NU317 Exam 5 Study Guide with Complete Solutions

NU317 Exam 5 Study Guide with Complete Solutions Patient teaching points for topical Lamicil. - Ans:--Nails = long term 6-12 week treatment -Wash/dry area each time, treat only fungal area -Notify provider if redness, swelling, oozing, blisters, in area. Patient teaching points for Acyclovir. - Ans:--Side effects include: N/V/D, headache -Take 5x daily -PO/topical/IV Patient teaching points for Sandimmune. - Ans:--decreases immunity -no grapefruit -monitor BP, -used in treatment of psoriasis/organ transplant/lupus/scleroderma Interactions between Diflucan and various drugs to treat diabetes. - Ans:-hypoglycemia ©GRACEAMELIA 2024/2025 ACADEMIC YEAR. ALL RIGHTS RESERVED FIRST PUBLISH OCTOBER 2024 Page 2/7 Interactions between Diflucan and various drugs to treat cirrhosis. - Ans:-elevates liver enzymes Nursing considerations that are required with Amphotericin B administration. - Ans:--monitor BUN/Creatinine -Frequent VS -pretreat (antipyretics, anti inflammatories, antiemetics) -test dose watch closely before, during, and after dose Important topics to discuss in a public education session about HIV - Ans:-It is not contracted by being near patient, usually sexually/intimate/other contraction with body fluids or blood what tests are used to diagnosis and confirm HIV? - Ans:--Enzyme immunessay test (EIA)- detects presence of HIV - Western Blot- confirms HIV diagnosis -Quantitative Areas where types of herpes can be found - Ans:--HSV-1 perioral blisters -HSV-2 genital blisters ©GRACEAMELIA 2024/2025 ACADEMIC YEAR. ALL RIGHTS RESERVED FIRST PUBLISH OCTOBER 2024 Page 3/7 -VZV (shingles)- generally linear across thorax along nerve tracks Common adverse effects and nursing considerations for Retrovir & Avastin - Ans:--anorexia, N/V, headache, fatigue, muscle pain -monitor CBC, CMP, and liver function Labs or tests that are needed for common chemotherapy medications. - Ans:-CBC, CMP, Lipid profile Labs or tests that are needed for common Amphotericin B medications. - Ans:-renal function, CBC, CMP, lipid profile Labs or tests that are needed for common methotrexate medications. - Ans:-CBC, liver function, chest x-ray Teaching and use of nystatin solution. - Ans:--store at room temp. -swish/swallow/spit -several doses daily -treatment: days/ weeks/months -no PO intake for 15-30 minutes after admin. When and how do we give Tamiflu? - Ans:--must begin treatment within 48 hours of influenza symptom onset ©GRACEAMELIA 2024/2025 ACADEMIC YEAR. ALL RIGHTS RESERVED FIRST PUBLISH OCTOBER 2024 Page 4/7 -BID doses take for 5 days What is Immune Reconstitution Syndrome, most common med cause, and how we treat it? - Ans:-- occurs in AIDS or immunosuppression -the immune system appears to recover then response to an opportunistic infection (viral, bacterial, fungal) with overwhelming inflammatory response making the reaction worse -medication cause: Isentress -TX: symptomatic and supportive Why are various medications ordered? - Ans:-Amphotericin B- severe symptomatic fungal infection Cytovene, acyclovir- hepatic viral infections (HSV1, HSV2, VZV) If your patient has myelosuppresion what labs do you review that would confirm this? - Ans:-plt, wbc, rbc Medications used to treat various infections. - Ans:-Ciprofloxacin- drug of choice for anthrax and