Med Surg Final Exam

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  1. teaching for avoiding anaphylactic reactions to bee stings
    • avoidance of the allergan
    • wear/carry med alert
    • teach to prepare and admin epinephrine subq-apply tourniquet
  2. dyspnea, wheezing, urticaria of arms and face post bee sting. immediate care
    assess respiratory status
  3. pernicous anemia is
    progressive megaloblastic, macrocytic anemia, affecting mainly older people that results from a lack of intristic factor essential for the absorption of vitamin B12
  4. immunodeficiency disease is
    altered and failed immune response
  5. safety measure for pt receiving first time intradermal injections for allergy testing
    observe the pt for at least 20 mins after admin bc a hypersensitivity reaction or anaphylasis may occur
  6. pt misses allergy shot last week. what is proper protocol
    consult dr
  7. Imuran:
    critical nursing goal:
    • corticosteroid
    • infection-avoid infected people, aseptic technique, prophylactic antibiotic therapy and good skin care
  8. teaching for client with allergic reactions to bee stings
    • avoidance of the allergan
    • teach to prepare and admin epinephrine
  9. what are significant risk factors for allergies
    genetic, developmental defects, infections, malignancy, injury, drugs or altered metabolic states
  10. pt c/o of itching at site of skin testing, weakness, and dizziness. what is appropriate of the nurse to initially do
  11. when PCN injection is given, what is appropriate action for the nurse
    assess for allergic reaction
  12. what is the purpose of cyclosporine given after kidney transplant
    slow graft rejection
  13. what are cell-mediated responses
    delayed hypersensivity
  14. anaphylaxis:administer:
    0.2-0.5ml of epinephrine 1:1000
  15. hypersensitivity is delayed major process that leads to
    cell mediated responses
  16. what is immunotherapy on a perennial basis
    • most widely accepted
    • higher cumulative dose produces better effect
    • admin subq
    • observe pt for at least 20 mins after admin
  17. the first evidence of immunodeficiency would be
    an increased susceptability to infection
  18. cytotoxic drugs do what
    immunosuppression-serious side effect
  19. the purpose of plasmapheresis is to
    remove pathologic substances present in plasma
  20. correct nursing intervention for anaphylaxis
    assess respiratory status, circulatory status, monitor vs, I&O, mental status, skin status, GI status
  21. what are the 5 factors influencing hypersensitivity response
    • host response to allergen
    • exposure amount
    • nature of the allergen
    • route of allergen entry
    • repeated exposure
  22. assess the pt for hypersensitivity, you should
    • obtain a comprehensive history
    • identify the allergens that may have triggered the response
    • determine time of yr the allergic reactions occur
    • obtain info about any OTC or prescription meds that the pt is taking
    • clinical manifestations
    • ask about pets, plants, trees, etc
    • have pt keep dairy of food and any reactions
    • review questions about the pts lifestyle and stress level in connection with allergic symptoms
  23. what is an antigen
    substance recognized by the body as foreign that can trigger an immune response
  24. how long can blood be out of the refrigerator
    4 hours
  25. what is the procedure for admin blood
    • cross match
    • microaggregate filters
    • monitor for adverse effects
  26. s/s of blood reaction
    what do you do if pt has chills, itching, and sob
    • dermatitis, diarrhea, fever, chills, urticaria, cough, orthopnea, wheezing
    • stop the transfusion and continue with saline admin antihistamines, epinephrine
  27. mild reaction to blood transfusion
    • delayed, s/s dermatitis, diarrhea, fever, chills, urticaria, cough, orthopnea, wheezing
    • transmission can continue at a slower rate
  28. nursing diagnosis for pt that has experienced an anaphylasis reaction and is being monitored for stability
    • ineffective breathing pattern r/t edema, bronchospasm, increased secretions
    • decreased cardiac output r/t decreased capillary permeability, vascular diliation
  29. if a person is sensitive to latex, what else might they be sensitive to
    • avocados
    • guava
    • kiwi
    • bananas
    • water chestnuts
    • hazelnuts
    • tomatoes
    • potatoes
    • peaches
    • grapes
    • apricots
    • peanuts
  30. the innate system is composed of
    • skin
    • mucous membranes
    • cilia
    • stomach acid
    • tears
    • saliva
    • sebaceous glands
    • secretions and flora of the intestine
    • vagina
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Med Surg Final Exam
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