NURS 640 EXAM 2 QUESTIONS AND
ANSWERS
hyperthermia=-=ans-
✔✔uncontrolled=increase=in=temperature=not=associated=with="hypothalamic=set=point".
Not=medicated=by=cytokines
>41.1=or=105.9
fever=-=ans-✔✔response=to=pyrogenic=cytokines=
>=37.7=or=>99.8
Antipyrogenic=medications=-=ans-✔✔cause=vasodilation=and=sweating=to=release=heat
Common=Fever=Causes=-=ans-✔✔URI
Tonsillitis
UTI
Viral=syndrome
Drug-reaction
Fever=of=Uknown=Origin=-=ans-✔✔Fever=>=3=weeks
No=clear=diagnosis=after=3=PCP=visits=or=3=hospital=days
Common:=infection,=neoplasm,=auto=immune,=misc.=or=undiagnosed.
Iatrogenic=-=ans-✔✔transmission=of=infection=by=medical=device.
Malignant=Hyperthermia=-=ans-
✔✔severe=reaction=that=occurs=in=response=to=particular=medications=used=during=gen
eral=anesthesia
Empiric=Antibiotics=immediately=for=-=ans-✔✔clinically=unstable
neutropenic
asplenic=pt
immunosuppressed
HIV
non-hyperthermia
HIV=acute=phase=-=ans-✔✔0-3=months=after=HIV=acquisition=(esp.=2-4=weeks)
Test=can=be=(-)=up=to=3=months.=Retest
Generalized=illness;=mucutaneous=ulcers
, HIV=testing=may=be=NEG
Early=misdiagnosis
HIV=specific=findings=-=ans-✔✔Hairy=leukoplakia=of=tongue
Kaposi=sarcoma
cutaneous=bacillary=angiomatosis
lymphadenopathy
Age=for=HIV=testing=-=ans-✔✔15-65
use="opt-out"=strategy
Screening=Test=for=HIV=-=ans-✔✔HIV=1/2=antigen/antibody=combo=assay
HIV=Confirmatory=test=-=ans-✔✔HIV-1/HIV-2=antibody=differentiation=test
AIDS=-=ans-✔✔CD4=count=<=200=or=having=an=opportunistic=infection
Advanced=HIV=infection/AIDS=-=ans-✔✔CD4=<=50
Chronic=HIV=infection=-=ans-✔✔CD4=count=>=200=after=treatment
CDC=classification=of=AIDS=-=ans-✔✔Stage=1=:=CD4=>=500
Stage=2:=CD4=200-499
Stage=3:=CD4=<=200=or=opportunistic=infection=regardless=of=count.
WHO=classification=of=HIV=-=ans-✔✔Non=significant=>=500
mild=350-499
moderate=200-349
severe=<=200
Post-exposure=prophylaxis=-=ans-✔✔start=ASAP=within=72=hours=of=exposure
Initial=therapy=28=days
Baseline=testing
Anemia=-=ans-✔✔Decreased=in=RBS'c=HGB=HCT
Increased=Destruction=(hemolytic=anemia)
Increased=Loss=(blood=loss)
Volume=overload=(pregnancy,=CHF)
<13=men,=<=12=women
Polycythemia=-=ans-✔✔Abnormal=increased=in=RBCs,=HBG,=HCT=d/t=over=production
Primary=Anemia=Symptoms=related=to...=-=ans-
✔✔decreased=O2=delivery=to=tissues=and=hypovolemia
Retic=count=-=ans-✔✔1-2%=normal
ANSWERS
hyperthermia=-=ans-
✔✔uncontrolled=increase=in=temperature=not=associated=with="hypothalamic=set=point".
Not=medicated=by=cytokines
>41.1=or=105.9
fever=-=ans-✔✔response=to=pyrogenic=cytokines=
>=37.7=or=>99.8
Antipyrogenic=medications=-=ans-✔✔cause=vasodilation=and=sweating=to=release=heat
Common=Fever=Causes=-=ans-✔✔URI
Tonsillitis
UTI
Viral=syndrome
Drug-reaction
Fever=of=Uknown=Origin=-=ans-✔✔Fever=>=3=weeks
No=clear=diagnosis=after=3=PCP=visits=or=3=hospital=days
Common:=infection,=neoplasm,=auto=immune,=misc.=or=undiagnosed.
Iatrogenic=-=ans-✔✔transmission=of=infection=by=medical=device.
Malignant=Hyperthermia=-=ans-
✔✔severe=reaction=that=occurs=in=response=to=particular=medications=used=during=gen
eral=anesthesia
Empiric=Antibiotics=immediately=for=-=ans-✔✔clinically=unstable
neutropenic
asplenic=pt
immunosuppressed
HIV
non-hyperthermia
HIV=acute=phase=-=ans-✔✔0-3=months=after=HIV=acquisition=(esp.=2-4=weeks)
Test=can=be=(-)=up=to=3=months.=Retest
Generalized=illness;=mucutaneous=ulcers
, HIV=testing=may=be=NEG
Early=misdiagnosis
HIV=specific=findings=-=ans-✔✔Hairy=leukoplakia=of=tongue
Kaposi=sarcoma
cutaneous=bacillary=angiomatosis
lymphadenopathy
Age=for=HIV=testing=-=ans-✔✔15-65
use="opt-out"=strategy
Screening=Test=for=HIV=-=ans-✔✔HIV=1/2=antigen/antibody=combo=assay
HIV=Confirmatory=test=-=ans-✔✔HIV-1/HIV-2=antibody=differentiation=test
AIDS=-=ans-✔✔CD4=count=<=200=or=having=an=opportunistic=infection
Advanced=HIV=infection/AIDS=-=ans-✔✔CD4=<=50
Chronic=HIV=infection=-=ans-✔✔CD4=count=>=200=after=treatment
CDC=classification=of=AIDS=-=ans-✔✔Stage=1=:=CD4=>=500
Stage=2:=CD4=200-499
Stage=3:=CD4=<=200=or=opportunistic=infection=regardless=of=count.
WHO=classification=of=HIV=-=ans-✔✔Non=significant=>=500
mild=350-499
moderate=200-349
severe=<=200
Post-exposure=prophylaxis=-=ans-✔✔start=ASAP=within=72=hours=of=exposure
Initial=therapy=28=days
Baseline=testing
Anemia=-=ans-✔✔Decreased=in=RBS'c=HGB=HCT
Increased=Destruction=(hemolytic=anemia)
Increased=Loss=(blood=loss)
Volume=overload=(pregnancy,=CHF)
<13=men,=<=12=women
Polycythemia=-=ans-✔✔Abnormal=increased=in=RBCs,=HBG,=HCT=d/t=over=production
Primary=Anemia=Symptoms=related=to...=-=ans-
✔✔decreased=O2=delivery=to=tissues=and=hypovolemia
Retic=count=-=ans-✔✔1-2%=normal
