PNR 201 MED SURG UNIT 2 EXAM 135 QUESTIONS AND ANSWERS
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Course
RN nursing
Institution
RN Nursing
PNR 201 MED SURG UNIT 2 EXAM 135 QUESTIONS AND ANSWERS PNR 201 MED SURG UNIT 2 EXAM 135 QUESTIONS AND ANSWERS PNR 201 MED SURG UNIT 2 EXAM 135 QUESTIONS AND ANSWERS PNR 201 MED SURG UNIT 2 EXAM 135 QUESTIONS AND ANSWERS PNR 201 MED SURG UNIT 2 EXAM 135 QUESTIONS AND ANSWERS
PNR 201 MED SURG UNIT 2 EXAM 135
QUESTIONS AND ANSWERS
1. What is released from a Mast Cell Mediator?: Histamine
2. Order of Donning PPE: Hand Hygiene, Gown, Mask, Goggles, Gloves
3. Order of Doffing PPE: gloves, goggles, gown, mask, hand hygiene
4. HIV Transmission: Blood, Bodily fluids or tissue, unprotected sex and dirty
needles
5. Meds for HIV: Antiretroviral drugs
6. Nucleoside Reverse Transcriptase Inhibitors (NRTIs): Block conversion from
RNA to DNA, thus preventing HIV genetic material from entering host cells
**Nursing interventions** Monitor hepatic and renal function, CBC. Assess for
signs of abdominal pain, nausea, vomiting, dizziness, neuropathy. Difficulty in
vision, hearing , touch, and balance
7. Nonnucleoside Reverse Transcriptase Inhibitors (NNRTIs): Act by binding to
the disabling reverse transcriptase, a protein needed for replication of HIV
**Nursing Intervention** Monitor renal and hepatic function and, if on
anticoagulants, coagulation levels. Monitor for headache, dysphoria, dizziness
insomnia and nightmares. Diarrhea occurs in some patients. Contraindicated in
pregnancy.
, levels. Cause a higher incidence of nephrolithiasis. Most must be given with food
and adequate hydration is required.
9. Fusion inhibitors: Block HIV from entering the CD4 cells of the immune system
**Must rotate injection sites because of local irritation. Associated with a higher
risk of pneumonia.
10. Entry inhibitors (CCR5 antagonists): Block proteins on CD4 cells preventing
entry of the HIV virus. **Nursing Intervention** Associated with a higher
incidence of hepatotoxicity, severe rash and systemic allergic reaction.
11. Integrase inhibitors: Block the integrase enzyme needed for HIV to make
copies of itself **Nursing Intervention** Monitor hepatic function. Can cause life
threatening and fatal skin reactions
12. Postattachment Inhibitors: Block CD4 receptors preventing HIV from
entering immune cells. **Nursing Intervention** May cause immune
reconstitution inflammatory syndrome (IRIS), resulting in an increased response
to a previously hidden infection.
13. Combination HIV Medications: Contain two or more medications from two
or more drug classifications.
14. Pharmacokinetic Enhancers: Increase effectiveness of HIV medications 15
Opportunistic infections that occur with HIV: Herpes Simplex Type 1&2
Varicella zoster cytomegalovirus
Hepatitis B &C
Mycobacterium tuberculosis
Mycobacterium avium Complex (MAC)
Cryptococcosis
Histoplasmosis
Coccidiomycosis (Valley Fever)
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