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NURS 4130 CLINICAL EXAM 3 2025-2026| 51 QUESTIONS WITH ANSWERS|A+VERIFIED
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Which parasites have a life cycle that goes through the lungs? Ascaris Hookworm Which parasites have a fecal-oral life cycle? Ascaris Whipworm Pinworm Giardia Amoeba Diseases spread by a mosquito vector or flies Wucheria bancrofti (elephantiasis) Onchocerca volvulus
Malaria Wucheria bancrofti (elephantiasis) transmission, maturity, host location, symptoms mosquito transmitted 6 month maturity host location: lymphatics asymptomatic filariasis inflammatory filariasis (fever, headache, vomiting, inflammation) obstructive filariasis (elephantiasis) extreme swelling of lymphatics specifically in legs Onchocerca volvulus (onchocerciasis): common name, transmission, maturity, host location, symptoms River blindness simulian black fly 6-12 mo maturity host location: subcutaneous tissue premature wrinkling, subcutaneous nodules, conjunctivitis, corneal scarring
how a person becomes infected with giardia in the developing world and in the US. water borne outbreaks, reservoirs (beavers, dogs), close contacts (day care centers, mentally impaired housing) giardia cysts ingested, activated by passage through stomach, harbored in jejunum Prevention of the spread of intestinal parasites treat water dispose feces properly hand washing washing of food wear shoes How does Elephantiasis occur (microfilariae)? mosquito (6-20days) larvae in proboscis larvae travel from proboscis to skin larvae enter bite wound and migrate to lymphatics 6 mo maturity
fibrous tissue inflamed by filariae which obstruct lymph channels varies of lymph channels develop Clinical manifestations of Pinworm infection. perianal itching restless sleep visible observation of worm "tape test" on butt, check for worms What conditions and/or infections, discussed in class, cause anemia in the developing world? hookworm whipworm malaria schistosomiasis Best preventive measures for Blood Flukes (Schistosomiasis/Bilharzia) avoid fresh water that is contaminated
bloody diarrhea liver enlargement accumulation of fluid in the abdomen eggs int the stool specimen Amoeba complications perforation of bowel liver abscess brain abscess Prevention for getting infected with tapeworms eliminate "night soil" thoroughly cook meat Hookworm contamination soil through skin
Malaria, cycle of contamination, clinical presentation, prevention, complications sporozoites into blood vessel in liver, sporozoites divide and form merozoites rupture from liver cell merozoite divides in RBC RBC ruptures RBC turns into gametes gametes get picked up by mosquito Breastfeeding benefits to mother and child helps uterus to contract bonding keep baby warm baby needs mother's milk causes of severe bleeding after delivery retained placenta vaginal or uterine tear uterine atony
-tearing sensation in abdomen, constant and severe abdominal pain, ability to palpate fetus prenatal check ups good history and do physical exam determine due date growth of baby height weight fundal height BP swelling, HA, flashing lights anemia urine for protein pelvic exam tetanus immunization Naegele's rule first day of last period subtract 3 months add 7 days preeclampsia
swelling of feet hands and face high BP severe headache sudden weight gain protein in urine eclampsia all of preeclampsia + seizures positions of baby normal (Facing backward head first) abnormal position (facing forward) face brow breech shoulder women who are considered at special risk in their pregnancy women in developing worlds
stage 2 of labor delivery of baby push with contractions water breaks should be head first comes out slowly never pull or twist head head is biggest part to deliver stage 3 of labor delivery of placenta usually from 5 min to 1 hour after delivery contractions continue do NOT pull on cord have mother squat and push. breastfeed always check placenta to be sure intact Types of female genital mutilation sunna (excision of prepuce with or without clitoral excision) clitorectomy (excision of clitoris with partial or total excision of the labia minora) infibulation (excision of part of all of external genitalia and stitching or narrowing the vaginal opening
type 4 all other harmful procedures to the female genitalia for non medical purposes health problems related to FGM STDs hemorrhage shock urination problems cysts infections newborn deaths cultural aspect of this practice circumcised to be accepted enhances femininity (Removes ugly male part) makes one pure if baby touches clitoris it will die increases fertility reduced promiscuity and preserves virginity easier to keep clean
dehydration vomiting rapid respirations collapse and shock death cholera mode of contamination drinking water or eating food contaminated with cholera bacteria cholera treatment rehydration oral medication adults (doxycycline, cipro, bactrim DS) pediatrics (erthromycin, doxycycline, zinc) Guinea worm infection prevention blisters absess or boil worm visible under skin
fibrosis of joints treat secondary infection tetanus shot clean and soak area in cod water until worm appears slowly roll worm out on a small stick or moist rolled gauze filter water thru clean cloth or filter protect water source and provide clean drink Dengue sings and symptoms, name of the vector. aedes aegypti mosquito high fever chills severe headache pain behind eyes severe muscle and joint pain nausea and vomiting swollen lymph nodes rash second infection
progresses to GI symptoms with severe watery diarrhea nausea vomiting pain bleeding renal failure liver failure multi organ failure Luke 4: 18- "The Spirit of the Lord is on me, because he has anointed me to proclaim good news to the poor. He has sent me to proclaim freedom for the prisoners and recovery of sight for the blind, to set the oppressed free,
