PNR 201 Med Surg Unit 2 Exam Questions And Answers 2025/2026

PNR 201 Med Surg Unit 2 Exam Questions And Answers 2025/2026 What is released from a Mast Cell Mediator? - Correct Answer Histamine Order of Donning PPE - Correct Answer Hand Hygiene, Gown, Mask, Goggles, Gloves Order of Doffing PPE - Correct Answer gloves, goggles, gown, mask, hand hygiene HIV Transmission - Correct Answer Blood, Bodily fluids or tissue, unprotected sex and dirty needles Meds for HIV - Correct Answer Antiretroviral drugs Nucleoside Reverse Transcriptase Inhibitors (NRTIs) - Correct Answer Block conversion from RNA to DNA, thus preventing HIV genetic material from entering host cells. **Nursing interventions** Monitor hepatic and renal function, CBC. Assess for signs of abdominal pain, nausea, vomiting, dizziness, neuropathy. Difficulty in vision, hearing , touch, and balance Nonnucleoside Reverse Transcriptase Inhibitors (NNRTIs) - Correct Answer Act by binding to the disabling reverse transcriptase, a protein needed for replication of HIV. **Nursing Intervention** Monitor renal and hepatic function and, if on anticoagulants, coagulation levels. Monitor for headache, dysphoria, dizziness, insomnia and nightmares. Diarrhea occurs in some patients. Contraindicated in pregnancy. Protease Inhibitors (PIs) - Correct Answer Inhibit the protease retroviral enzyme, preventing viral replication. **Nursing Implication**Monitor sirum lipid levels, glucose, billirubin levels. Cause a higher incidence of nephrolithiasis. Most must be given with food and adequate hydration is required. Fusion inhibitors - Correct Answer Block HIV from entering the CD4 cells of the immune system. **Must rotate injection sites because of local irritation. Associated with a higher risk of pneumonia. Entry inhibitors (CCR5 antagonists) - Correct Answer Block proteins on CD4 cells preventing entry of the HIV virus. **Nursing Intervention** Associated with a higher incidence of hepatotoxicity, severe rash and systemic allergic reaction. Integrase inhibitors - Correct Answer Block the integrase enzyme needed for HIV to make copies of itself **Nursing Intervention** Monitor hepatic function. Can cause life-threatening and fatal skin reactions