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NUR 131 exam 2

Quiz yourself by thinking what should be in each of the black spaces below before clicking on it to display the answer.
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Question
Answer
males can become serile from mumps   show
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show varicella Zoster, chicken pox  
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show secondary bacterial inf, CNS comps, seizures, pneumonia, reyes  
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show poliomyelitis  
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show pertussis, whooping cough,  
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vacination for whooping cough   show
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inc 2-5 days, inf 2wks to mths, droplet, sore throat, foul smelling, gray membraine on tonsils , fever, hearth failure,   show
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show diptheria antitoxin and antibiotics  
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tx for pertussis   show
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live/attenuated vacines that have to b adm in 15 min   show
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show  
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bacteria; toxins that have been inactivated by heat/chem   show
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antibodies, temp passive immunity, nfor exposures   show
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bacteria found in soil, anarobic bacteria, HA, stiffness in jaw/neck   show
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show HIB-hemophilus Influenza type B  
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show streptococcus pneumonia meningitis Prevnar7  
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show hepatitis b  
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show infant gets hep b vac and hep b immune globulin  
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hept b vac   show
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show VAERS vaccine adverse effect reporting  
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expected side effects os vaccines   show
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majority of accute illness in children are caused by   show
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upper resp tract   show
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show otitis media  
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show amoxicillin 80-90mg/kg/day divided into two doses, tx fever/pain, myringotomy, tympanostomy, adenoidectomy  
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show myringotomy  
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show lymphoid tissue that protect resp/ailmentary tracts from invasion of org  
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show comfort, low activities, soft/liquid diet, cool mist vapor, warm salt water gargles, losenges, analgesic,antipyretic meds  
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show avoid, spicy foods, gargles/virgorus brushing, coughing/clearing throat, analgesics/ice collor for pain, mouth oder common  
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show croup  
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laryngotracheobronchitis occurs in   show
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epiglottitis occurs in   show
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show accute epiglottitis  
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show airway closed, inc pulse, restlessness, retractions, anxiety inc, inspiratory stridor, drooling. emergency tracheomoty  
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most common croup syndrome affects children under 5   show
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lower resp tract   show
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show bronchitis, tx analgesics, antipyretics, and humidity  
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acute inf, bigest cause of hosp of children, can develop asthma, narrowing bronchioles prevents air from leaving, emphysema   show
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symptoms of RSV   show
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pain of pneumonia can b confused w appendicitis   show
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show foreign body aspiration  
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chronic inflam disorder of the airwyas, expiratory wheezing, chest tightness, breathlessness and cough   show
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viscosity of mucous gland secretions clogs lungs, obstructs ducts of pancreas preventing digestive enzymes going to intestines   show
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prevention of sids   show
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separation anxiety   show
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severe emotional threat for adolescents   show
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focus on childs developmental age not chronilogical   show
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greatest stress of hosp of child   show
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show  
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show  
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show from r side of the heart and pulmonary circulation  
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oxygenated blood goes..   show
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show from the atmosphere to the alveoli  
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gases in and out of the lung   show
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show perfusion  
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show diffusion  
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show CO2  
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active process stiulated by chemical receptors in aorta   show
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passive process that depends on elastic recoil of lungs   show
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show COPD  
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chemical produced in lungs tgo prevent alveoli from collapsing   show
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show work of breathing  
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show crackles, hypoxiaq, SOB on exertion, nocturnal dyspnea  
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show wt gain, distended neck veins, hepatomegaly,spienomegaly and dependent peripheral edema  
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show 24-28%  
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leading cause of atherosclerosis   show
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show effects 60-80 yrs, hispanics women, afro am, parethesia, red foot down, white foot up,intermitent claudation  
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PAD clinical ass   show
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show smoking, lipid elevation, HTN, DM, history, obesity  
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show atrophy of skin/muscles, delayed healing, wound inf, amputation  
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show doppler, duplex imaging(map blood flow), ankle-brachial index(compares BPs, angiography, MRA  
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show varicose, congenital weakness, bad valves, saphenous vein system  
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show discomfort, swelling, nocturnal leg cramps,  
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show thrombophlebitis  
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clinical findings for DVTs   show
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show venous compression ultrasound, duplex ultrasound, CT, MRI, phlebogram  
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show mobile, positioning q 2hr, f/e of feet, knees, hips q 2-4hrs, teds, compression (not on effected side), anticoag  
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show vitamin K antagonists, indirect thrombin unhibitors,direct thrombin inhibtors, factor Xa inhibitors  
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show warfarin (Coumadin), INRs (2.0-3.0), antidote=vit K, no NSAIDS, ASAs, herbal sups, green leafies  
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indirect thrombin inhibitors   show
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show lepirudin (Refludan)  
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factor Xa inhibitors   show
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show HIT heparin induced thrombocytopenia  
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two major groups of cardiovascular disorders   show
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congenital heart disease   show
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acquired heart disorders   show
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show atrial septum defect-blood flows from l to r atrium  
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show CHF, low growth, sys/dys murmur, dysthrythmias, pulmonary vascular obstructive desesase, emboli  
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surgical tx of ASD   show
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abnormal opening between teh r/l ventricles   show
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clinical findings for VSD   show
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show pulmonary banding, complete repair, sutures, patch  
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most common cardiac defect in children   show
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clinical findings for AVSD   show
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surg tx for AVSD   show
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failure for fetal ductus arteriosus to close wi the 1st few week of life   show
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show tetralogy of fallot  
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show emboli, seizures, LOC, sudden death  
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show coarchtation of the aorta  
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show HTN, ruptured aorta, aortic aneurysm, stroke  
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inability of teh heart to pump an adequate amount of blood to the meet systemic circulation needs   show
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causes of CHF in children   show
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med for CHF   show
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show inc cardiac output, dec heart size, relief of edema  
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show vasodilation, dec BP, reduce afterload  
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show dec HR, BP, vasodilation  
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show lasix, depletes vit K, Pot sups  
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cheifncause of death in downs   show
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show rheumatic fever  
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meds for rhematic fever   show
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show iron deficiency anemia-12-36mths at risk from milk, dec RBC production, reduction of O2 to tissues  
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clinical findings in iron deficiency anemia   show
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show  
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inherited autosomal recessive disorder, abnormal HGB shape   show
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clinical findings of sickle cell anemia   show
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tx of sickle cell   show
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show dec fever, resp probs, hydrate, daily wt, pain, heat, no cold compresses, pulse ox  
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group of bleeding disorders w deficiency of one of the factors necessary for coagulation   show
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show no asprin, use NSAIDS, monitor bleeding, non IMs, RIce  
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rice   show
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acquired hemorrhagic disorder   show
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excessive destruction of platelets   show
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discoloration caused by petechiae   show
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clinical findings of idiopathic thrombocytompenic purpura   show
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tx of idiopathic thromvbocytopenic purpura   show
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show impetigo-can b secondary inf caused by staph aureus  
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show yellow crusting lesions with yellow drainage  
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tx for impetigo   show
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superficial inf caused by fungi called dermatophytes   show
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tx for capitis, corporis   show
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tx of cruris, pedis   show
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triggers of Herpes 1 and 2   show
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show oral antiviral=acyclovir, valtrex 500mg bidx5days, cool compresses  
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show pediculosis=direct contact  
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show remove nits/eggs daily, 1% permethrin (Nix/RID), laundry hot water/dryer, spray to furniture  
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show scabies=close contact  
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clinical findings of scabies   show
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show 5% permithrin cream (Elimite), laundry in hot water/dryer,  
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show contact dermititis=diaper rash, usde steroid cream  
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show atopic dermititis=eczema  
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show vasoline, eurcerine, neivia, mild soap, hydrocortisone cream  
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show acne vulgaris  
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clinical findings of acne vulgaris   show
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show rest, exercise, well balanced diet, reduce stress, cleansing  
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show tx of acne valgaris, causes depression, must b on 2 forms of BC, causes birth defects  
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most common intestinal parasite in US   show
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show diarrhea, V, cramps, greasy stool,  
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force of stress on the ligament results in displacement of the bone end from its socket   show
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ligament is partially or completely torn or stretched by the force created as a jt is twisted or wrenched, sudden   show
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microscopic tear, occurs over time   show
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show pulselesssness, pain, palor, paralysis, parathesia  
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purpose of traction   show
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show for muscle spasms and to dec back pain  
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exerts force directly on the body surface on children <30#.   show
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exerts greater force and is tolerated more than skin   show
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show external fixation  
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plantar flexed foot w inverted heel and adducted forefoot, more in boys and one foot   show
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show upper femoral growth plate, related to rapid growth, obesity, girls 12, boys13 1/2  
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clinical findings for slipped capital femerol epiphysis   show
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tx for slipped capital femerol epiphysis   show
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show aseptic necrosis of femoral head, more in boys 4-8yrs, self limiting,  
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show limp, hip,thigh, knee jt soreness, limited ROM,  
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show rest, NWB, traction to stretch abductor muscle, abduction cast pelvic or femoral osteotomy  
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show no tx if <10-20*, depends on age and >20-40 requires surgery  
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show prevents further curvature, wear 20-22 hrs,  
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surgical intervention of scoliosis   show
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Osgood-schlatter disease   show
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bacterial inf of the bone from staph aureus   show
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show tenderness, warmth, swelling, pain  
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show muscular dystrophy  
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show duchenne  
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show meet miles stones until 3, 3-7 muscles hypertrophied, waddling gait, cant do stairs, scoliosis, in WC by Jr High, no cure  
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show Barium enema,  
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Similar preparation as for the barium enema, clear liquids the day before, light sedation is required   show
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protrusion of viscus through an abdominal opening or a weakened area in the wall of the cavity where it is normally contained   show
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blood supply is cut off, surgery is immediate   show
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show incarcerated  
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show reducible  
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hernia is when it escapes through the posterior inguinal wall   show
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hernia is when the protrusion escapes through the inguinal ring .   show
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show inguinal hernia  
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show  
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show constipation  
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maloderous stool,ab distention, vomiting, constipation no flatus   show
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detectable obstruction from surgery   show
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neurochemical or vascular disorder, after ab surgery   show
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show NG tube, strict I/Os, IV fluids, NPO  
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Care of Nasogastric tubes   show
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1/4 or 1/2 colon removed at decending or transvers   show
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entire colon removed, sm intestine used for stoma   show
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Psychological preparation for colostomy   show
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dusky blue stoma indicates   show
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show necrosis  
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ns care for hemmoroids   show
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leading cause of illness in children under the age of 5 years   show
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most common cause of diarrhea in children under 5   show
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dull pain in preimbilical area then to RLQ, low fever, N, anorexia, rebound pain   show
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show rupture  
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show inc WBC, abnormal sonogram, clinical signs  
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show anitbiotics,rehydration, laproscopic removal  
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show IV fluids, anitibiotics, electrolytes, NG suction until bowel activitiy returns  
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Common cause of acute intestinal obstruction in children less than 5 years of age   show
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Tx for intussusception   show
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Mechanical obstruction caused by inadequate motility of part of the intestine, occurs in 1 in 5000 live births.   show
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show nerve cells are missing from last part of intestine  
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Clinical manifestations of hirshsprings disease   show
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show remove the aganglionic portion of the bowel to relieve obstruction and restore normal bowel function  
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show ab girth, low fiber, high cal/protein,stoma care,  
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show intimate, social, public, personal  
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show social, consent, intimate  
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phases of relationship   show
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A sign that an inflamed appendix is worsening   show
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sign of intussusception   show
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show radiologist guided air enema?  
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May be indicated by sudden pain relief in a child with acute appendicitis   show
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show stoma care?  
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show infectious diarrhea?  
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show rehydration?  
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Interventions that promote regular bowel movements in children   show
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show fecal and oral transmission?  
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A sign of Hirschbrungs disease   show
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show semi formed stool?  
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show the output has not entered the colon?  
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show skin care around the ileostomy site? skin care around the ileostomy site?  
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A sign of ischemia in a stoma   show
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show willingness to take of the ostomy?  
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show abdominal surgery?  
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show a surgical adhesion?  
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show constipation?  
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Hernia in which the blood supply is cut off   show
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show achieve good visualization of the bowel?  
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The day that discharge for hospital starts   show
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What is the termination phase?   show
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When intake or output should be charted   show
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The zone of personal space in which the nurse hugs a grieving relative   show
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A task that is not within the scope of practice of an LPN   show
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show perforation of the bowel ?  
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