100% tevredenheidsgarantie Direct beschikbaar na je betaling Lees online óf als PDF Geen vaste maandelijkse kosten
logo-home
Exam (elaborations) Nursing course Jharkhand Paramedical Nurse Grade A Exam 2024 (English Edition) | Jharkhand PMECE | 20 Mock Tests $7.99
In winkelwagen

Tentamen (uitwerkingen)

Exam (elaborations) Nursing course Jharkhand Paramedical Nurse Grade A Exam 2024 (English Edition) | Jharkhand PMECE | 20 Mock Tests

 0 keer verkocht
  • Vak
  • Instelling
  • Boek

Exam (elaborations) Nursing course Jharkhand Paramedical Nurse Grade A Exam 2024 (English Edition) | Mock Tests 2024

Voorbeeld 2 van de 8  pagina's

  • 1 april 2024
  • 8
  • 2023/2024
  • Tentamen (uitwerkingen)
  • Vragen en antwoorden
avatar-seller
EXAM 4 REVIEW

1. Priority assessment/intervention for a patient who had an allergic reaction to a vaccine

Page 365 chart 20-3
Emergency care of the patient with anaphylaxis

 Immediately assess the respiratory status, airway, and oxygen saturation of patients
who show any symptoms of an allergic reaction
 Call the RRT
 Ensure that intubation and tracheotomy equipment is ready
 Apply oxygen using a high-flow, nonrebreather mask at 90% to 100%
 Immediately discontinue the IV drug or infusing solution of a patient having an
anaphylactic reaction to that drug or solution. DO NOT discontinue the IV, but
change the IV tubing and hang NS




m
er as
 If the patient doesn’t have an IV, start one immediately and run NS
 Be prepared to administer epinephrine IV or IM




co
eH w
 epinephrine 1:1000 concentration, 0.3 to 0.5 mL IV push or IM
 Repeat drug administration as needed every 5 to 15 minutes until the patient




o.
responds
rs e
ou urc
 Keep the HOB elevated about 10 degrees if hypotension is present; if BP is normal,
elevate the HOB to 45 degrees or higher to improve ventilation
 Raise the feet and legs
o

 Stay with the patient
aC s

 Reassure the patient that the appropriate interventions are being instituted
vi y re



2. Typical signs and symptoms of an anaphylactic reaction

Page 364 chart 20-2
ed d




Anaphylaxis
ar stu




 Clinical criteria 1: onset within minutes to hours of skin or mucous membrane
problems involving swollen lips, tongue, soft palate, uvula; widespread hives;
is




pruritis; or flushing along with any one of these new-onset symptoms:
 respiratory distress or ineffectiveness
Th




 dyspnea
 bronchospasms
 wheezes
sh




 stridor
 hypoxia
 cyanosis
 peak expiratory rate flow lower than the patient’s usual rate
 hypotension or any indication of reduced perfusion resulting in organ
dysfunction


This study source was downloaded by 100000830883196 from CourseHero.com on 09-28-2021 17:47:38 GMT -05:00


https://www.coursehero.com/file/71360710/EXAM-4-REVIEWdocx/

,  loss of consciousness
 Incontinence
 Hypotonia
 Absent deep tendon reflexes

Clinical criteria 2: onset within minutes to hours of two or more of these symptoms

after a patient has been exposed to a potential allergen
 skin or mucous membrane problems involving swollen lips, tongue, soft
palate, uvula; widespread hives’ pruritis; or flushing
 respiratory distress or ineffectiveness as evidenced by any dyspnea,
bronchospasms, wheezes, stridor, hypoxia, cyanosis or peak expiratory
rate flow lower than the patient’s usual
 hypotension or any indication of reduced perfusion resulting in hypotonia, or
absent deep tendon reflexes
 Persistent GI problems such as NV, cramping, abdominal pain




m
er as
 Clinical criteria 3: onset within minutes to hours of hypotension with systolic BP




co
eH w
lower than 90mm Hg or 30% lower than the patient’s baseline systolic pressure




o.
rs e
3. Precautions for an immunocompromised patient with meningitis
ou urc
4. HIV medication regimen and drug resistance are avoided by how much percent
compliance
o

90% compliance  book answer
aC s
vi y re


5. Dietary concerns of a patient with HIV/AIDS

Page 354 Enhancing nutrition
ed d




Many patients with AIDS have difficulty maintaining their weight and nutrition status. This
ar stu




problem may be caused by fatigue, anorexia, nausea and vomiting, difficult or painful
swallowing, diarrhea, intestinal malabsorption, or wasting syndrome.
is




Patients should:
Th




a) Select foods high in calories and protein
b) Maintain current weight or gaining weight
c) Drink at least 2-3 liters of fluids per day
sh




d) Maintain normal blood levels of ferritin, albumin, prealbumin and hemoglobin

Nutrition therapy includes monitor weight, I&O, and calorie count. Assess food preferences and
dietary cultural or religious practices. Collab with the dietician to teach the patient about the
need for a high-calorie and high-protein diet. Encourage him or her to avoid dietary fat, because
fat intolerance often occurs as a result of the disease and as a side effects of some antiretroviral


This study source was downloaded by 100000830883196 from CourseHero.com on 09-28-2021 17:47:38 GMT -05:00


https://www.coursehero.com/file/71360710/EXAM-4-REVIEWdocx/

Dit zijn jouw voordelen als je samenvattingen koopt bij Stuvia:

Bewezen kwaliteit door reviews

Bewezen kwaliteit door reviews

Studenten hebben al meer dan 850.000 samenvattingen beoordeeld. Zo weet jij zeker dat je de beste keuze maakt!

In een paar klikken geregeld

In een paar klikken geregeld

Geen gedoe — betaal gewoon eenmalig met iDeal, creditcard of je Stuvia-tegoed en je bent klaar. Geen abonnement nodig.

Direct to-the-point

Direct to-the-point

Studenten maken samenvattingen voor studenten. Dat betekent: actuele inhoud waar jij écht wat aan hebt. Geen overbodige details!

Veelgestelde vragen

Wat krijg ik als ik dit document koop?

Je krijgt een PDF, die direct beschikbaar is na je aankoop. Het gekochte document is altijd, overal en oneindig toegankelijk via je profiel.

Tevredenheidsgarantie: hoe werkt dat?

Onze tevredenheidsgarantie zorgt ervoor dat je altijd een studiedocument vindt dat goed bij je past. Je vult een formulier in en onze klantenservice regelt de rest.

Van wie koop ik deze samenvatting?

Stuvia is een marktplaats, je koop dit document dus niet van ons, maar van verkoper Pieces. Stuvia faciliteert de betaling aan de verkoper.

Zit ik meteen vast aan een abonnement?

Nee, je koopt alleen deze samenvatting voor $7.99. Je zit daarna nergens aan vast.

Is Stuvia te vertrouwen?

4,6 sterren op Google & Trustpilot (+1000 reviews)

Afgelopen 30 dagen zijn er 69252 samenvattingen verkocht

Opgericht in 2010, al 15 jaar dé plek om samenvattingen te kopen

Begin nu gratis

Laatst bekeken door jou


$7.99
  • (0)
In winkelwagen
Toegevoegd