion worse.
Pertussis vaccination should begin at which age?
- A. Birth
- B. 2 months
- C. 6 months
- D. 12 months
Correct Answer: B
Rationale: The acellular pertussis vaccine is recommended by the American Academy of Pediatrics beginning at age 6 weeks. Infants are at greater risk for complications of pertussis. The vaccine is not given after age 7 years, when the risks of the vaccine become greater than those of pertussis. The first dose is usually given at the 2-month well-child visit. Infants are highly susceptible to pertussis, which can be a life-threatening illness in this age group.
What should the nurse explain about ringworm?
- A. It is not contagious.
- B. It is a sign of uncleanliness.
- C. It is expected to resolve spontaneously.
- D. It is spread by both direct and indirect contact.
Correct Answer: D
Rationale: Ringworm is spread by both direct and indirect contact. Infected children should wear protective caps at night to avoid transfer of ringworm to bedding. Ringworm is infectious. Because ringworm is easily transmitted, it is not a sign of uncleanliness. It can be transmitted by seats with head rests, gym mats, and animal-to-human transmission. The drug griseofulvin is indicated for a prolonged course, possibly several months.
What causes warts?
- A. A virus
- B. A fungus
- C. A parasite
- D. Bacteria
Correct Answer: A
Rationale: Human warts are caused by the human papillomavirus. Infection with fungus, parasites, or bacteria does not result in warts.