Exam 5 Ch 13, 25, 32, 33, 34 Flashcards
know what histamine releasing mast cells are attached to
organ tissue
With passive-acquired immunity, know where the antibodies are acquired from
outside the host and instilled in the host
Know what a “large shift to the left” is on a complete blood cell count
neutrophils are greater than 60%
know what a symptom is that is pertinent to a possible diagnosis of systemic lupus erythematosus
butterfly shaped rash on the face
If a hospitalized pt was prescribed dexamethasone (Decadron) for an allergic reaction, what teaching instruction would the nurse want to give at discharge?
don’t stop abruptly and take with meals to prevent GI upset
If a pt taking Decadron complains of insomnia, know what meal the pt should take the drug with
breakfast
when developing a nursing care plan on a pt 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 pt for a 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 pts with leukemia, what is the pt at greater risk for
infection and bleeding
if the nurse has assessed a neutrophil count of 900/mm3, on a pt with acute leukemia, know what the nurse should implement on the pt
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 Systematic Lupus erythematosus (SLE)?
joint pain, musculoskeletal pain
in a pt with acute leukemia, what lab result would indicate that the drug protocols aren’t effective?
platelet count
know what observation by the nurse, would indicate a pts acceptance of the diagnosis: acute leukemia
asking for additional information
if a pt with leukemia has a nursing diagnosis of “imbalanced nutrition: less than body requirements”, know what goal would be realistic for this pt
stable body weight
know what drug is given to a pt, who has just undergone a bone marrow transplant, to prevent rejection
decadron
know the name of the bone marrow transplant that uses the pts own bone marrow
autologous
know how a nurse would give an example of innate immunity, by comparing it with a human’s immunity, related to what disease?
foot and mouth disease
(SHE IS REMOVING THIS QUESTION)
in the preparation to preform skin testing, know what the nurse should 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
Know what the enzyme reverse transcriptase transcribes
HIV RNA to HIV DNA
When a nurse takes into consideration planning care for a pt with HIV, what a common form of HIV transmission is, what would the nurse tell the pt
male to male sexual contact
don’t be a fool, wrap your tool
When assessing a pt 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 pts blood analysis would shor
positive ELIZA-high levels of HIV infected cells with elevated antibodies
