S3 U5 questions 5

Lymphangitis

Infection and inflammation of the lymphatic vessels can be seen in pediatric cellulitis red strings going to the heart

what is zinc oxide and what is it used for

Inorganic physical sunscreen that reflects UVA radiation. Also used to protect, soothe, and heal the skin; is somewhat astringent, antiseptic, and antibacterial. diaper dermatitis

first line treatment for anxiety and OCD

SSRI antidepressants increase serotonin

Potassium Hydroxide (KOH) test

Tests for fungal skin lesion

Shell Shock (PTSD)

disease. Tiredness, irritability, dizziness, lack of concentration and headaches

When does panic disorder usually begin?

early adulthood

what part of the body is most effected by psoriasis

elbow

primary prevention of cellulitis

hand washing

sepsis VS

high RR, temp, HR low BP

primary problem of contact dermatitis

itching

What treats fungal infections?

nystatin

reaction formation (defense mechanism)

switching unacceptable impulses into their opposites hating someone but being nice to them

somatic symptoms

symptoms involving physical problems and/or concerns about medical symptoms happens with severe anxiety

Somatization

the expression of psychological distress through physical symptoms

satelite lesions

typical of candidiasis

sublimation (defense mechanism)

- Rechanneling of drives or impulses that are personally or socially unacceptable into activities that are constructive. EX: Mom of son killed by drunk driver, president of MADD. healthy defense mechanism

The nurse is developing a care plan for a client with severe generalized anxiety disorder. Which intervention would the nurse include to maintain safety? Select all that apply. One, some, or all responses may be correct. 1 Providing individual counseling 2 Collaborating with all disciplines 3 Instructing on relaxation exercises 4 Delivering calm and consistent care 5 Maintaining a low-stimulation environmen

45 Interventions that protect clients with anxiety and maintain safety include delivering calm, consistent care and maintaining a low-stimulation environment. Individual counseling, interprofessional collaboration, and relaxation techniques are treatments for generalized anxiety rather than safety measures.

Retinoids

a class of chemical compounds derived from vitamin A that are used in skin care and treatment because of their effect on epithelial cell growth used for psoriasis

altruism

a concern for others; generosity healthy defense mechanism

antipruritic

a drug that relieves itching

candidiasis

a fungal infection caused by a yeast (a type of fungus) called Candida Candida normally lives on skin and inside the body, such as the mouth, throat, gut, and vagina, without causing problems. treat with antifungals

what is thought to be associated with chronic anxiety

cardiovascular morbidity

meds for posion ivy

contact dermatitis use steroids and antipruritic because it is not infectious

should heat or cooling be used with candidiasis

cool

are coping mechanisms and defense mechanisms concsious

coping yes defense no

complications of pediatric cellulitis

septic arthritis - inflammation of the joint caused by infection meningitis blind

when is ceftriaxone given and how

pediatric cellulitis IM or IV followed by oral antibiotics

whats the first line of psychological defense against anxiety

repression - the exclusion of distressing memories, thoughts, or feelings from the conscious mind

A client who has just started on a regimen of haloperidol is observed pacing and shifting weight from one foot to the other. Which movement disorder describes the client's reaction to this medication? 1 Akathisia 2 Parkinsonism 3 Tardive dyskinesia 4 Acute dystonic reaction

1 Restlessness or the desire to keep moving (akathisia) can occur within 6 hours of the first dose of haloperidol. Parkinsonism is a different kind of movement disorder that includes tremors and shuffling gait. Tardive dyskinesia is a severe, largely irreversible, extrapyramidal side effect occurring after prolonged treatment with phenothiazines. Acute dystonic reaction is characterized by severe, bizarre muscle contractions.

Having been immobilized in a body cast or traction for an extended time, the client questions why the therapist uses a tilt table. Which response would explain the function of a tilt table? 1 "The therapy assists in preventing hypertension." 2 "The therapy encourages gradual increases in activity." 3 "The therapy maintains circulation to the skin surface." 4 "The therapy assists in preventing loss of calcium from long bones."

4 Calcium leaves the long bones during periods of prolonged bed rest and non-weight bearing on long bones. The tilt table places the client in an upright position, which provides for weight bearing. Use of the tilt table prevents orthostatic hypotension (not hypertension) by gradually allowing a previously immobilized individual to adjust to an upright position, rather than the prior horizontal position.

is candidiasis infectious

yes

wound cultures are performed to

Determine whether infection exists Determine appropriate treatment for infection (by testing the sensitivity of the cultures to various medications) Evaluate the effectiveness of treatment for infection for bacteria

Malingering

Deliberate faking of a physical or psychological disorder motivated by gain.

what kind of food should be given for someone with anxiety

high calorie

The nurse is providing preoperative teaching to a client who is scheduled for abdominal surgery. The client is fidgeting, slightly diaphoretic, and asking simple questions about information that was already provided during the education session. Which initial step would the nurse take? 1 Repeat the information, speaking slowly and distinctly. 2 Reduce the client's level of anxiety. 3 Teach the client about measures to lessen preoperative anxiety. 4 Ask the client to verbalize concerns and questions

2 Anxiety experienced by a preoperative client can be a disruptive force that may affect the client's ability to cope psychologically and physiologically. Anxiety must be alleviated for other nursing measures to be effective.

what part of the brain is involved with phobias

amygdala

what happens to skin with edema

higher risk for pressure ulcer because it breaks down skin easier

nonpharm: warm or cold for cellulitis and how often

warm compress q4h

Which initial action would the nurse take for a client who believes that doorknobs are contaminated and refuses to touch them except with a paper tissue? 1 Supply the client with tissues to maintain function until the anxiety eases. 2 Have the client scrub the doorknobs with a strong antiseptic so tissues are no longer needed. 3 Encourage the client to touch doorknobs by removing all available paper tissue until the client learns how to manage the situation. 4 Explain to the client that the idea of doorknobs being contaminated is part of the illness, so precautions are not necessary.

1 The nurse would initially supply the client with tissues to maintain function until the anxiety eases. The client is using this compulsive behavior to control anxiety and needs to continue with it until the anxiety is reduced and more acceptable methods are developed to handle it. Having the client scrub doorknobs will not change the client's behavior; the client cannot stop the compulsive act, because it reduces anxiety. Encouraging the client to touch doorknobs by removing all available paper tissue until learning how to manage the situation will greatly increase anxiety; compulsive behavior is a defense that cannot be interrupted until new defenses are learned.

what medication is often used long term for GAD

buspirone

what is an example of a t cell or cell mediated contact dermatitis

allergic dermatitis poison ivy type IV hypersensitivity delayed

Idealization (Defense Mechanism)

attributing exaggerated positive qualities to others

psoriasis is not infectious but _

autoimmune

what kind of infection is cellulitis and where

bacterial SQ tissue