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HESI mid curricular SCC Exam 2024 Questions & Correct Answers.
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HESI mid curricular SCC Exam 2024 Questions & Correct Answers.
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HESImid
curricular
SCC
Agranulocytosis/Neutropenia/agranulocytosis/leukopenia
acute
decrease
in
the
number
of
WBC
in
peripheral
blood
Causes:
treatment
with
antibiotics,
bone
marrow
transplant,
chemo,
radiation.
-->
can
lead
to:
-respiratory
infection
-ulceration
of
the
mouth
-high
fever
-UTI
Anaphylactic
reaction
respiratory
distress/arrest
sx:
-hives/rash
-difficulty
breathing
-dilated
pupils
-diaphoresis
-"panic"
feeling
-^HR
-respiratory
arrest
TX:
--admin
epinepherine
subcut.
--massage
site
to
^
absorption
rate
--repeat
dose
q15-20min
--notify
MD
Brainpower
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Full
screen cytotoxic
reaction
allergic
reaction
where
cell
death
occurs
sx:
-decreased
WBC,
hematocrit,
platelets
-elevated
liver
enzymes
-decreased
renal
function
TX:
--notify
MD
to
D/C
drug
--rest
until
allergic
response
is
over
serum
sickness
allergic
reaction
where
tissue
damage
occurs
up
to
1
week
after
exposure
to
a
drug.
sx:
-itchy
rash
-high
fever
-swollen
lymph
nodes
-swollen
joints
-edema
of
face/limbs
TX:
--notify
MD
to
D/C
drug
--comfort
measures
delayed
allergic
reaction
allergic
reaction
w/
sx:
rash
hives
swollen
joints
TX:
--Notify
MD
to
D/C
drug
--provide
skin
care
--comfort
measures
--antihistamines/topical
corticosteroids
blood
dyscrasia
bone
marrow
suppression
caused
by
meds;
sx:
fever/chills/weakness
sore
throat
back
pain
dark
urine decreased
H&H
low
platelets
low
WBC
TX:
--monitor
labs
--protective
isolation
(prevent
infection)
(neutropenic
precautions)
--bleeding
precautions
--rest
Hypoglycemia
BG<70
-cold/clammy
-fatigue
-increased
HR/BP
-confusion
-severe=seizure/coma
caused
by:
--too
much
insulin
--excessive
physical
activity
--insufficient
food
TX:
assess
BG
give
snack
15
g
carb
severe=glucagon
then
snack
can
also
give
D50W
IV
25-50mL
monitor
BG
Normal
serum
osmolality
275-295
Normal
BUN
7-20
Normal
creatinine
level
women:
0.4-1
mg/dL
men:
0.6-1.2
mg/dL
indicator
of
kidney
function
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