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NUR 3145 Final Exam Questions And Answers

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Neutropenia - ANS low level of neutrophils Thrombocytopenia - ANS low level of platelets Leukopenia - ANS low WBCs which can encompass basophils, monocytes Anemia - ANS low RBC or hemoglobin/hematocrit Pancytopenia - ANS low RBC, WBC and platelet ...

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  • September 18, 2024
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NUR 3145 Final Exam Questions And
Answers





Neutropenia - ANS low level of neutrophils

Thrombocytopenia - ANS low level of platelets

Leukopenia - ANS low WBCs which can encompass basophils, monocytes

Anemia - ANS low RBC or hemoglobin/hematocrit

Pancytopenia - ANS low RBC, WBC and platelet

Purpose of Lasix - ANS loop diuretic- makes you get rid of fluid so it is used in CHF

NANDA for Lasix to CHF - ANS Fluid volume deficit and electrolyte imbalance

NANDA for Heparin - ANS risk for bleeding

-anticoagulant -> prevents clotting and thins blood

NANDA for Insulin - ANS risk for hypoglycemia
lowers BG to treat diabetes

NANDA for Morphine - ANS ineffective breathing

opioid for pain ->respiratory arrest and hypotension

NANDA for Pravastatin - ANS 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...? - ANS Warm compress
to the site

Minor effects of vaccines - ANS fever, rash, red, or sore injection site

treat w/ acetamonophen or ibuprofen and use warm compress

, Severe SE to notify HCP - ANS fever >103, encephalitis, convulsions, dyspnea, SOB,
lymphadenopathy and anaphylaxis

A patient received shingles vaccine and has a fever of 103.2 - ANS call health care
provider

Things to ask patients coming n for vaccines like flu shot - ANS allergy to eggs
history of relations
immunosuppressed --> HIV or organ transplant; cancer

Methotrexate bone suppression can lead to - ANS bleeding and infection; supplement w/
folic acid

Xeljanz education - ANS 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 - ANS 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? - ANS Evaluation

Interferons side effects to monitor for - ANS dry mouth, neutropenia, tachycardia, fatigue,
and thrombocytopenia

What kind of teaching is needed for thrombocytopenia caused by bone marrow suppression? -
ANS use electric razors, soft tooth brushes, no flossing, is acetaminophen and avoid
ibuprofen

Signs of thrombocytopenia - ANS gums bleeding, nose bleeds, bruising, and hematuria

What are neutropenic precautions? - ANS 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? - ANS organ transplant patient

NANDA for immunosuppressive therapy - ANS risk for infection

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