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FNP Review 9
GI red flags
Question | Answer | Rationale |
---|---|---|
Leukocyte count reference range: total leukocyte, neutrophils, lymphocytes, monocytes, eosinophils, basophils | total leukocytes: 4-11 X 10*9 neutrophils: 2.5-7.5 X 10*9 lymphocytes: 1.5-3.5 X 10*9 monocytes: 0.2-0.8 X 10*9 eosinophils: 0.04-0.4 X 10*9 basophils: 0.01-0.1X 10*9 | |
T/F: Abdominal pain lasting > 6 hours or pain that wakes the patient at night requires evaluation and possible referral. | True | |
presents as projectile vomiting in infants between 2 weeks and 5 months of age | pyloric stenosis | |
etiology and pathophysiology of pyloric stenosis | hypertrophy of pyloric muscle, which causes increasing duodenal obstruction | |
subjective data for pyloric stenosis | hungry infant, willing to eat after vomiting but becomes progressively dehydrated | |
objective date for pyloric stenosis | dehydration, palpable pyloric mass(felt during feeding or immediately after vomiting); visible gastric peristaltic waves from left to right across the abdomen | |
treatment for pyloric stenosis | refer to a pediatric surgeon immediately | |
T/F: Patient who presents with fever, chills, leukocytosis and rebound tenderness warrants rapid assessment and referral to an acute care facility. | True | Patient need a surgical consultation. |