NUR 3145 Final Exam Study Guide

NUR 3145 Final Exam Study Guide Neutropenia - Ans:-low level of neutrophils Thrombocytopenia - Ans:-low level of platelets Leukopenia - Ans:-low WBCs which can encompass basophils, monocytes Anemia - Ans:-low RBC or hemoglobin/hematocrit Pancytopenia - Ans:-low RBC, WBC and platelet Purpose of Lasix - Ans:-loop diuretic- makes you get rid of fluid so it is used in CHF NANDA for Lasix to CHF - Ans:-Fluid volume deficit and electrolyte imbalance NANDA for Heparin - Ans:-risk for bleeding -anticoagulant - prevents clotting and thins blood NANDA for Insulin - Ans:-risk for hypoglycemia ©GRACEAMELIA 2024/2025 ACADEMIC YEAR. ALL RIGHTS RESERVED FIRST PUBLISH OCTOBER 2024 Page 2/10 lowers BG to treat diabetes NANDA for Morphine - Ans:-ineffective breathing opioid for pain -respiratory arrest and hypotension NANDA for Pravastatin - Ans:-Risk for rhabdomyalgia (muscle stuff) and liver toxicity Check LFT's so risk for liver dysfunction or impairment Gave 3 year old vaccine and leg hurts and is swollen so you say...? - Ans:-Warm compress to the site Minor effects of vaccines - Ans:-fever, rash, red, or sore injection site treat w/ acetamonophen or ibuprofen and use warm compress Severe SE to notify HCP - Ans:-fever 103, encephalitis, convulsions, dyspnea, SOB, lymphadenopathy and anaphylaxis A patient received shingles vaccine and has a fever of 103.2 - Ans:-call health care provider ©GRACEAMELIA 2024/2025 ACADEMIC YEAR. ALL RIGHTS RESERVED FIRST PUBLISH OCTOBER 2024 Page 3/10 Things to ask patients coming n for vaccines like flu shot - Ans:-allergy to eggs history of relations immunosuppressed -- HIV or organ transplant; cancer Methotrexate bone suppression can lead to - Ans:-bleeding and infection; supplement w/ folic acid Xeljanz education - Ans:-takes several weeks to see improvement so don't give up in it caution w/ prior infection b/c of TB reactivation and avoid live vaccines Patient education on Enbrel - Ans:-no live vaccines What part of the nursing process are you doing when you watch a patient give a self injection and you're making sure the are doing it together? - Ans:-Evaluation Interferons side effects to monitor for - Ans:-dry mouth, neutropenia, tachycardia, fatigue, and thrombocytopenia What kind of teaching is needed for thrombocytopenia caused by bone marrow suppression? - Ans:- use electric razors, soft tooth brushes, no flossing, is acetaminophen and avoid ibuprofen Signs of thrombocytopenia - Ans:-gums bleeding, nose bleeds, bruising, and hematuria ©GRACEAMELIA 2024/2025 ACADEMIC YEAR. ALL RIGHTS RESERVED FIRST PUBLISH OCTOBER 2024 Page 4/10 What are neutropenic precautions? - Ans:-a. Reverse isolation: protecting the patient from us. i. Strict hand washing before ii. No flowers, avoid fresh fruit and veggies, no sick visitors or personnel iii. Neutropenia: low neutrophils which are WBCs iv. What patients are in this precaution? Cancer, organ transplant and bone marrow transplants v. Nurse needs to STRICT hand wash before patient care or entering room vi. What organs can be transplanted? what clients get immunosuppressive therapy? - Ans:-organ transplant patient NANDA for immunosuppressive therapy - Ans:-risk for infection What do we tell a patient if the forgot to take their immunosuppressive meds? - Ans:-don't double dose but call HCP What do chemo drugs do? - Ans:-kills good and bad cells -- bone marrow depres