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NUR 2571 PN2 Exam_3__Review, Professional Nursing II Rasmussen College.
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NUR 2571 PN2 Exam_3__Review, Professional Nursing II Rasmussen College.
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PN2 – Exam 3 Review Cellulitis
o Red, heat, swelling, glassy looking skin, pain, odorous, weeps/drains
o Abx, ice for stopping burning/inflammatory process and inhibits infection spread,
elevation, anti-inflammatory
Herpetic Whitlow
o Bacterial infection or warts on fingertips
o Nurse needs gloves and good hand hygiene
o Contact precautions are used
Impetigo
o Bacterial infection on face, contagious, honey-colored discharge (IE: pruritic
vesicles around mouth)
o Treat with antivirals like acyclovir
o Easily spread from one to another
o Nurse needs to educate family on good hand washing, close contact, bleach wipes
for surfaces
o Analgesics OTC for pain
Psoriasis (autoimmune)
o Scaly, red, itchy, silvery scales that are usually on elbows, knee’s, and scalp
o Finger and toenail lifting may occur, as well as pitting
o Morning stiffness, neck and back pain common
o Associated with arthritis
o Treat with Humira (edalamumab), steroid creams, “-MABS”, UV-ray tx is done a
lot (tanning beds)
Other meds used
Enbrel (etanercept), Stelara (ustekinumab), Remicade (infliximab)
Hydrocortisone cream 1% is very effective in the short term
DKA
o s/s
acetone breath (fruity, sweet smelling), Kussmaul respirations,
dehydration, abdominal pain, extreme thirst and hunger
(**“hot and dry, sugar is high”** = dehydration)
Blood sugar greater than 500
o Treat with insulin Humulin-R via IV (short acting)
Humulin R is the only insulin that can be given via IV
Side note: Humalog is rapid and CANNOT be used IV
Type 1 DM
o Usually born with it
o Pancreas beta cells fail to make or respond to insulin
o Treat with pump insulin
o Still need check blood glucose check 4x/day and before meals
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