exam 5 Flashcards
What histamine releasing mas cells are attached to?
organ tissue
with passive-acquired immunity, where are the antibodies acquired from?
outside the host and instilled in the host
what is a “large shift to the left” on a complete blood cell count
neutrophils are greater than 60%
what a symptom is that is pertinent to a possible diagnosis of systemic lupus erythematous
butterfly shaped rash on the face
If a hospitalized patient was prescribed dexamethasone (Decadron) for an allergic reaction, what teaching instruction would the nurse want to give at discharge?
do not stop abruptly and take with meals to prevent GI discomfort
if a person taking Decadron complains of insomnia, know what meal the patient should take the drug with
breakfast
When developing a nursing care plan on a patient with HIV, know what the care plan should include
aseptic technique to prevent infection
if an 11 year old girl is diagnosed with ITP, idiopathic thrombocytopenia purpura, know what the parental statement, regarding medications, would indicate nursing teaching has been successful
avoid sulfa drugs
If a nurse is preparing a patient for liver-spleen scan, know what intervention is the most important before the scan
any allergies to contrast medium
When healthy bone marrow is growing back after chemotherapy in patients with leukemia, what is the patient at greater risk for?
infection and bleeding
if the nurse has assessed a neutrophil count of 900/mm3, on a patient with acute leukemia, know what the nurse should implement on the patient
compromised host precautions
If a 24 year old woman is admitted to the hospital for a complete medical examination, know what s/s would indicate SLE?
joint pain, musculoskeletal pain
In a patient with acute leukemia, what lab result would indicate that the drug protocols are not effective
platelet count
what observation by the nurse, would indicate a patient’s acceptance of the diagnosis acute leukemia
asking for additional information
If a patient with leukemia has a nursing diagnosis of: imbalanced nutrition: less than body requirements”, know what goal would be realistic for this patient
stable body weight
what drug is given to a patient who has just undergone a bone marrow transplant to stabilize the immune response and prevent rejection
Decadron
the name of the bone marrow transplant that uses the patient’s own bone marrow
autologous
how would a nurse give an example of innate immunity, by comparing it with a human’s immunity, related to what disease
foot and mouth disease
in the preparation to perform skin testing, what should the nurse do?
re-examine in 2-3 days - check for swelling
according to the CDC, know what population is the highest risk for HIV infection in the US
African Americans
what does the enzyme reverse transcriptase transcribe
HIV RNA into HIV DNA
when a nurse takes into consideration planning care for a patient with HIV, what is a common for of HIV transmission and what would the nurse tell the patient?
male to male sexual contact
When assessing a patient with AIDS for risk factors, know what the most risky behavior is
anal sex with a condom
if a very anxious man comes to a clinic believing that he may have HIV infection, due to persistent influenza like s/s and his risky sexual behavior, know what the patients blood analysis would show
positive ELIZA - high levels of HIV infected cells with elevated antibodies
how long does the initial stage of an HIV infection last?
4-8 weeks
how would a nurse know that teaching for a patient with HIV in the latent phase, has been effective?
they won’t have any symptoms
In a patient diagnosed with HIV, that has “Microsporidiosis” what should the teaching plan include?
drink the liters of fluid everyday
When a patient with HIV is diagnosed with PML - progressive multifocal leukoencephalopathy, know what the nurse should encourage the patient to do
make a plan for their death
what is the nursing diagnosis that would take priority in the care of an outpatient with AIDS
therapeutic regimen - medications
by removing a potted plant from the room, of a patient with AIDS, what disease will this prevent?
aspergillosis
If a patient with HIV develops shingles, know what childhood disease exposure this is related to
chicken pox
when giving a patient with “oral hair leukoplakia” liquids, know what implementation the nurse could use for comfort
drink from a straw
if a patient is tested for HIV and the “ELISA” test is positive, then know what the next course of action is
western blot test
If a patient with HIV is prescribed “HARRT” therapy, know what the nurse should tell the patient about inconsistent administration of the drug
patient can develop a resistant strain of HIV
