Exam 5 CH 13,25,32,33,34 Flashcards
Know what histamine releasing mast cells are attached to
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With passive-acquired immunity, know where the antibodies are acquired from
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Know what a “large shift to the left” is on a complete blood cell count
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Know what a symptom is that is pertinent to a possible diagnosis of systemic lupus erythematosus
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If a hospitalized patient was prescribed dexamethasone (Decadron) for an allergic reaction, what teaching instruction would the Nurse want to give at discharge
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If a patient taking Decadron complains of insomnia, know what meal the patient should take the drug with
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When developing a nursing care plan on a patient with HIV, know what the care plan should include
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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
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If a Nurse is preparing a patient for liver-spleen scan, know what intervention is the most important before the scan
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When healthy bone marrow is growing back after chemotherapy in patients with leukemia, what is the patient at greater risk for?
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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
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If a 24 year old woman is admitted to the hospital for a complete medical examination, know what s/s would indicate SLE?
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In a patient with acute leukemia, what lab result would indicate that the drug protocols are not effective
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Know what observation by the Nurse, would indicate a patient’s acceptance of the diagnosis acute leukemia
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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
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Know what drug is given to a patient, who has just undergone a bone marrow transplant, to stabilize the immune response and prevent rejection
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Know the name of the bone marrow transplant that uses the patient’s own bone marrow
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Know how a Nurse would give an example of innate immunity, by comparing it with a human’s immunity, related to what disease
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In the preparation to perform skin testing, know what the Nurse should do
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According to the CDC, know what population is the highest risk for HIV infection in the US
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Know what the enzyme reverse transcriptase transcribes
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When a Nurse takes into consideration planning care for a patient with HIV,what a common form of HIV transmission is, what would the Nurse tell the patient
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When assessing a patient with AIDS for risk factors, know what the most risky behavior is
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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 patient’s blood analysis would show
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Know how long the initial stage of an HIV infection usually lasts
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How would a Nurse know that teaching, for a patient with HIV in the latent phase, has been effective? What would the patient say?
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In a patient diagnosed with HIV, that has “Microsporidiosis”, what should the teaching plan include?
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When a patient with HIV is diagnosed with “PML, progressive multifocal leukoencephalopathy”, know what the Nurse should encourage the patient to do
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Know what the nursing diagnosis would be, that would take priority in the care of an outpatient with AIDS
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By removing a potted plant from the room, of a patient with AIDS, what disease will this prevent?
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If a patient with HIV develops shingles, know what childhood disease exposure this is related to
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When giving a patient with “oral hair leukoplakia”liquids, know what implementation the Nurse could use for comfort
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If a patient is tested for HIV and the “ELISA” test us positive, then know what the next course of action is
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If a patient with HIV is prescribed “HARRT” therapy, know what the Nurse should tell the patient about inconsistent administration of the drug
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Know what a major focus in a teaching plan would be, for a patient with sickle cell anemia
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Know what a normal hematocrit value is, in comparison to hemoglobin value
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If an LVN is caring for a patient having a blood transfusion and the patient is wheezing and complaining of back pain, after the Nurse stops the transfusion, know what the Nurse should do next
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If a patient is receiving “Epogen” know how soon and increase in the RBC’s will occur
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Know how a Nurse would explain a “sickle cell crisis”, what happens to the sickle-shaped red blood cells
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Know which alternative therapy used for menopause s/s, can cause purpura on a patient’s arms
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Know what the rationale for administering injections of vitamin B12 to patient’s with pernicious anemia is
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Know what foods the Nurse would educate a patient to eat, if the patient has iron-deficiency anemia
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Based on a nursing assessment, know what an appropriate nursing diagnosis for a patient with hemophilia would be
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If a child is placed on the drug “hydroxyurea” for sickle cell anemia, how would the Nurse explain the drug
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If a patient received 1 unit of platelets, with a platelet count of 20,000/mm3, what would the patient’s platelet count increase to?
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If a Nurse gives Ferrous Sulfate (Feosol) to a home health patient, know what the Nurse should do
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Know what a Nurse should look for when assessing a patient for thrombocytopenia
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In preparing a care plan for a 90 lb, 82 year old woman with iron deficiency anemia, with a hemoglobin of 5.2, what would be the most appropriate nursing diagnosis?
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If a school Nurse starts a clean-up campaign at a local elementary school, in an effort to combat some allergens, know what one of the most common allergic response disorders is
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Know what medication, given to a patient with severe inflammatory response, mimics a hormone secreted by the adrenal cortex. What is the hormone?(
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With the exposure to an antigen, histamine is released, which is the initiator of the inflammatory response. Know what histamine is released from.
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If a mosquito or a fly carries an organism that infects another living organism, know what this mode of transmission is (ie., what does the transmission go thru)
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What should a home health Nurse teach a family, to teach the most effective method to control the spread of communicable disease?
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Why would a home health Nurse recommend an air conditioner duct cleaning? Diseases caused by what?
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If a Nurse is taking care of a patient that is immunosuppressed and trying to protect the patient from infection, what are some of the things the Nurse wouldn’t allow in the patient’s room?
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Some drugs reduce inflammation, but also hinder the body’s immune response. Be able to give an example of some of those drugs
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If a Nurse has a patient coming into the Doctors office for antigen injections, for allergies to pollen, know what the Nurse would teach the patient regarding antigen injections
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If a patient with C-Diff (Clostridium difficile) infection asks the Nurse what caused the diarrhea, know how the Nurse would respond
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Know why a patient that just received a large IM dose of an antibiotic, was asked to wait 20-30 minutes before checking out
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If a patient, after receiving an injection of penicillin, has an anaphylactic reaction, know what the Nurse should immediately do
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If a patient is hospitalized with pneumonia and AIDS, know what would the most important standard precaution would be
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Know what the organs are that are involved in immunity
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Know the difference between medical asepsis and surgical asepsis
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Know what “CAUTION” stands for, regarding the 7 warning signs of cancer
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Know what the latent period before the period of rapid growth of tumors phase is
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In a teaching plan, know how malignant tumors are similar to benign tumors
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If a patient states “I have lost my life and future, due to my cancer”, know what type of coping strategy the patient would be using at this time
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If a patient is scheduled for chemotherapy in 30 minutes and receives a meal tray, know what Nurse’s best intervention would be
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Know why cannabinoids, Benadryl and vistaril would be ordered for a patient who is taking chemotherapy
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If a Nurse observes several large new bruises, on a patient with cancer, know what the possible cause could be
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Hypercalcemia is an oncologic emergency. Know what s/s the Nurse would assess for
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Know how the Nurse would interpret the following staging of this cancer: T4N2M2?
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If a patient is receiving the chemotherapy drug doxorubicin (Adriamycin), what should the Nurse carefully assess the patient for?
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What nursing diagnosis would be appropriate for a diagnosis of breast cancer first made at stage: T1 N0,M0
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Know what the most common site of cancer in adult men is
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Know what the addiction potential is, for the narcotic medication “Roxanol” is
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Know what the most common cytologic test is, usually performed out patient, that indicates the need for further testing for cancer cells
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Know how radiation causes cell death
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Know what the best menu would be for a patient who is undergoing radiation treatments every other day
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If a patient is close to death with terminal liver cancer and calls the nursing staff to the room every 5 minutes, what interventions would be most supportive for the patient?
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Know how you would know that a patient understands pre-colonoscopy instructions
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