final review

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Author:
carolyn
ID:
94282
Filename:
final review
Updated:
2011-07-17 03:59:54
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medsurg
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medsurg
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  1. what is the Tx for allergic reactions
    • epinephrine
    • antihistamines
    • corticosteroids
  2. what medical management should be done with an anaphylactic reaction
    establish IV line, give fluids, maintain airway
  3. 5 types of transfusion reactions
    • febrile nonhemolytic
    • allergc urticarial
    • deayed hemolytic
    • acute hemolytic
    • anaphylactic
  4. most common reaction that occurs in clients who had prvious blood transfusions. fever is the most classic symptom
    febrile nonhemolytic
  5. clients with _____reactions develop skin rash during or within 1 hour following transfusion
    allergic urticarial
  6. ______ reaction may occur days or weeks following transfusion. most often misdiagnosed
    delaed hemolytic
  7. ____ reaction is a potentially life threatening situation. symptoms usually occur in the first 15 mins of the transfusion with chills nausea and back pain, fever drop, vomiting, urticaria
    acute hemolytic
  8. ______ reaction during transfusion include GI malfunctioning, cardiovascular and resp. collapse
    anaphylactic
  9. medical management during blood transfusion
    • stop transfusion immediately then call physician
    • acute urticarial: slow transfusion administer antihistamine
  10. what is a nurses role in a heart transplant
    • monitor vitals
    • fluid balance
    • nutritional status
    • mental status
    • cardiovascular functioning
    • respiratory functioning
  11. signs of rejection for heart and liver:
    • fever (sign of infection)
    • weight gain
    • swelling and tenderness at site
  12. treatment for clients with TB can last:
    4-6 months
  13. nursing management for clients with TB
    • monitor Vitals
    • encourage fluid intake
    • administer oxygen adn meds as ordered
    • encourage incentive spirometer
    • reposition
    • plan for rest periods
  14. 2 nursing diagnosis for TB clients
    • ineffective airway clearance
    • impaired gas exchange
  15. what is the source of exposure of Mycobacterium Avium complex
    contamintaed water, isolated soil, dust, sediments, aerosols
  16. caused by protozoans, usually infects the epithelial cells that line the digestive tract. transmission is by fecal route and can be spread from animal to person/person to person
    crytosporidiosis
  17. how can cryptosporidiosis be spread
    ingestion of contaminated food and water
  18. clinical signs of cryptosporidiosis
    • watery diarrhea
    • abdominal pain and cramping
    • anorexia
    • low grade fever
    • weight oss
    • electrolyte imbalance
  19. how can cryptosporidiosis be comfirmed
    identifying the organism in fresh stool
  20. what is the TX for crytosporidiosis
    • fluid and electrolyte replacement
    • analgesics
    • TPN
    • high protein and calorie diet
  21. resembles hairs that cant be scrapped off and appears as a white patch on the lateral borders of the tongue caused by the epstein barr virus
    oral hairy leukoplakia
  22. how is oral hairy leukoplakia diagnosed and treated
    through visual inspection with no treatment necessary
  23. nursing management for OHL
    • assess oral cavity
    • assist with oral hygiene
    • avoid mouthwash or alcohol bc of drying effect
  24. vascular malignancy that can occur anywhere in the body including internal organs. lesions occcur subtly on face or oral cavity. lesions can be red, purple, and palpable
    kaposi's sarcoma
  25. lesions that are sometimes mistaken for bruises and are a result of blockages in the lymphatic system
    kaposi's sarcoma
  26. how is Kaposi's sarcoma diagnosed
    tissue biopsy
  27. malignant tumors of the immune system. clinical manifestations may include weight loss, fever, night sweats, confusion, lethary, memory loss.
    NON hodgkins lymphoma
  28. nonhodgkins lymphoma nursing management
    • assess clients ability to perform ADL's
    • do not use drying soaps
  29. a progressive disorder with cognitive, motor, and behavioral dysfunction
    aids dementia complex
  30. most common opportunistic infection associated with HIV
    pneumocystitis carinii

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