NUR 3145 FINAL EXAM | QUESTIONS
AND ANSWERS | LATEST UPDATE
Neutropenia - low level of neutrophils
Thrombocytopenia - low level of platelets
Leukopenia - low WBCs which can encompass basophils, monocytes
Anemia - low RBC or hemoglobin/hematocrit
Pancytopenia - low RBC, WBC and platelet
Purpose of Lasix - loop diuretic- makes you get rid of fluid so it is used in CHF
NANDA for Lasix to CHF - Fluid volume deficit and electrolyte imbalance
NANDA for Heparin - risk for bleeding
-anticoagulant -> prevents clotting and thins blood
NANDA for Insulin - risk for hypoglycemia
lowers BG to treat diabetes
NANDA for Morphine - ineffective breathing
opioid for pain ->respiratory arrest and hypotension
NANDA for Pravastatin - Risk for rhabdomyalgia (muscle stuff) and liver toxicity
Check LFT's so risk for liver dysfunction or impairment
Gave 3 year old vaccine and leg hurts and is swollen so you say...? - Warm compress
to the site
Minor effects of vaccines - fever, rash, red, or sore injection site
treat w/ acetamonophen or ibuprofen and use warm compress
, Severe SE to notify HCP - fever >103, encephalitis, convulsions, dyspnea, SOB,
lymphadenopathy and anaphylaxis
A patient received shingles vaccine and has a fever of 103.2 - call health care provider
Things to ask patients coming n for vaccines like flu shot - allergy to eggs
history of relations
immunosuppressed --> HIV or organ transplant; cancer
Methotrexate bone suppression can lead to - bleeding and infection; supplement w/
folic acid
Xeljanz education - takes several weeks to see improvement so don't give up in it
caution w/ prior infection b/c of TB reactivation and avoid live vaccines
Patient education on Enbrel - no live vaccines
What part of the nursing process are you doing when you watch a patient give a self
injection and you're making sure the are doing it together? - Evaluation
Interferons side effects to monitor for - dry mouth, neutropenia, tachycardia, fatigue,
and thrombocytopenia
What kind of teaching is needed for thrombocytopenia caused by bone marrow
suppression? - use electric razors, soft tooth brushes, no flossing, is acetaminophen
and avoid ibuprofen
Signs of thrombocytopenia - gums bleeding, nose bleeds, bruising, and hematuria
What are neutropenic precautions? - a. Reverse isolation: protecting the patient from
us.
i. Strict hand washing before
ii. No flowers, avoid fresh fruit and veggies, no sick visitors or personnel
iii. Neutropenia: low neutrophils which are WBCs
iv. What patients are in this precaution? Cancer, organ transplant and bone marrow
transplants
v. Nurse needs to STRICT hand wash before patient care or entering room
vi. What organs can be transplanted?
what clients get immunosuppressive therapy? - organ transplant patient
NANDA for immunosuppressive therapy - risk for infection
The benefits of buying summaries with Stuvia:
Guaranteed quality through customer reviews
Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.
Quick and easy check-out
You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.
Focus on what matters
Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!
Frequently asked questions
What do I get when I buy this document?
You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.
Satisfaction guarantee: how does it work?
Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.
Who am I buying these notes from?
Stuvia is a marketplace, so you are not buying this document from us, but from seller Mboffin. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $10.99. You're not tied to anything after your purchase.
