NUR 265 EXAM 1,3 AND 4 BUNDLE NEWEST 2024 ACTUAL EXAM QUESTIONS AND CORRECT DETAILED ANSWERS (VERIFIED ANSWERS) |ALREADY GRADED A+<\/p>\n\n\n\n
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NUR 265 EXAM 4 NEWEST 2024 ACTUAL EXAM
100 QUESTIONS AND CORRECT DETAILED
ANSWERS (VERIFIED ANSWERS) |ALREADY
GRADED A+
what meds are used for management of lupus? – ANSWERtopical corticosteroids
Tylenol\/ NSAIDs
hydo|ychloroquine
steroids
immunosuppressive agents (methotrexate)
what is the teaching for hydroxychloroquine – ANSWER- Teach
patients to have frequent eye examinations with visual field
testing before starting the drug and every 6 months after starting
drug
What is Lyme disease? – ANSWER- systemic infection caused
by spirochete borrelia burgdorferi d\/t tick bite
What is Stage 1 with lyme? – ANSWER- flu like symptoms<\/p>\n\n\n\n
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erythema migrans (bulls eye)
pain\/stiffness in muscles\/joints
symptoms begin 3-30 days
tx abs doxy or amoxx (14-21 days)
What is Stage 2 with lyme? – ANSWER- 2-12wks after tick bite
can develop carditis w\/ dysrhythmias
dyspnea, dizziness or palpitations, meningitis, facial paralysis,
peripheral neuritis
tx iv abx for 30 days (ceftriaxone & cefotaxime)
What is stage3 with lyme? – ANSWER- months-years after bite
arthritis is 1st and only symptom
What is teaching with lyme? – ANSWER- avoid heavily wooded
areas
wear light colors
DEET repellent
long sleeves & pants
bathe & inspect immed.
remove w\/ tweezers & flush (DO NOT BURN)<\/p>\n\n\n\n
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How do you remove ticks? – ANSWER- with tweezers making
sure you remove the tick intact within 36 hours
What is the purpose of inflammation and immunity? –
ANSWER- to provide protection by neutralizing, eliminating or
destroying organisms that invade the body.
What are the different types of reactions? – ANSWER- type 1=
immediate( hay fever, allergic asthma or anaphylaxis)
type 2= cytotoxic (hemolytic anemia, myasthenia gravis)
type 3= immune (serum sickness, lupus, RA
type 4= delayed ( poison ivy, graft rejection, positive tb test)
How are allergens contracted? – ANSWER- inhalation,
ingestion, injection, contraction (latex, pollen)
What is an allergic reaction? – ANSWER- excessive
inflammation in response to the presence of an antigen to which
the pt has been previously exposed
What is an allergic reaction type 1? – ANSWER- anaphylaxis<\/p>\n\n\n\n
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What are s\/s of allergies? – ANSWER- rhinorrhea, sneezing,
itchy, red, watery eyes
How are allergies dx’ed? – ANSWER- allergy skin testing for
type 1, history and s\/s during allergen exposure
What are interventions with allergy? – ANSWER- avoidance
therapy
decongestant
antihistamine
corticosteroids
desensilization therapy (allergy shots)
What are s\/s of anaphylaxis? – ANSWER- swollen lips, tongue,
soft palate, uvula, widespread hives, pruritus & flushing,
hypotension, resp distress, dyspnea, bronchospasms, wheezes,
stridor, cyanosis, low perfusion, hypotension, loss of
consciousness, incontinence, absent deep tendon reflex
What to teach with allergies\/anaphylaxis? – ANSWER- avoid
allergens
what are interventions with allergies\/anaphylaxis? – ANSWERassess resp (secure airway & apply oxygen)
get pdf at https:\/\/learnexams.com\/search\/study?query=<\/a><\/p>\n\n\n\n
NUR 265 EXAM 3 NEWEST 2024 ACTUAL EXAM
100 QUESTIONS AND CORRECT DETAILED
ANSWERS (VERIFIED ANSWERS) |ALREADY
GRADED A+
How is myasthenia gravis diagnosed? – ANSWER- tensillon
test.
s\/s improve with Edrophonium .
How does edrophonium work? – ANSWER- w\/in 30-60sec of
1st dose, most show lots of improvement, lasts 4-5mins
What are n\/i for myasthenia gravis? – ANSWER- assess adls,
speech & facial weakness
resp support
keep oxygen equipment & suction at bedside for r\/f of resp
distress
promote mobility
What is tx for myasthenia gravis? – ANSWER- plasmapherisis
anticholinesterases (pyridostigmine) immunosuppressants<\/p>\n\n\n\n
What is cholinergic crisis? – ANSWER- too much cholinesterase
inhibitor drug
What are s\/s of cholinergic crisis? – ANSWER- fasciculations
hypersalivation
sweating
bronchospasms
increase bronchial secretions
bradycardia
What is tx for cholinergic crisis? – ANSWER- atropine
DO NOT GIVE ANTICHOLINESTERASE
What is myasthenic crisis? – ANSWER- too little cholinesterase
inhibitor drug
What is the priority with myasthenic crisis? – ANSWER- resp
function
What are s\/s of myasthenic crisis? – ANSWER- increase HR,
RR, BP<\/p>\n\n\n\n
decrease u\/o
no cough or swallow reflex
dry
What time should ChE inhibitor be given? – ANSWER- 45-1hr
before meals to avoid aspiration
What can tensilon test cause? – ANSWER- cardiac
dysrhythmias, have atropine on hand
What is nursing priority with myasthenic crisis? – ANSWERmaintain airway, may require to intubate
What is Guillain-Barre? – ANSWER- an uncommon acute
inflammatory disorder that affects axons and\/or myelin sheath
(neurons can’t impulse)
where does Guillain Barre Syndrome start – ANSWER- -Starts
in feet and hands (numbness, tingling)
What are causes of Guillain Barre? – ANSWER- bacterial
infection
influenza<\/p>\n\n\n\n
epstein barr
zika
What are s\/s of guillain barre? – ANSWER- loss of reflexes
hypotension
labile BP
muscle weakness or paralysis (decreased DTR)
numbness
ataxia
blurred or double vision
palpitations
pain
tachycarida
What are complications from guillain barre? – ANSWER- resp
& cardiac problems
decreased mobility, DVTs
What is tx for guillain barre? – ANSWER- plasmapheresis asap
IV immunoglobulin if can’t do plasma right away
get pdf at https:\/\/learnexams.com\/search\/study?query=<\/a><\/p>\n\n\n\n
NUR 265 EXAM 1 NEWEST 2024 ACTUAL EXAM 100
QUESTIONS AND CORRECT DETAILED ANSWERS
(VERIFIED ANSWERS) |ALREADY GRADED A+
Describe Intrarenal AKI. Give examples. – ANSWER- Tissue
damage to the actual kidneys.
-Glomerulonephritis or inflammation of the glomeruli
-Sepsis
-Intrarenal bleeding
-Pyelonephritis
Describe Postrenal AKI. Give examples. – ANSWERObstruction that occurs after the kidney.
-Enlarged prostate (BPH)
-Bladder Cancer
-Kidney stones
How do you determine the mean arterial pressure (MAP)? –
ANSWER- Systolic + (Diastolic*2) \/3<\/p>\n\n\n\n
What is the MAP needed to perfuse the kidneys? – ANSWER65 mmHg
What are examples of nephrotoxic drugs? – ANSWER- –
NSAIDS
-Metformin
-Diuretics
-Antibiotics (especially -mycin)
-Contrast dye
During the diuretic phase of AKI, what needs to be monitored? –
ANSWER- Watch for dehydration and make sure output is
greater than input
What are the dietary restrictions for an AKI patient? –
ANSWER- -Low protein
-Low sodium
-Fluid restriction: 1000-1500mL day (for anything except
perfusion problem)
What are the 2 most common causes of CKD? – ANSWER- –
HTN
-Uncontrolled diabetes<\/p>\n\n\n\n