Exam (elaborations)
NUR 211 Exam 2 Questions with correct Answers 2024/2025( A+ GRADED 100% VERIFIED).
- Course
- NUR 211
- Institution
- Excelsior College
NUR 211 Exam 2 Questions with correct Answers 2024/2025( A+ GRADED 100% VERIFIED).
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NUR 211 EXAM 2populations at risk for contracting TB - ANS individuals with an immune system that has been
disrupted- creates a hospitable environment for this comorbidity to enter their system
inappropriate substance use
physical assessment TB focus on - ANS weight loss
traveling internationally
low grade fever
chills
hemoptysis
with a PPD injection, when would it be red? - ANS 48 hours
if the TB skin test showed a large induration, what would that indicate - ANS you would need to
come back, but it indicates the presence of latent TB or exposure to TB
what would the first follow up action be? - ANS have them come back in 24 hours because a
false negative reading could occur more often after only 48 hours
what would be done next? - ANS chest xray- would show if there's active TB, inflammation, old
healed lesions that would show up as calcifications
when is drug resistant disease more likely to develop drug resistance to TB treatment? - ANS
when they do not take their medications fully/noncompliance with medication, as well as taking
antibiotics in the past
if they were in an area where drugs were of poor quality or maybe did not get the right dose
if clients come from an area where drug resistant form is more common and vaccines will be
given in those areas
if a client had active TB is it likely that they just live by themselves? - ANS no
what else would have to be done? - ANS the ones they have been in close proximity with would
need to be screened
if a client has an exacerbation of TB and is brought into the hospital what would be done and
how would it be done? - ANS they would need to be placed in a negative pressure room and
the type of equipment that this client might need it oxygen
if they arrived at hospital on oxygen, would we just leave them on their own oxygen? - ANS no
we would use hospital oxygen
, what else would be done after being placed in a negative pressure room? - ANS airborne
precautions
blood draw- c&s
after blood cultures what can they get? - ANS broad spectrum antibiotics
after client is stabilized, they can hopefully return to their place of dwelling, what may have
provoked this episode that sent them to the hospital? - ANS smoking, teach about smoking
cessation
best way to avoid multi drug resistant TB - ANS medication compliance
with meds for TB we know reactions can be mild, moderate, or severe and it can range from
headache and dizziness to what more concerning symptoms? - ANS liver toxicity
signs of liver toxicity - ANS jaundice
thrombocytopenia is another severe symptom, what would be a sign of this - ANS excessive
bleeding
primary treatment and prophylaxis for TB - ANS isoniazid
what nervous system SE can isoniazid result in - ANS peripheral neuropathy
what vitamin is used to treat peripheral neuropathy - ANS pyridoxine (vit b6)
what other med is used to treat TB - ANS rifampin
what body organ metabolizes rifampin - ANS liver
what can result from rifampin - ANS hepatotoxicity
how can hepatotoxicity manifest itself? - ANS jaundice
body fluids are also affected by rifampin how? - ANS can stain tears, sweat, urine
what kind of teaching would be given with rifampin? - ANS wear protective clothing
another med given for TB, pyrazinamide, what kind of precautions would you want to take and
why? - ANS drink at least 3-4 L of water to decrease the risk of uric acid precipitation
when they go outside what could result from pyrazinamide? - ANS photosensitivity
what would they need to protect themselves from photosensitivity? - ANS long sleeves and hat
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