NR 602 Final Exam - Verified Questions and Answers, 100% Correct
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NR 602
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NR 602
NR 602 Final Exam - Verified Questions and Answers, 100% Correct HEP B -caused by Hep B virus, transmitted via blood with other concentration in wound exudate, semen vag secretions, and saliva. Transmitted via percutaneous or mucous mem w/exposure to blood or body fluid. Reportable disease. Can ca...
NR 602 Final Exam HEP B -caused by Hep B virus, transmitted via blood with other concentration in wound exudate, semen vag secretions, and saliva. Transmitted via percutaneous or mucous mem w/exposure to blood or body fluid. Reportable disease. Can cause liver failure and death Risk factors - unprotected sex w/ infected partner, hx of STD, illegal injection drug use. Hep B pr evention Prevention: Hep B immune globulin -provides 3 -6 mo protection and used post exposure prophylaxis in adjunct to vaccine or in unvaccinated person and Hep B vaccine. Hep B Vaccine - contains HBsAg provides protection from pre and post exposure, requir e series. Routinely screen ALL preg women. Unvaccinated or those ho do not respond to Hep b vaccine series should be given HBIG and vaccine if exposed. Hep B diagnosis Dx-presence of igM antibody is dx Hep B symptoms Sx- asymptomatic. Constitutional @ first- anorexia, N, jaundice, RUQ pain HEP TX Tx- supportive care. No effective antiviral drugs Hep C -Caused by Hep C virus through parenteral exposure of contaminated blood Hep C prevention Prevention -no vaccine, reducing transmission and chronic live r disease. + pt do not donate blood, , don't use razors or toothbrushes Hep C symptoms Sx- asymptomatic or mild illness. Hep C diagnosis Dx-nucleic acid PCR Hep C treatment Tx- interferon and ribavirin HIV -wide spectrum of disease that begins w/ acute viral illness and transitions to chronic and latent illness. Will progress to AIDS. It depletes CD4 lypmphocyetes which maintains immunity and when falls below 200 pts are @ risk for lifethreatening infections HIV transmission Transmitted - sexual contact, parenteral exposure to blood or body fluid infected woman to fetus. Heterosexual HIV prevention Prevention - condom use, avoid sharing needles, universal precautions w/ jobs, good prenatal care, Screen high r isk populations HIV symptoms Sx-wt loss, fever, night sweats, pharyngitis, lymphadenopathy, reddened maculopapular rash, extragenital lymphadenopathy HIV diagnosis Dx-HIV-1 antibody. Ppl develop detectable levels after 12 wks of exposure. ELISA. Viral load/CD4 count is useful in determining activity of disease HIV treatment Tx-managed by specialist. Use high active antiretroviral therapy (HAART) -maternal transmission of HIV can occur transplacentally before birth, peripartum via blood and bodily fluid exposure or thru BF. Lichen Sclerosus severe itching -Dryness/irritation, labia adhered -benign chronic inflamm process. Lichen Sclerosus causes Causes - vit A deficiency, autoimmune, excess enzyme elastase, decreased activity of 5-alpha reductase Lichen Sclerosus symptoms Sx- itching, vulvar pain, pain w/ sex, or white lesions. Starts as erythema and edema over vulvar skin, then white plaques and hyperkeratosi s, then uniting of plaques, and itching Lichen Sclerosus diagnosis Dx- fixed labia, adhesions, vulvar biopsy to confirm Lichen Sclerosus Treatment Tx- stop itch scratch cycle and minimize inflamm. General hygiene avoid tight undies, cleanse daily w/ soap and dry. Oral antihistamine @ HS, clobetasole (Dermovate) potent topical steroid twice daily x2 wks then once daily x2 wks, taper down ****Can progress to vulvar carcinoma
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