immune function (3)

Question 1

when does a fever become harmful?

Answer 1

41 degrees

Question 2

what is a physiologic response to an infection?

Answer 2

fever

Question 3

why can fevers be good?

Answer 3

promotes immune response and kills organisms

Question 4

what fever is too high in infants - 2 m.o.

Answer 4

38

Question 5

what fever is too high in children older than 2 m.o.

Answer 5

40

Question 6

what meds are used for fever

Answer 6

ibuprofen (if older 6 m.o.) and acetaminophen

Question 7

what is not used for a fever

Answer 7

aspirin

Question 8

what physical intervention should be done for fever?

Answer 8

remove all clothing except for a light layer

Question 9

is there a vaccine for mono

Answer 9

no

Question 10

what 2 things causes of mono?

Answer 10

• EBV
• human herpesvirus type 4

Question 11

how is mono transmitted

Answer 11

saliva, blood, semen

Question 12

s/sx of mono

Answer 12

fever, HA, painful sore throat, FATIGUE, hepatosplenomegaly

Question 13

how long do symptoms of mono last?

Answer 13

2-4 weeks

Question 14

treatment of mono

Answer 14

supportive, corticosteroids

Question 15

what diagnstic tests are run for sepsis

Answer 15

• blood/urine cutures
• lumbar puncture (collect CSF)
• skin lesions cultured

Question 16

what are the 3 interventions done immediately for sepsis

Answer 16

• O2
• IV fluids
• IV antibiotics

these are to preserve organ fxn

Question 17

what additional interventions are done for sepsis?

Answer 17

• cardiac/resp monitors
• frequent vitals
• strict I&O / DW

Question 18

what is AIDS caused by ?

Answer 18

human immunodeficiency virus

Question 19

what kind of cells does HIV/AIDS destroy

Answer 19

T cells

Question 20

why does AIDS occur in kids?

Answer 20

when HIV is not treated, acquired from mother in birth or breastmilk

Question 21

describe the progression of AIDS in kids

Answer 21

starts with nonspecific findings, then progresses to infections and deterioration

Question 22

wat diagnoses aids

Answer 22

HIV RNA assay

Question 23

what classifies a kid as HIV-

Answer 23

2 negative tests @ 6 m.o. or older

Question 24

all infants of mothers infected with HIV/AIDS should receive what?

Answer 24

PJP (pneumonitis jiroveci pneumonia) prophylaxis

Question 25

what drugs treat HIV/AIDS

Answer 25

combo antiretroviral therapy (at least 3 drugs from 2 classes)

Question 26

what is the initial goal of nursing management of HIV

Answer 26

implement health promotion measures to reduce risk of HIV transmission to newborns, infants, children, and adolescents

Question 27

what is inflamamtion involving one or more joints that lasts longer than 6 weeks and occurs prior to 16 y.o.

Answer 27

juvenile idiopathic arthritis

Question 28

what gender does juvenile idiopathic arthritis ffect more?

Answer 28

females

Question 29

what 3 complications can juvenile idiopathic arthritis lead to?

Answer 29

• early closure of epiphyseal plate
• contractures
• synovitis

Question 30

what meds help juvenile idiopathic arthritis

Answer 30

• NSAIDS
• DMARDS (disease modifying anti-rheumatic drugs) such as methotrexate

Question 31

what treatment for juvenile idiopathic arthritis preserves joint function and prevents deformities

Answer 31

PT/OT
surgery (occasional)