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Remar Quick Facts for NCLEX 2019-2022 ScienceMedicineInfectious Disease Andiela Save
NCLEX EXAM PREVIEW
110 terms kandykat1012Preview 75 Free NCLEX Questions - c/o Brilli...75 terms carey47Preview Remar Nurse V2 Study Exam 131 terms Anesha_KingPreview NCLEX Teacher Tut What is the ABO antigen system different classes of human blood What part of the blood is classified?RBC are distinguished What other blood is compatible with type A?A & O Blood type compatible with type B B & O Blood type compatible with O?Only type O Blood type compatible with AB?
A , B, O
Acetylsalicylic Acid Aspirin
What is the indication for Acetylsalicylic acid?Mild to moderate pain Does aspirin increase or decrease the effects of Methotrexate?Increase What is Methotrexate used for?Chemotherapy agent & Rheumatoid arthritis What is the primary symptom of Acid Reflux (GERD)?Heartburn (pyrosis) What test confirms Gerd?Barium swallow fluoroscopy What malfunction allows reflux in GERD?Lower esophageal sphincter What is the client teaching for GERD?Low-fat, high protein diet, take antacids, do not lie flat after meals What is the virus that causes AIDS?human immunodeficiency virus (HIV) How is HIV transmitted?Sexual contact Direct Contact with infected blood/bodily fluids Body fluids= semen, breast milk What are the symptoms of HIV?Weight loss, diarrhea, night sweats, fever, fatigue How is the presence of HIV confirmed?Screening is done first to see if HIV antibodies are present. The test is done to specifically identify the HIV antibodies.What is the screening test for HIV?
ELISA
What confirms the screening test for HIV?HIV Differentiation assay.Western Blot is no longer used.How does HIV attack the body?It attacks the immune system by destroying T-lymphocytes.Virus also rapidly replicates itself.What is so important about T-Lymphocytes?T cells help immune system to recognize and fight pathogens.What is another name for T-Lymphocytes?CD4 cells Why is the CD4 count so important?The lower the CD4 count, the more damage the virus has done to the body.What is the normal CD4 count?
500-1500
What is the normal CD4 for a HIV patient?at or above 500 is considered good health. Below 200 means HIV has progressed to AIDS.If a client's CD4 count is below 200, client is at risk for what?Opportunistic infections List some opportunistic infections Oral pharyngeal canidida infection (mouth fungus) Kaposi's Sarcoma (skin cancer) Pneumocytosis Pneumonia Cytomegalovirus (blindness) Meningitis What is the goal of HIV medications?to interfere with the virus replicating What is the most important medication to know for HIV Zidovudine
Which isolation precautions are used with HIV?Standard or Universal precautions.Patients do not have to tell anyone they have HIV, treat everyone as if they are infected. ** How do the precautions change with AIDS?
If the pt has a low CD4 count and risks opportunistic infection:
Implement
- Private room
- Reverse Isolation
- RN wears: gloves, gown, goggles, mask, when in direct contact with blood or bodily fluids
What are teaching points for parents who have a child with HIV
- Clean up body fluid/blood with 10:1 water to bleach ratio.
- Get all immunizations except live (oral polio, varicella, MMR)
- Feed high calorie & protein diet
- Use gloves when changing diapers
What is the definition of Acute Renal Failure?Sudden loss of kidney function to excrete toxins & regulate fluids & electrolytes What are some possible causes of Acute Renal Failure ?Infection, obstruction, shock What are the 3 phases of ARF?Oliguric, Diuretic, Recovery During the Oliguric phase what will you see?Lasts 1-2 weeks Low urine output < 400 Hyperkalemia, hypertension, elevated BUN/creatinine, fluid overload What two electrolytes will be elevated Sodium & phosphate The diuretic phase is 2nd; what will you see?Increased urine output, hypokalemia, hypotension What does the recovery phase mean?The kidneys are recovering through a slow process, urine output increasing, BUN normal.
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