Exam 6: NSG222/ NSG 222 (New 2024/ 2025
Update) Family Nursing | Review with
Questions and Verified Answers| 100%
Correct| A Grade - Herzing
QUESTION
10 Warning Signs of Primary Immunodeficiency
Answer:
• Four or more new episodes of acute otitis media in one year
• Two or more episodes of severe sinusitis in one year
• Treatment with antibiotics for two months or longer with little effect
• Two or more episodes of pneumonia in one year
• Failure to thrive in the infant
• Recurrent deep skin or organ abscesses
• Persistent oral thrush or skin candidiasis after one year of age
• History of infections requiring IV antibiotics to clear
• Two or more serious infections such as sepsis
• Family history of primary immunodeficiency
QUESTION
What to watch for with IV Immunoglobulin?
Answer:
Watch for dehydration & infection, and assess therapeutic effects to make sure it is working.
Ensure that the child is well hydrated before the infusion to decrease the risk for rate-related
reactions and aseptic meningitis after the infusion.
QUESTION
Premedication for IVIG
Answer:
Premedication with diphenhydramine or acetaminophen may be indicated in children who have
never received IVIG, have not had an infusion in more than 8 weeks, have had a recent bacterial
,infection, have a history of serious infusion-related adverse reactions, or are diagnosed with
agammaglobulinemia or hypogammaglobulinemia
QUESTION
Assessment for IVIG
Answer:
Assess vital signs and check for adverse reactions every 15 minutes for the first hour, then every
30 minutes throughout the remainder of the infusion (the frequency of assessments may vary
according to institutional protocol). IVIG is a plasma product, so observe closely for signs of
anaphylaxis such as headache, facial flushing, urticaria, dyspnea, shortness of breath, wheezing,
chest pain, fever, chills, nausea, vomiting, increased anxiety, or hypotension.
QUESTION
What is the key with HIV Therapeutic Management?
Answer:
Medication compliance, stop the spread by having a low viral load
QUESTION
Systemic Lupus Erthematosus- What to know?
Answer:
Avoid Heat
Watch Temp
Butterfly rash
QUESTION
SLE Labs
Answer:
Laboratory findings may include decreased hemoglobin and hematocrit, decreased platelet count,
and low WBC count. Complement levels, C3 and C4, will also be decreased.
, Though not specific to SLE, the antinuclear antibody (ANA) is usually positive in children with
SLE.
QUESTION
Nursing Assessment for Juvenile Idiopathic Arthritis
Answer:
Manage pain. Keep low stress environment and good diet.
QUESTION
Nursing Management Myasthenia Gravis
Answer:
The goals of nursing management include prevention of respiratory problems and providing
adequate nutrition.
Prevention of infection
QUESTION
Food Allergies: What to know
Answer:
Try one food at a time
Inspect the skin for color, rash, hives, or edema. Auscultate the heart and lungs to determine
heart rate and to assess for wheezing.
The child who has been prescribed an EpiPen should carry the pen with him or her at all times.
Since these reactions can be so sudden (unknown ingestion of allergen) and severe, it is helpful
for the family to have a written emergency plan in case of a reaction. Keep an Epi Pen and
Benadryl with you at all times
QUESTION
Allergies with cross-reactivity with latex
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