*NURSING > STUDY GUIDE > Nursing 2 final exam review, A+ guide. (All)
Rasmussen College - NURSING 2| Nursing 2 final exam review, A+ guide. Nursing 2 final exam review Examples of passive immunity: Breast milk colostrum from mother to child, and placenta. Delegatio... ns, priority… on our own. HIV – When CD4 count is less than 200 AIDS is diagnosed, and high risk of developing serious illness. When PT CD4 drops below 200 or below 500 with opportunistic infection. Treatment beings with counts drop below 500. When there is fever, night sweats, severe cough and this client CD4+cellcount is low, he or she may have anergy, or the inability to mount an immune response to TB test. The nurse should first place the client on Airborne Precautions to prevent the spread of TB if is present. Next the nurse notifies the provider about the low CD4+ count and requests alterative testing for TB. Client with pneumocystic carrini, should pace activities and allow for adequate rest. Opportunistic disease for HIV. toxoplasma gondii: use standard precaution consistently. (2) pneumonitis carinii or Jiroveci – lab value CD4+ less than 200, low platelet and low sodium. (3) HIV wasting syndrome. Treatment for type 1 allergies- anaphylactic reaction is (select all that apply ) – EpiPen, and stay with the person always. When on IV antihistamine patient should not get up without help because it causes drowsiness. After a patient has been stabilized after anaphylactic reaction and still wheezing give albuterol. Establish/maintain airway!! Raise feet and legs – tundenbug position Prevent spread of allergen, 0.3mL epinephrine IM, intubation kit – tracheostomy. Recumbent position, elevate legs, warm patient, support respirations with O2,BP maintained with IV fluids , Benadryl, steroid. Indication of albuterol: used for wheezing as a bronchodilator. DKA S/S: DYHYDRATION, KAUSSMAUL BREATH, ABDOMINAL PAIN, FRUITY BREATH .Hyperglycemia, Tachycardia, Orthostatic Hypotension, Ketones In The Urine, An Increased Rate And Depth Of Respiration. Illness, Undiagnosed And Untreated And Decreased Insulin. ABGs for DKA .............................................................................................................. [Show More]
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