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NSG 345 EXAM WITH QUESTIONS AND VERIFIED ANSWERS
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NSG 345 EXAM WITH QUESTIONS ANDVERIFIED ANSWERS
What are the s/s of inflammation? - ANSWER Erythema, Edema, Heat, Pain, Loss
of Function
Why shouldn't you administer aspirin for virus or flu symptoms in children -
ANSWER Reye Syndrome (vomiting, lethargy, delirium, coma)
What are the hallmark signs of an opioid overdose? - ANSWER pinpoint pupils
and respirations fewer than 10/min
What are the 7 stages of the HIV life cycle - ANSWER 1)Binding
2)Fusion
3)Reverse Transcription
4)Integration
5)Replication
6)Assembly
7)Budding
Which lab value do you test for HIV - ANSWER CD4 Count
What is the nurse's role in antiretroviral therapy (ART) - ANSWER educate the
patient on the importance of adhering to the drug regimen, the risk for infection,
HIV can be transmitted to the baby, omission of drugs may result in deterioration
of the condition, provide support
What is active immunity - ANSWER antigen or pathogen enters body and develops
immunity (exposure, vaccination)
,What is passive immunity - ANSWER acquired immunity (placenta and breast
milk, receiving an Ig to provide antibodies)
What is community immunity - ANSWER Herd Immunity- those not immunized
are protected
Adverse outcomes of vaccines what is the nurses responsibility - ANSWER report
cases of vaccine-preventable disease and adverse reactions, report to the Vaccine
Adverse Events Reporting System (VAERS)
Patient Teaching for Varicella Vaccine - ANSWER Answer questions regarding
vaccine safety, effectiveness, and risk factors, avoid contact with
immunocompromised persons. provide pts a VIS, maintain immunization record,
return dates, discuss side effects, offer the ideas for the management of side effects
Patient teaching with Dextromethorphan Hydrobromide (Vicks DayQuil) -
ANSWER Caution pt not to use more than one or two puffs four to six times a day
for 5 to 7 days because rebound congestion can occur.
Indications for Montelukast (singular) - ANSWER Anti-inflammatory-prevention
of acute asthmatic attacks and for treatment of chronic asthma *Not for treatment
of acute asthmatic attacks
Patient teaching with Montelukast (singular) - ANSWER comply with the
medication regimen even during symptom free periods, do not use to treat acute
asthmatic attacks, take in the evening for maximum effectiveness
A patient has been prescribed guaifenesin. The nurse understands that the purpose
of the drug is to accomplish what?
a. Treat allergic rhinitis and prevent motion sickness
b. Loosen bronchial secretions so coughing can eliminate them
c. Compete with histamine for receptor sites, thus preventing a histamine response
d. Stimulate alpha-adrenergic receptors, thus producing vascular constriction of
, capillaries in nasal mucosa - ANSWER B
A patient with chronic obstructive pulmonary disease is taking the leukotriene
antagonist montelukast. The nurse is aware that this medication is given for which
purpose?
a. Maintenance treatment of asthma
b. Treatment of acute asthmatic attack
c. Reversing bronchospasm associated with chronic obstructive pulmonary disease
d. Treatment of inflammation in chronic bronchitis - ANSWER A
Nursing interventions and patient teaching for bonchodilators - ANSWER check
serum theophylline levels (normal is 5-15 mcg/mL) advise pt that a high protein,
low carb diet increases theophylline elimination, conversely a low-protein, high
carb prolongs the half life
Review glucocorticoids - ANSWER It takes 1 to 4 weeks for inhaled steroids to
reach full effect, Taper off, take with food, prevent candida Albanians by using a
spacer, rinsing mouth, washing apparatus daily
Beta Blocker "lols" side effects - ANSWER fatigue, weakness, dizziness,
dysgeusia, dry mouth, nausea, vomiting, diarrhoea, drowsiness, headache, blurred
vision, insomnia, short-term memory loss, peripheral oedema, tinnitus, erectile
dysfunction, depression, orthostatic hypotension, hypoglycemic symptoms,
bradycardia
non-pharmacologic methods of decreasing blood pressure - ANSWER low-salt
diet, relaxation techniques, exercise, smoking cessation, decreased alcohol
ingestion
Beta-blockers and African Americans - ANSWER less effective if taken alone.
Taking with a diuretic increases the effectiveness of therapy
What do anticoagulants do? - ANSWER Prevent clots from forming (do NOT
dissolve them)
How is Heparin given? - ANSWER it is poorly absorbed orally so it is given
subcutaneously for prophylaxis or by IV to treat acute thrombosis.
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