PNR201 EXAM 2 REVIEW QUESTIONS AND ANSWERS WITH COMPLETE SOLUTIONS VERIFIED LATEST UPDATE

PNR201 EXAM 2 REVIEW QUESTIONS AND ANSWERS WITH COMPLETE SOLUTIONS VERIFIED LATEST UPDATE Terms in this set (45) What is a CDC with Differential? What is in the differential that we want to evaluate in patients receiving chemotherapy: A measure of the number of RBC, WBC, and Platelets in the blood, including the different types of white blood cells (neutrophils, lymphocytes, monocytes, basophils, and eosinophils Priority assessment finding to address with a patient diagnosed with fibromyalgia Muscoskeletal pain - typically described as diffuse or multifocal pain with flare ups and remissions along with migration from one area of the body to another Your patient is to receive 20 mg of prednisone daily. The available dose is 10 mg tablets. How many tablets will the client receive in 4 days? 8 mg tablets Your patient is prescribed ceftriaxone 1000mg IV before therapy. The nurse has available a 2g vial that is reconstituted with 8mL of sterile water to yield a final concentration of 2g/20mL. How many mL of medication with the client receive? 10mL Ketorolac cannot exceed more than 40mg of medication per day. If a client receives 20mg orally at 0800 and 10mg every 4 hours. After their dose at 2400, how many mg over the recommended daily dose has the client received? 20mg over A client is prescribed 100 mL of IV fluid over 15 minutes. How many mL/hour will the nurse set the infusion pump? 400mL What to avoid when taking Benadryl? Alcohol When a patient has multiple allergic reactions to "something" what can a major complication be? - hives - swelling beneath skin - itchy skin and burn - tachycardia - decreased pulse - rapid drop in blood pressure - increased dyspnea Types of allergens inhaled through the nose? - dust mites - pollen and spores - animal skin - urine and saliva Described the correct order to don PPE for airborne precautions: - gown - mask - goggles/face shield Precautions for Tuberculosis - finish the full course of all TB medications or you could become seriously ill or die - cover your mouth when coughing or sneezing - ask family and close contacts to visit their doctor or clinic for TB tests Define IgM - because of its large size, tends to stay in blood vessels - binds to the antigen and works to clear the pathogen form the body Immunocompromised patient ahs a CBC drawn. Define what CBC is and the component related to the immune system? CBC is a complete blood count. Checks for increase or decrease in blood cell counts A fever for many days could lead to a patient to have: can result in brain damage, coma, or death Define immunosuppressive therapy delicate balance between the control of the body's immune response and the side effects Define inti-rejection medication and what patient population they are given and why? Increases the survival rate of patients with certain organ transplants. Helpful in management of autoimmune disease disorders such as multiple myeloma, non- Hodgkin's lymphoma, rheumatoid arthritis, and certain neoplastic growths. Why is the CD4 lymphocyte count important in HIV patients? - is used to check the health of the immune system in people infected with HIV - HIV attacks and destroys the CD4 cells - if too many CD4 cells are lost, your immune system will have trouble fighting off infection What is the SS of systemic lupus erythematosus (SLE) SLE is an autoimmune disease in which the immune system attacks its own tissues, causing widespread inflammation and tissue damage in the affects organs - It can affect the brain, heart, lungs, kidneys, joints, blood cells, and the skin Define urinary retention and what patient would concern you after surgery Urinary retention is retaining or holding urine in the bladder; inability to start the urine stream or to completely empty the bladder. Concerns is if flow is less than 60mL over 2 hour period, the surgeon must be notified How should you initially prepare to ambulate a patient for the first time after surgery - raise the head of the bed first and let the body adjust to position change - then sit the patient on the side of the bed, allowing the legs to dangle over the side with feet on the floor or foot stool. After a few minutes, slowly assist the patient to stand - Assist the patient to walk around the room or for at least a few steps - Use a gait belt and have someone assist you if the patient is very weak - Pain medications can be timed to decrease pain during ambulation if does not make the patient too groggy Precautions used for viral pneumonia: - requires "buddy: to assist with donning and doffing PPE - Must wear N95 mask respiratory mask, full face shield - cover hair - Change into hospital issued scrubs or disposable scrubs, then don impervious cover gown and hood that cover all the neck and chest C-Diff precautions and how to effectively disinfect: soap and water must be used for hand cleansing and bleach for equipment SS and Systemic infections - headache - myalgia (muscle ache) - fever - diaphoresis - chills - anorexia (loss of appetite) - malaise (weakness) What are examples of diagnostic surgeries: - breast biopsy - exploratory laparotomy - arthroscopy