acne vulgaris s/s Correct Answers -blackheads
-whiteheads
-pustules
-on the face, neck, upper back
acute appendicitis Correct Answers -inflammation of the
vermiform appendix -most common cause of emergency
abdominal surgery in children
-average age is 10 years
-affects boys and girls equally
-perforation may occur
acute diarrhea Correct Answers -sudden increase in frequency
and a change in consistency of stools -usually self-limiting
-lasts less than 14 days
-usually no treatment required unless dehydration occurs
acute diarrhea nursing care and education Correct Answers -
oral rehydration: first line of treatment for most cases of
dehydration caused by diarrhea (small frequent amounts)
-pedialyte
-avoid juice, carbonated soft drinks, caffeinated beverages and
gelatin
-BRAT diet (strict brat diet no longer recommended)
-IV fluids are used in cases of severe dehydration or when child
is unable to ingest sufficient amounts of fluid and electrolytes to
maintain balance
,acute infectious gastroenteritis Correct Answers usually viral
bacterial or parasitic
alcoholic cirrhosis labs
(alcoholic liver disease) Correct Answers Decreased NK
Decreased dendritic cells (DC)
Decreased B cells
alcoholic cirrhosis labs Correct Answers -elevated ALT & AST
-thrombocytopenia
-hypoglycemia
-elevated neutrophils
alcoholic liver disease labs Correct Answers elevated ALT &
AST
alcoholic liver disease medications Correct Answers
corticosteroids for inflammation
alcoholic steatohepatitis labs (alcoholic liver disease) Correct
Answers Decreased neutrophils and phagocytes
Reduced NKs
Impaired cytotoxic T cells
appendicitis diagnostic evaluation Correct Answers -not always
clear or straightforward
-primarily on history and physical examination
-symptoms are not specific to appendicitis and could be another
diagnosis
,-labs: CBC< CRP, urinalysis, pregnancy -CT or MRI
appendicitis postoperative nursing care Correct Answers -
wound care
-IV fluids
-IV antibiotics
-clear diet, advanced as tolerated
if ruptured:
-potential Salem sump NG to suction -potential NPO status
ambulate and control pain !!!
appendicitis symptoms Correct Answers -periumbilical pain
-nausea
-right lower quadrant pain
-fever
appendicitis therapeutic management Correct Answers -
appendectomy- surgical removal or appendix
-non perforated: laparoscopic surgery, 3 sites, IV fluids, IV
antibiotics, NPO
-ruptured or perforates: open appendectomy, larger incision
bone remodeling Correct Answers resorption
reversal
formation
resting
botulism Correct Answers Food poisoning resulting from
ingestion of the toxin produced by the anaerobic bacillus
clostridium botulinum
, Sources
-Foodborne
-Infant
-CNS symptoms appear 12-36 hours after ingestion
cardiovascular effects of obesity Correct Answers HLD
sudden cardiac death
right heart failure LV hypertrophy CAD
DVT
AF
hypertension cardiomyopathy venous stasis varicose veins
causative agent for cyanosis (skin color) Correct Answers
respiratory issues
causative agent for jaundice (skin color) Correct Answers liver
issues
causative agent for pallor (skin color) Correct Answers anemia
causative factors of pancreatitis Correct Answers alcohol,
biliary sludge, trauma, post-ERCP, hypertrogliceridemia, biliary
tract obstruction, hyperparathyroidism, steroids, cancer, mumps,
smoking, nicotine
causes of hepatitis Correct Answers -Viruses: A,B,C,D,E
-Autoimmune
-Other viruses: mono, CMV, Epstein-Barr, herpes, coxsackie,
rubella
-Bacteria: salmonella