NURS 5333 GI Part 2 Study Guide +
Questions with Accurate Solutions
Direct transmission is from hand to mouth. Indirect transmission via clothing,
bedding, toilets, doorknobs, and food. After ingestion, there's about a one to two
month incubation period. After hatching, the parasites become larvae in the
intestines, and they travel to the rectum and lay eggs around the anus when the host
is asleep. And they can survive two to three weeks in an indoor environment. or they
can become airborne
Causes of pinworm infection
family contact, primary caregivers of infected children, daycare center attendance, or
institutional residence. School aged children are at highest risk. This is also common in
parents, age 30 to 39 years, due to transmission from their children. Boys are affected
twice as often as girls, except in children, five to 14 years. In this age range, infection is
more common in girls. Other risk factors are poor hygiene and improper hand
washing, crowded living conditions and warm climate.
Risk factors of pinworm infection
severe perianal intervaginal itching. There may be vulvovaginitis in girls and women.
Enuresis is common, especially in girls and women, and the itching is typically at
night, because that's when they come out to lay their eggs. So they complain of
intense itching around the anal region at night.
Assessment findings of pinworm infection
directly visualize the female worm at night, about two to three hours after the child
goes to sleep and just shine a flashlight on the anal area, you can do a glass slide
microscopic analysis to see the egg and larvae. You can use the transparent adhesive
tape test. This is where you take the scotch tape and touch it to the perianal area in
, the morning before they void or before bathing. Because stool and serology are
typically not diagnostic of this; you really need to see the actual worm you've got
to visualize it.
Diagnosis of pinworms
about careful hand washing and hygiene, washing the clothing and bedding in hot
water at the time of treatment, and daily for two to three weeks. Discourage
scratching, keep the hands away from the face and mouth, and avoid sleep overs with
infected children.
Parent education on pinworms
Pyrantel pamoate, one milligram per kilogram, with a maximum of one gram it's
high cure if two doses are given two weeks apart. Also, you can use Albendazole 400
milligrams PO times one dose and repeat in two weeks.
Meds for pinworm infection
functional abdominal pain
a childhood condition of three or more episodes of abdominal pain within three months
that interferes with daily activities, and not caused by any type of organic disease
emotional stress, school phobia, maternal depression, and anxiety,
overprotection, rigid rules, defective family coping skills, and family history
Risk factors of functional abdominal pain
a normal physical exam. You want to get a complete history and physical to include
the abdominal and rectal exam. The child's going to be a well-appearing, there'll be
afebrile. They may have normal or mild abdominal tenderness. Tenderness during
palpation, may not be proportional to the signs of the distress. You'll see normal
growth curves on the growth charts, the bowel habits of these children are normal.
Questions with Accurate Solutions
Direct transmission is from hand to mouth. Indirect transmission via clothing,
bedding, toilets, doorknobs, and food. After ingestion, there's about a one to two
month incubation period. After hatching, the parasites become larvae in the
intestines, and they travel to the rectum and lay eggs around the anus when the host
is asleep. And they can survive two to three weeks in an indoor environment. or they
can become airborne
Causes of pinworm infection
family contact, primary caregivers of infected children, daycare center attendance, or
institutional residence. School aged children are at highest risk. This is also common in
parents, age 30 to 39 years, due to transmission from their children. Boys are affected
twice as often as girls, except in children, five to 14 years. In this age range, infection is
more common in girls. Other risk factors are poor hygiene and improper hand
washing, crowded living conditions and warm climate.
Risk factors of pinworm infection
severe perianal intervaginal itching. There may be vulvovaginitis in girls and women.
Enuresis is common, especially in girls and women, and the itching is typically at
night, because that's when they come out to lay their eggs. So they complain of
intense itching around the anal region at night.
Assessment findings of pinworm infection
directly visualize the female worm at night, about two to three hours after the child
goes to sleep and just shine a flashlight on the anal area, you can do a glass slide
microscopic analysis to see the egg and larvae. You can use the transparent adhesive
tape test. This is where you take the scotch tape and touch it to the perianal area in
, the morning before they void or before bathing. Because stool and serology are
typically not diagnostic of this; you really need to see the actual worm you've got
to visualize it.
Diagnosis of pinworms
about careful hand washing and hygiene, washing the clothing and bedding in hot
water at the time of treatment, and daily for two to three weeks. Discourage
scratching, keep the hands away from the face and mouth, and avoid sleep overs with
infected children.
Parent education on pinworms
Pyrantel pamoate, one milligram per kilogram, with a maximum of one gram it's
high cure if two doses are given two weeks apart. Also, you can use Albendazole 400
milligrams PO times one dose and repeat in two weeks.
Meds for pinworm infection
functional abdominal pain
a childhood condition of three or more episodes of abdominal pain within three months
that interferes with daily activities, and not caused by any type of organic disease
emotional stress, school phobia, maternal depression, and anxiety,
overprotection, rigid rules, defective family coping skills, and family history
Risk factors of functional abdominal pain
a normal physical exam. You want to get a complete history and physical to include
the abdominal and rectal exam. The child's going to be a well-appearing, there'll be
afebrile. They may have normal or mild abdominal tenderness. Tenderness during
palpation, may not be proportional to the signs of the distress. You'll see normal
growth curves on the growth charts, the bowel habits of these children are normal.
