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Nurse 623 Exam 1 Questions And Answers With Complete Solutions
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Nurse 623 Exam 1 Questions And Answers With Complete Solutions
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NURSE 623 EXAM 1 QUESTIONS AND ANSWERS WITHCOMPLETE SOLUTIONS.
What zare zthe zStages zof zLyme zDisease? z- zANS z- zEarly zlocalized
Early zdisseminated
Late zLyme
Early zLocalized zLyme zDisease z- zANS z- z-occurs zdays zto zmonths zafter zexposure
-Symptoms znonspecific: zmalaise, zfever, zcervical zstiffness, zmyalgias, zarthralgias
-Can zhave za z" zbulls zeye zrash zaka z"erythema zmigrans"which zis z> z5cm
Early zdiseminated zLyme zDisease z- zANS z- z-occurs zdays zto z10 zmonths zafter zinfection
-Systemic zmanifestations zie: zmeningitis, zcranial znerve zpalsies z(esp. zVII) zand zradiculoneuritis
Swelling zof zjoints, znumbness zin zextremities, zpalpatations zadn zdifficulty zconcentrating.
-NO zRASH
Late zLyme zDisease z- zANS z- z-occurs zmonths zto zyears zafter zexposure
-May zhave zintermittent zarthritis
-May zalso zexperience zneurological zmanifestations zie: zencephalopathy, zperipheral zneuropathy zor
zneurocognitive zimpairment.
S/S zof zHIV z- zANS z- z-Majority zof zacute zHIV zasymptomatics
z-Flu zlike zsymptoms zthe zfirststages z6 zdays zto z6 zweeks z
-Fever, zsore zthroat zmyalgias, zheadache, zcervival zlymphadenopathy zand znightsweats
Risk zFactors zfor zHIV z- zANS z- zSexual zhistory, zsexually ztransmitted zdisease, zsubstance zabuse,
ztransfusion zhistory, zinfection zhistory zand zoccupation zhistory
Hypersensitivity zReactions z- zANS z- z
Type z1 zHypersensitivity zRX z- zANS z- z
,Type zII zHypersensitivity zRx z- zANS z- z
Type zIII zHypersensitivity zRX z- zANS z- z
Type zIV zHypersensitivity zRx z- zANS z- z
MCV z- zANS z- zthe zsize zof zthe zRBC
MCH z- zANS z- zVolume zof zRBC
MCHC z- zANS z- zthe zconcentration z%
Normocytic zanemia z- zANS z- zMCV z82-92 z(normal zsize) z
MCH z25-30 z(normal zcolor) z
MCHC z32-36
EX: zanemia zof zchronic zdisease, zsepsis, zhemorrhagic, zaplastic zanemia zand zheriditary zspherocytosis
Microcytic zAnemia z- zANS z- z" zSmall zlight zincompetant"
MCV<80 z(small z)
MCH z20-25 z(pale)
MCHC z27
EX: ziron zdeficiency zanemia z, zThalassemia
Macrocytic zAnemia z- zANS z- z" zBig zDark zDumb" z
MCV>96 z(large) z
MCH z30-50 z(dark)
MCHC z32-36
EX: zPernicious zanemia, zVitamin zB12 zdeficiency, zfolic zacid zdeficiency, zAntimetabolite zdrugs
z( zmethotrexate)
Normal zH&H zMale zversus zFemale z- zANS z- zMale zHgb:13.5-17.5 zHCT: z40-54%
Female zHgb: z12-15.5 zHCT: z36-48%
Lupus z- zANS z- zMalaise zfevers, zunexplained zWL, zABD zpain, zdepression, zsleeplessness, zswelling zof
zthe zjoints
Rheumatoid zArthritis z- zANS z- zEarly zstages: z(bilateral z)diffuse zarthritis, zWL, zanorexia, zand zlow zgrade
zfevers. z
,May zalso zhave zpain zin zextremities zpainful zeyes zand zCP zupon zinspiration....
****Joint zpain zand zswelling zpresent zon zawakening zbut zimproves zas zthe zday zprogresses***
Ankylosing zSpondylitis z- zANS z- zPain zin zthe zankeles, zeyesm zhips, zjoints, zlower zback zneck zor
zshoulders.
Pain zduring zexcercise zor zrest
Eyes zcan zbe zinflammed zor zred.
Visual zdisturbances zor zlight zsensitivity
Fatigue, zmalaise, zinflammed ztendons, zIBD zsleep zd/o zor zphysical zdeformities
Osteoarthritis z- zANS z- z
Eczema zS/S z- zANS z- zEarly: zsymmetrical zlesions zwhich zooze, zcrust z, zand zbecome zexcoriated zoccurs
zin zthe zfolds
Later: zrash zbecome zcrusted, zscaley zthickened zand zlichenified
Psoriasis z- zANS z- z
Eczema ztreatment z- zANS z- zGoal: zto zcontrol zS/S zbecause zthere zis zno zcure
1.decrease zpruritis
2.prevent zsecondary zinfection z
3.educate zthe zpatient zso zthey zcan zcontrol zthe zdisease zthemselves
4.skin zhydration
5.barrier zrestoring ztheraphies z
6. zeliminate ztriggers
Sjogrens zSyndrome z- zANS z- zVery zchallanging zto zdiagnose zbecause zsymptoms zoverlap zwith zmany
zother zdiseases zsuch zas zMS., zLupus, zchronic zfatigue zand zfibromyalgia
S/S: zdry zgritty zburning zeyes, zdry zoral zcavities/ ztongue, zincreased zdental zdecay, zchange zin ztaste zor
zsmell zdigestive zproblems zand zdebilitating zfatigue
, Allergic zDermatitis zAcute: z- zANS z- zAcute: zweeping zlesions zwith znumerous ztiny zvessicles zon za
zerythematous zbase zthat zis zitchy... zmay zburn zor zsting. z
Treatment zGoal: zSymptom zrelief
calamine zlotion, ztopical zsteroids zand zoatmeal zbaths z(Aveeno)
**if zweeping: zmoist zcompresses, zsimple zsrying zagents zand zcalamien zlotion zseveral ztimes zper
zday**
Allergic zdermatitis zsevere z- zANS z- zsteroid zcreams
possibly zpo zsteroids10-14 zdays ztaper
Patient zeducation zAllergic zDermatitis z- zANS z- z-do znot zstop zsteroids zabruptly zif zgiven zfor z> z5 zdays
-identify zthe zcause, zavoid zexposure, zwear zgloves zand zprotective zclothing, zcontact zprovider zfor
zexacerbations
Cellulitis zdefination zand ztreatment z- zANS z- zusually zstaph zor zstrep
red, zwarm, zand ztemder zto zpalpate
Cellulitis zTreatment: z
1.Uncomplicated zno zbite: zdicloxaxillin zor zcephalexin z(Keflex z10-14 zdays)
2.for zPCN zallergy: zErythromycin
3.Humanand zdog zbites z: zAugmentin
Abcess zdefinition zand ztreatment z- zANS z- z
Folliculitis z- zANS z- zsuperficial zto zdeep zskin zinfection zof zthe zhair zfollicle zwith zstaph zor zstrep
Goal: zMake zskin zinhospitable zto zpathogens
Treatment; z
1.Wash zskin zBID zwith zantibacterial zsoap
2.when zskin zsoftens zopen zlarge zpustules zand ztrim znecrotic ztissue
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