LEARN MORE...

Home
Documents
July 2022
22
Nur 265 exam 4

Nur 265 exam 4

Content type

User Generated

Uploaded By

oevnaelna

Pages

Showing Page:

1/16

NUR 265 EXAM 4

Lupus: Hallmark sign Correct Answer: butterfly rash on face

Lupus: Indication of flare Correct Answer: Fever and fatigue

*also assess BUN function

*c reactive protein remains normal

Lupus: Interventions Correct Answer: -Falls precautions

-treat pain with tylenol and NSAIDS (monitor kidney function)

-AVOID SUNLIGHT

-REPORT FLARE IMMEDIATELY

-clean skin with mild soap and pat dry and apply lotion

Lupus: medical management Correct Answer: -hydroxychloroquine(anti-malarial) decreases absorption

of UV light

Scleroderma Correct Answer: inflammatory, autoimmune connective tissue disease

Scleroderma: Hallmark Sign Correct Answer: Hard, leather-like edematous skin

Late: esophageal dismotility

Scleroderma: Assess Correct Answer: Swallow safety--esophageal dysmotility (ASPIRATION)

circulation

skin

Scleroderma: Interventions Correct Answer: aspiration precautions (keep HOB at 60 degrees during

meals and after)

skin protection measures

small frequent meals--avoid caffeine and alcohol

-avoid spices, caffeine and pepper

fibromyalgia: S/sx Correct Answer: extreme fatigure

GI symptoms

dysuria

blurred vision

forgetfulness

fibromyalgia: Assess Correct Answer: pain level

extreme fatigue

GI symptoms

Showing Page:

2/16

Fibromyalgia: Interventions Correct Answer: NSAIDS

Nuerontin (gabapentin)

Lyrica (pregabalin)

SNRI and tricyclic antidepressants (amitriptyline)

promote sleep and low impact exercise (stretching, walking, swimming, rowing, water exercise)

Lyme Disease: Hallmark sign Correct Answer: stage 1: "bulls eye rash" and flu-like symptoms

Stage 2: facial paralysis, carditis, meningitis

Lyme Disease: Assess Correct Answer: Skin

history of tick bites

Lyme Disease: Interventions Correct Answer: prevention!

Insect repellant with DEET

early stage--doxycycline antibiotics ORAL

late stage--Iv antibiotics (ceftriaxone)

avoid tall grass

wear light colored clothing

have pets wear tick collars

Allergic Reaction Priority Correct Answer: STOP THE INFUSION/ELIMINATE the trigger, then STOP the

immune response

Give Epi

maintain airway

Latex allergy: risks Correct Answer: -frequent use of latex condoms

-healthcare workers

-allergy to avocados, bananas, and some nuts

Anaphylactic shock Correct Answer: AIRWAY--give epi IV or IM STAT and intubate if needed

BREATHING--apply O2; mechanically ventilate

CIRCULATION--monitor for distributive shock; give fluids

Epinephrine Auto-injector teaching Correct Answer: always carry 2 devices

inject by "stabbing" into top of thigh with pants on (AVOID pockets)

call 911 immediately--patient still needs to be monitored

keep epi in cool dark place.

Immunocompromised Patient Correct Answer: -Do not drink anything that has been sitting out

-take temp at least once per day

-clean toothbrush once weekly in diswasher or bleach solution

-do not eat raw foods; salad, cottage cheese

-do not scoop litter boxes

-no plants or soil exposure

-antibacterial soap

Showing Page:

3/16

-AVOID reptiles

HIV: Assess Correct Answer: CD4 count

ELISA test once per year for at risk patients

HIV: Interventions Correct Answer: PREVENTION:

-condoms

-PreP (truvada) must take 4 consecutive days in a row before protected; cant miss more than one dose

in a row

-needle safety

-post exposure prophylaxis-start cART within 24-36 hours of exposure

HIV: Nutrition Correct Answer: high calorie

high protein

low fat

small frequent meals

thrush--treat with anitfungal

HIV tx: HAART/cART Correct Answer: DOES NOT CURE

Does not prevent secondary/opportunistic infections

MUST TAKE 90% of the time --otherwise resistance will occur

HIV: complications --- AIDS Correct Answer: CD4 count less than 200mmhg

most likely to experience opportunistic infections

--I.e Pneumocystic jiroveci pneumonia (ASSESS AIRWAY!!)

consult pallative care/hospice

candida albicans Correct Answer: -Hallmark sign-- white patches in the mouth

-"food doesnt taste right"

-If patient wants a coke they can have it! They just have to rinse mouth out with water (fungus loves

sugar)

tuberculosis Correct Answer: hallmark sign-- night sweats, high fever, cough

-airborne isolation

-do not trust TB skin test in client with HIV

Fungal pneumonia Correct Answer: ABC's

monitor ABG--if hypoxemia present

antifungal drugs IV

External Radiation Correct Answer: -teach client to leave markings in place

-use sunscreen

-wash skin with mild soap and use lotion frequently

Breast Cancer: Risks Correct Answer: -BRCA 1&2 genes (preventative mastectomy)

-women age 65-80

-elevated estrogen levels

-alcohol consumption

Showing Page:

4/16

End of Preview - Want to read all 16 pages?

Access Now

Unformatted Attachment Preview

NUR 265 EXAM 4 Lupus: Hallmark sign Correct Answer: butterfly rash on face Lupus: Indication of flare Correct Answer: Fever and fatigue *also assess BUN function *c reactive protein remains normal Lupus: Interventions Correct Answer: -Falls precautions -treat pain with tylenol and NSAIDS (monitor kidney function) -AVOID SUNLIGHT -REPORT FLARE IMMEDIATELY -clean skin with mild soap and pat dry and apply lotion Lupus: medical management Correct Answer: -hydroxychloroquine(anti-malarial) decreases absorption of UV light Scleroderma Correct Answer: inflammatory, autoimmune connective tissue disease Scleroderma: Hallmark Sign Correct Answer: Hard, leather-like edematous skin Late: esophageal dismotility Scleroderma: Assess Correct Answer: Swallow safety--esophageal dysmotility (ASPIRATION) O2 circulation skin Scleroderma: Interventions Correct Answer: aspiration precautions (keep HOB at 60 degrees during meals and after) skin protection measures small frequent meals--avoid caffeine and alcohol -avoid spices, caffeine and pepper fibromyalgia: S/sx Correct Answer: extreme fatigure GI symptoms dysuria blurred vision forgetfulness fibromyalgia: Assess Correct Answer: pain level extreme fatigue GI symptoms Fibromyalgia: Interventions Correct Answer: NSAIDS Nuerontin (gabapentin) Lyrica (pregabalin) SNRI and tricyclic antidepressants (amitriptyline) promote sleep and low impact exercise (stretching, walking, swimming, rowing, water exercise) Lyme Disease: Hallmark sign Correct Answer: ...
Purchase document to see full attachment