Exam (elaborations)
NUR 265 EXAM 4
- Course
- Institution
Exam of 17 pages for the course NUR 265 EXAM 4 at NUR 265 EXAM 4 (NUR 265 EXAM 4)
[Show more]
Seller
Follow
Victorious23
Reviews received
Content preview
NUR 265 EXAM 4Lupus: Hallmark sign - -butterfly rash on face
-Lupus: Indication of flare - -Fever and fatigue
*also assess BUN function
*c reactive protein remains normal
-Lupus: Interventions - --Falls precautions
-treat pain with tylenol and NSAIDS (monitor kidney function)
-AVOID SUNLIGHT
-REPORT FLARE IMMEDIATELY
-clean skin with mild soap and pat dry and apply lotion
-Lupus: medical management - --hydroxychloroquine(anti-malarial)
decreases absorption of UV light
-Scleroderma - -inflammatory, autoimmune connective tissue disease
-Scleroderma: Hallmark Sign - -Hard, leather-like edematous skin
Late: esophageal dismotility
-Scleroderma: Assess - -Swallow safety--esophageal dysmotility
(ASPIRATION)
O2
circulation
skin
-Scleroderma: Interventions - -aspiration precautions (keep HOB at 60
degrees during meals and after)
skin protection measures
small frequent meals--avoid caffeine and alcohol
-avoid spices, caffeine and pepper
-fibromyalgia: S/sx - -extreme fatigure
GI symptoms
dysuria
blurred vision
forgetfulness
-fibromyalgia: Assess - -pain level
extreme fatigue
GI symptoms
, -Fibromyalgia: Interventions - -NSAIDS
Nuerontin (gabapentin)
Lyrica (pregabalin)
SNRI and tricyclic antidepressants (amitriptyline)
promote sleep and low impact exercise (stretching, walking, swimming,
rowing, water exercise)
-Lyme Disease: Hallmark sign - -stage 1: "bulls eye rash" and flu-like
symptoms
Stage 2: facial paralysis, carditis, meningitis
-Lyme Disease: Assess - -Skin
history of tick bites
-Lyme Disease: Interventions - -prevention!
Insect repellant with DEET
early stage--doxycycline antibiotics ORAL
late stage--Iv antibiotics (ceftriaxone)
avoid tall grass
wear light colored clothing
have pets wear tick collars
-Allergic Reaction Priority - -STOP THE INFUSION/ELIMINATE the trigger, then
STOP the immune response
Give Epi
maintain airway
-Latex allergy: risks - --frequent use of latex condoms
-healthcare workers
-allergy to avocados, bananas, and some nuts
-Anaphylactic shock - -AIRWAY--give epi IV or IM STAT and intubate if
needed
BREATHING--apply O2; mechanically ventilate
CIRCULATION--monitor for distributive shock; give fluids
-Epinephrine Auto-injector teaching - -always carry 2 devices
inject by "stabbing" into top of thigh with pants on (AVOID pockets)
call 911 immediately--patient still needs to be monitored
keep epi in cool dark place.
-Immunocompromised Patient - --Do not drink anything that has been
sitting out
, -take temp at least once per day
-clean toothbrush once weekly in diswasher or bleach solution
-do not eat raw foods; salad, cottage cheese
-do not scoop litter boxes
-no plants or soil exposure
-antibacterial soap
-AVOID reptiles
-HIV: Assess - -CD4 count
ELISA test once per year for at risk patients
-HIV: Interventions - -PREVENTION:
-condoms
-PreP (truvada) must take 4 consecutive days in a row before protected; cant
miss more than one dose in a row
-needle safety
-post exposure prophylaxis-start cART within 24-36 hours of exposure
-HIV: Nutrition - -high calorie
high protein
low fat
small frequent meals
thrush--treat with anitfungal
-HIV tx: HAART/cART - -DOES NOT CURE
Does not prevent secondary/opportunistic infections
MUST TAKE 90% of the time --otherwise resistance will occur
-HIV: complications --- AIDS - -CD4 count less than 200mmhg
most likely to experience opportunistic infections
--I.e Pneumocystic jiroveci pneumonia (ASSESS AIRWAY!!)
consult pallative care/hospice
-candida albicans - --Hallmark sign-- white patches in the mouth
-"food doesnt taste right"
-If patient wants a coke they can have it! They just have to rinse mouth out
with water (fungus loves sugar)
-tuberculosis - -hallmark sign-- night sweats, high fever, cough
-airborne isolation
-do not trust TB skin test in client with HIV
-Fungal pneumonia - -ABC's
monitor ABG--if hypoxemia present
antifungal drugs IV
The benefits of buying summaries with Stuvia:
Guaranteed quality through customer reviews
Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.
Quick and easy check-out
You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.
Focus on what matters
Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!
Frequently asked questions
What do I get when I buy this document?
You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.
Satisfaction guarantee: how does it work?
Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.
Who am I buying these notes from?
Stuvia is a marketplace, so you are not buying this document from us, but from seller Victorious23. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $14.49. You're not tied to anything after your purchase.
Can Stuvia be trusted?
4.6 stars on Google & Trustpilot (+1000 reviews)
81298 documents were sold in the last 30 days
Founded in 2010, the go-to place to buy study notes for 14 years now