NUR 265 EXAM 4 NEWEST ACTUAL EXAM

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NUR 265 EXAM 4 NEWEST ACTUAL EXAM

100 QUESTIONS AND CORRECT DETAILED

ANSWERS (VERIFIED ANSWERS ) |ALREADY

GRADED A+

what meds are used for management of lupus? - ANSWER- topical 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 1 / 4

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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)

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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

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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? - ANSWER- assess resp (secure airway & apply oxygen)

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