NURS 623 MARYVILLE EXAM 1 Complete Solution Graded A+

NURS 623 MARYVILLE EXAM 1 Complete Solution Graded A+ What are the Stages of Lyme Disease? - Early localized Early disseminated Late Lyme Early Localized Lyme Disease - -occurs days to months after exposure -Symptoms nonspecific: malaise, fever, cervical stiffness, myalgias, arthralgias -Can have a " bulls eye rash aka "erythema migrans"which is 5cm Early diseminated Lyme Disease - -occurs days to 10 months after infection -Systemic manifestations ie: meningitis, cranial nerve palsies (esp. VII) and radiculoneuritis Swelling of joints, numbness in extremities, palpatations adn difficulty concentrating. -NO RASH Late Lyme Disease - -occurs months to years after exposure -May have intermittent arthritis -May also experience neurological manifestations ie: encephalopathy, peripheral neuropathy or neurocognitive impairment. S/S of HIV - -Majority of acute HIV asymptomatics -Flu like symptoms the firststages 6 days to 6 weeks -Fever, sore throat myalgias, headache, cervival lymphadenopathy and nightsweats Risk Factors for HIV - Sexual history, sexually transmitted disease, substance abuse, transfusion history, infection history and occupation history Hypersensitivity Reactions - Type 1 Hypersensitivity RX - Type II Hypersensitivity Rx - Type III Hypersensitivity RX - Type IV Hypersensitivity Rx - MCV - the size of the RBC MCH - Volume of RBC MCHC - the concentration % Normocytic anemia - MCV 82-92 (normal size) MCH 25-30 (normal color) MCHC 32-36 EX: anemia of chronic disease, sepsis, hemorrhagic, aplastic anemia and heriditary spherocytosis Microcytic Anemia - " Small light incompetant" MCV80 (small ) MCH 20-25 (pale) MCHC 27 EX: iron deficiency anemia , Thalassemia Macrocytic Anemia - " Big Dark Dumb" MCV96 (large) MCH 30-50 (dark) MCHC 32-36 EX: Pernicious anemia, Vitamin B12 deficiency, folic acid deficiency, Antimetabolite drugs ( methotrexate) Normal H&H Male versus Female - Male Hgb:13.5-17.5 HCT: 40-54% Female Hgb: 12-15.5 HCT: 36-48% Lupus - Malaise fevers, unexplained WL, ABD pain, depression, sleeplessness, swelling of the joints Rheumatoid Arthritis - Early stages: (bilateral )diffuse arthritis, WL, anorexia, and low grade fevers.