Exam 2)PNR201 Exam 2 Study Guide: Questions & Answers; Latest Updated

What clinical indicator is used to determine if a client with HIV needs (ART)? (Ans- CD4 count is less than 350 cell/mm^3 Symptoms of lupus (Ans- •Painful, swollen joints or arthritis •Skin rash -Butterfly-shaped across face -Triggered by sun exposure •Frequent fevers •Prolonged or extreme fatigue •Anemia •Kidney involvement What can happen if a client has multiple allergic reactions to the same thing? (Ans- anaphylaxisWhat clinical finding would prompt a nurse to hold potassium after surgery? (Ans- Urinary output needs to reach 30mL/h What immunization would a nurse recommend to older adults? (Ans- -Flu, shingles, Tdap What lab findings would indicate a client is immunosuppressed? (Ans- -Chronic renal failure, diabetes mellitus -Patients who take daily corticosteroids What would be an age-related change to vision (really meaning the eye, not so much vision) (Ans- -Subcutaneous fat and tissue elasticity decrease, eyes appear sunken in -Arcus senilis: opaque ring outlining cornea -Cornea flattens and develops an irregular curvature -Sclera develops a yellowish tinge (fat), or thinning (blue) -Iris ability to dilate decreases -Lens of the eye changes, losing water and becoming harder-Pupil size becomes smaller -Color discrimination decreases -Moisture secretions decrease -Eversion of lower lid (ectropion) -Drooping of upper lid (ptosis)