Predisposing Factors:

Non-modifiable: Precipitating Factors:​

young Age (21 years old) Bacteria (Streptococcus
female infection)
Weak Immune system Virus (adenovirus,
rhinovirus, influenza,
Modifiable: coronavirus, and
germ exposure respiratory syncytial
Lifestyle virus)​

Exposure to a pathogen

NCP #2 Imbalanced nutrition less than NCP #3 Disturbed sleep pattern

body requirements related to related to nonrestorative sleep
susceptible host and
insufficient dietary intake as pattern as evidenced by feeling
virulent pathogen
evidenced by a BMI of 16.6 kg/m2 unrested

presence of a viral
pathogen

pathogen colonizes the pathogen colonizes

nasopharynx oropharynx
LEGEND:

Precipitating and
Predisposing Factors
WBC: 11.66
Pathophysiology white blood cell (WBC) x10^3/mm³(H)
activation Neutrophil; 80%
inflammatory cytokine
(H)
release
Manifestations

WBCs infiltrate site of

Nursing Diagnosis infection

increased inadvertent systemic

Laboratory results
vascular cellular injury inflammatory
permeability and hemolysis cytokines WBCs kill (B-
Medical Diagnosis disrupt cells) pathogen
hypothalamic
Sequential regulation

leakage of tonsillar
accumulation and
protein and petechiae and
deposition of
fluid into erythema
cellular debris and
surrounding fever
products of
tissue inflammatory
response

swelling and increased lymph

irritation drainage to tonsillar exudate
regional nodes

tonsillar
nasal tissue
tissue
enlarged
anterior
cervical nodes
NCP #1 Acute pain related to
infection of the tonsils as evidenced tonsillar nasal
by dysphagia and facial grimace while edema congestion
swallowing and a pain scale of 7/10

nasal
discharge
irritates back
of throat

cough

ACUTE EXUDATIVE
TONSILLOPHARYNGITIS