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NUR 3145 FINAL EXAM | QUESTIONS AND ANSWERS | LATEST UPDATE

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NUR 3145 FINAL EXAM | QUESTIONS AND ANSWERS | LATEST UPDATE Neutropenia - low level of neutrophils Thrombocytopenia - low level of platelets Leukopenia - low WBCs which can encompass basophils, monocytes Anemia - low RBC or hemoglobin/hematocrit Pancytopenia - low RBC, WBC and platelet Purpo...

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  • September 28, 2024
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  • 2024/2025
  • Exam (elaborations)
  • Questions & answers
  • NUR 3145 .
  • NUR 3145 .
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NUR 3145 FINAL EXAM | QUESTIONS
AND ANSWERS | LATEST UPDATE



Neutropenia - low level of neutrophils

Thrombocytopenia - low level of platelets

Leukopenia - low WBCs which can encompass basophils, monocytes

Anemia - low RBC or hemoglobin/hematocrit

Pancytopenia - low RBC, WBC and platelet

Purpose of Lasix - loop diuretic- makes you get rid of fluid so it is used in CHF

NANDA for Lasix to CHF - Fluid volume deficit and electrolyte imbalance

NANDA for Heparin - risk for bleeding

-anticoagulant -> prevents clotting and thins blood

NANDA for Insulin - risk for hypoglycemia
lowers BG to treat diabetes

NANDA for Morphine - ineffective breathing

opioid for pain ->respiratory arrest and hypotension

NANDA for Pravastatin - Risk for rhabdomyalgia (muscle stuff) and liver toxicity

Check LFT's so risk for liver dysfunction or impairment

Gave 3 year old vaccine and leg hurts and is swollen so you say...? - Warm compress
to the site

Minor effects of vaccines - fever, rash, red, or sore injection site

treat w/ acetamonophen or ibuprofen and use warm compress

, Severe SE to notify HCP - fever >103, encephalitis, convulsions, dyspnea, SOB,
lymphadenopathy and anaphylaxis

A patient received shingles vaccine and has a fever of 103.2 - call health care provider

Things to ask patients coming n for vaccines like flu shot - allergy to eggs
history of relations
immunosuppressed --> HIV or organ transplant; cancer

Methotrexate bone suppression can lead to - bleeding and infection; supplement w/
folic acid

Xeljanz education - takes several weeks to see improvement so don't give up in it

caution w/ prior infection b/c of TB reactivation and avoid live vaccines

Patient education on Enbrel - no live vaccines

What part of the nursing process are you doing when you watch a patient give a self
injection and you're making sure the are doing it together? - Evaluation

Interferons side effects to monitor for - dry mouth, neutropenia, tachycardia, fatigue,
and thrombocytopenia

What kind of teaching is needed for thrombocytopenia caused by bone marrow
suppression? - use electric razors, soft tooth brushes, no flossing, is acetaminophen
and avoid ibuprofen

Signs of thrombocytopenia - gums bleeding, nose bleeds, bruising, and hematuria

What are neutropenic precautions? - a. Reverse isolation: protecting the patient from
us.
i. Strict hand washing before
ii. No flowers, avoid fresh fruit and veggies, no sick visitors or personnel
iii. Neutropenia: low neutrophils which are WBCs
iv. What patients are in this precaution? Cancer, organ transplant and bone marrow
transplants
v. Nurse needs to STRICT hand wash before patient care or entering room
vi. What organs can be transplanted?

what clients get immunosuppressive therapy? - organ transplant patient

NANDA for immunosuppressive therapy - risk for infection

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