RASMUSSEN UNIVERSITY MDC I FINAL EXAM SPRING
2021
1. Infection signs and symptoms: fever, BP drops, high respiratory rate, fast heart
rate, altered mental status
if wound gets infected it may be red and hot
2. Hyperthermia temperature: Above 99.5
antipyretics, ice packs under armpits, take o...
RASMUSSEN UNIVERSITY MDC I FINAL EXAM SPRING
2021
1. Infection signs and symptoms: fever, BP drops, high respiratory rate, fast heart
rate, altered mental status
if wound gets infected it may be red and hot
2. Hyperthermia temperature: Above 99.5
antipyretics, ice packs under armpits, take off layers of clothing
3. Hypothermia temperature: Below 96.4 F
blankets
4. Normal body temperature: 98.6 F or 37 C
5. nursing interventions to decrease risk of pressure injury: positioning: pad -
pad hard surfaces with pressure redistribution properties
do not elevate - do not elevate head of bed greater than 30 degrees
suspend - suspend heels off the bed surface
6. nursing interventions to decrease risk of pressure injury: nutrition: encour-
age protein intake at each meal
serve protein shakes between meals
7. nursing interventions to decrease risk of pressure injury: skin care: com-
plete a daily skin inspection
moisture dry skin with lotion
do not massage bony prominences
8. nursing interventions to decrease risk of pressure injury: skin cleaning: -
clean - clean skin asap after soiling occurs
pat - pat skin dry
use - use tepid rather than hot water
9. Dosage and Calc Basic Conversions: 1 tsp = 5 mL
1 tbsp = 15 mL
1 oz = 30 mL
1 cup = 8 oz
16 oz = 1 lb
1 kg = 2.2 lbs
1 L = 1 kg
1 kg = 1000g
1 g = 1000 mg
,RASMUSSEN UNIVERSITY MDC I FINAL EXAM SPRING
2021
1 mg = 1000 mcg
98.6 F = 37 C
1 cup = 0.5 pint
1 pint = 480 mL
10. Signs and Symptoms of HIV/AIDS: Wasting Syndrome - skinny and lost a lot
of weight in a short period of time
skin lesions
malaise
fever
anorexia
flu like symptoms
night sweats
non-hodgskins lymphoma risk
Kaposi's Sarcoma - skin lesions that occur primarily in individuals with a compro-
mised immune system
11. HIV: CD4 and CD8: CD4 is decreased
CD8 is normal
12. AIDS: CD4 and CD8: CD4 is decreased
CD8 is increased
13. CD4 count less than 200 equals: AIDS
14. Antiretroviral drugs - combination drug therapy: HIV patients on it for life
It stops the virus from replicating
15. already have HIV and exposed again: progression to AIDS is faster
16. HIV/AIDS Labs: CD4 and CD8 counts
HIV Viral Load testing - highest after infection
Other Assessments
-pulmonary function test
-liver spleen scans
-chest x-ray
17. Priority of HIV patient is to: prevent infection
18. Prevent Infection Compromised Immunity: avoid crowds
bathe daily with antimicrobial soap
wash hands thoroughly
avoid raw fruits and vegetables
avoid working in the garden or with houseplants
monitor for signs and symptoms of infection
-increase temperature
, RASMUSSEN UNIVERSITY MDC I FINAL EXAM SPRING
2021
-purulent drainage
-foul smelling drainage
-cloudy urine
19. Prevent Infection when Hospitalized Compromised Immunity: -private room
-clean patient room and bathroom daily
-vital signs every 4 hours
-change gauze dressings daily
-encourage cough and deep breathing exercises
-strict aseptic technique for invasive procedures
-no fresh flowers or potted plants in room
-avoid undercooked meat
20. steroids: increase blood sugar
delay bone healing
mask infection
21. manage pain: pressure relieving mattress pads
warms baths or hydrotherapy
massage
heat or cold packs
lift sheets
drug therapy
22. enhance nutrition: high calorie and high protein diet
small frequent meals
23. manage diarrhea: no alcohol or caffein
24. Restore skin integrity: Lesions from kaposi sarcoma, herpes, and varicella
keep lesions clean to avoid infection
analgesic management
dress to disguise the lesions
25. Enhance cognition: reorient x3
short simple directions
maintain safe environment, bed alarms, side rails
implement seizure precautions
-padded side rails
-padded tongue blade
-side rails up
-oxygen and suctioning equipment
26. Glaucoma: increased intraocular pressure in a hollow organ
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