Exam (elaborations)
Corticoidsteroids - Q&A
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- Nursing 2024
- Institution
- Nursing 2024
Corticoidsteroids - Q&A
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Corticoidsteroids 22-month-old infant comes to the clinic, and the mother requests a human
A
immunodeficiency virus (HIV) test. Which test would help to rule out infection in this child?
- Two negative HIV antibody measurements from separate specimens
IV antibody measurements are appropriate to use for a child over the age of 18 months;
H
two negative antibody measurements from separate specimens will rule out an infection.
35-year-old client was brought to the emergency department (ED) by her husband due
A
to complaints of severe fatigue. The husband reports that the client has been sleeping all
the time for the past few weeks and has been difficult to arouse at times. The client has a
history of stage 4 breast cancer.
hat actions the nurse should take to address that condition, and 2 parameters the nurse
W
should monitor to assess the client's progress.
ctions to take:
A
Prepare to administer a platelet transfusion, instruct client to used a soft bristled
toothbrush
arameters to monitor:
P
Platelet count
Number of saturated pads used - Thrombocytopenia
hrombocytopenia is a complication caused by bone marrow depression. It can cause a
T
serious risk for bleeding if platelets fall below 50,000/µL. Symptoms include ecchymosis,
hematuria, hematemesis, petechiae, and bleeding gums. The nurse would anticipate
administering a platelet transfusion since the platelet count is only 20,000/µL.
Thrombocytopenia can cause serious bleeding; therefore, the client should be instructed
to use a soft bristle toothbrush to decrease the risk of bleeding gums. The nurse would
monitor the platelet count for a risk of serious bleeding and to determine effectiveness of
treatment. The nurse should track the amount of blood loss from menstrual bleeding to
make sure it is not excessive.
Nephrotoxicity is damage to the renal cells and the client would have an elevated serum
BUN and creatinine level. Peripheral neuropathy is paresthesia in extremities presented
as numbness or tingling. Pneumonitis is a complication from radiation treatment presented
as a dry, hacking cough. Sodium bicarbonate would be administered if the client
demonstrated signs of nephrotoxicity, not thrombocytopenia. With a pulse oximetry
reading of 96% the client would not need oxygen administered. Large-gauge (16-gauge)
catheters should be avoided in clients with thrombocytopenia. It would not be indicated for
, the nurse to monitor for electroencephalogram (EEG) changes, serum glucose, or sodium
level at this time. The nurse would monitor the electrocardiogram, not an EEG. The client
is not displaying any signs of hyperglycemia or hypoglycemia, so glucose would not be
monitored. Sodium does not need to be monitored because the client's sodium level is
within normal range (138).
child infected with human immunodeficiency virus (HIV) will primarily exhibit deficiencies
A
in which aspects of immune function? - Humoral immunity
Humoral immunity, which depends primarily on immunoglobulins, becomes nonfunctional
with HIV infection. A child with HIV will exhibit primary deficiency in humoral immunity.
ell-mediated immunity
C
Cell-mediated immunity, which depends highly on helper T-cells, is most affected by HIV
infection. A child with HIV will exhibit primary deficiency in cell-mediated immunity.
client who was admitted with a diagnosis of acute lymphoblastic leukemia is receiving
A
chemotherapy. Which assessment finding would alert the nurse to the possible
development of thrombocytopenia? Select all that apply. - Melena,Hematuria,Ecchymosis
hrombocytopenia is a condition characterized by abnormally low levels of thrombocytes,
T
also known as platelets, in the blood. This reduction in platelet activity impairs blood
clotting, so any assessment finding associated with potentially abnormal bleeding would
alert the nurse to the possibility of thrombocytopenia. This includes melena (digested
blood in feces), hematuria (bleeding within the renal system), and ecchymosis (bleeding
into skeletal soft tissue). Fever, diarrhea, nausea, alopecia, and mucositis are common
side effects of chemotherapy but are not findings attributed to thrombocytopenia.
patient has been newly prescribed theophylline for asthma management. In addition to
A
theophylline, the patient is also receiving prednisone. Which drug interaction between
theophylline and prednisone does a nurse anticipate for this patient? - It will cause
decreased effects of prednisone
hen prednisone is given with theophylline, the anticipated effect is a reduction in the
W
effects of prednisone. Therefore a higher dosage might be warranted. The patient would
need to monitor for worsening of asthmatic symptoms.
patient has been taking isoniazid (INH) for 3 months. Which test would the nurse
A
anticipate will be ordered for this patient to determine effectiveness of therapy? - Chest
x-ray
A repeat chest x-ray should be obtained approximately 3 months after starting INH.
patient who is on warfarin for atrial fibrillation is prescribed isoniazid (INH). Which
A
drug-drug interaction would the nurse anticipate? - Increased level of warfarin
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