targeted immune

Question 1

HIV characteristics

Answer 1

1. kaposi sarcoma (small purple colored skin lesions)

2. CD4-t-cells below 200

Question 2

Rheumatoid arthritis teaching

Answer 2

1. dont place pillows under joints to prevent flexion contractures
2. rest is good for pain
3. exercise daily is good
4. avoid baths because it can be hard to get in and out. Take warm showers instead to help relax muscles and reduce pain.

Question 3

group teaching for people on a hike with ticks

Answer 3

1. if bitten get tested 4-6 after b/c earlier tests are not reliable
2. use tweezers to remove ticks
3. wear light colored clothing so ticks on the body can be seen easily
4. if you develop pain and stiffness and influzena like symptoms, (bulls eye rash) you should see your doctor

Question 4

what does breast tissue with an orange peel appearance indicate

Answer 4

blocked lymph channels…. a manifestation of advanced breast cancer

Question 5

testicular cancer prevention teaching

Answer 5

1. perform self examination montly after a shower b/c it is easier to palpate
2. early treatment is nearly a 100% survival rate
3. most common age for testicular cancer is 15-39

Question 6

a nurse sees an elevated prostate specific antigen level. What is anticipated to happen next

Answer 6

digital rectal exam to determine the size and consistency of the prostate.

Question 7

Systemic lupus erythematosus manifestations

Answer 7

1. Butterfly rash
2. joint inflammation
3. renal damage
4. raynaud syndrome

Question 8

special teaching for females on antibiotics

Answer 8

antibiotics such as amoxicillin accelerate the elimination of oral contraceptives

Question 9

what does a left shift in WBC differential mean

Answer 9

there are a high number of young immature WBCs. Meaning something is cooking and the bone marrow is ramping up. it can be a manifestation of sepsis

Question 10

what SPF level is recommended

Answer 10

30

Question 11

methotrexate teaching

Answer 11

1. myelosuppression
2. takes 4-6 weeks to work for RA
3. increase intake of folic acid to decrease adverse effects
4. report diarrhea (adverse)

Question 12

serious adverse effect of clindamycin

Answer 12

pseudomembranous colitis which is manifestated by watery diarrhea

Question 13

what is pseudomembranous colitis

Answer 13

inflammation of the colon associated with an overgrowth of clostridum difficle

Question 14

what is a hallmark lab finding for hodgkins lymphoma

Answer 14

Reed-sternberg cells