Medical-Surgical Nursing Curriculum Notes
Questions
1. Infectious Diseases and Immunological Care Unit
2. Oncology (Cancer Nursing) & Advanced
Respiratory Care Unit
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HIGH YIELDS QUESTIONS
NEWEST MODEL 2026 EXAM LATEST
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What are some considerations for Paxlovid?
üIndications: a drug to treat COVID-19 meant for individuals who have tested
positive for COVID-19 and are at risk of experiencing severe
symptoms, hospitalization or death.
üCan be taken by individuals who are 12 years or older and weigh at least 88
pounds.
üMost be prescribed by a provider, not available over-the-counter.
üIt should be taken within 5 days of testing positive.
üPaxlovid is 2 separate medicines. The pills, oral medications are taken
together twice per day for 5 days.
üPaxlovid was 89% effective at reducing the risk of hospitalization or death,
according to data from the clinical trial that led to the drug’s Emergency Use
Authorization.
üSide Effect: hives, trouble swallowing or breathing, skin rash, liver problems,
loss of appetite.
üMany drug interactions: Particularly immunosuppressants, BP medication,
Cholesterol lowering medication, drugs to treat arrhythmias, migraine
medications.
üRebound may occur which means you get COVID-19, take Paxlovid, test
negative and then test positive for COVID-19 again. If you rebound according
to CDC guidance, you should isolate again for at least 5 days. You should not
take Paxlovid again.
What are some of the vaccines used for COVID-19?
•Two major types are currently accessible
•Messenger RNA (mRNA)
•Do not contain live virus
•Do not cause someone to get COVID-19 infection
•Provides instructions to the hosts’ immune cells to create one of the “spike proteins”
•Helps the body create antibodies to the protein
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•The vaccines never get inside the nucleus, thus do not change our genes
•Is destroyed soon after giving instructions to the immune system
•Viral vector vaccines (Johnson & Johnson Janssen Vaccine)
•Use adenovirus (harmless version) to transport genetic material to the cells
•Contains a small piece of DNA that triggers the body’s immune system to create
antibodies to the spike protein
•The DNA does not change or interact with the host’s DNA in any other way
What are some statistics regarding lung cancer?
•Leading cause of cancer-related deaths (25%) in U.S.; more than breast, prostate,
colon combined
•Estimated 235,000 new cases in 2021; 131,000 deaths expected
•High mortality rate; low cure rate
•Advances in treatment improving response
•Gender considerations
•Promoting health equity
What are the risk factors for lung cancer?
•Smoking—causes 80% to 90% of all lung cancers; no safe form of tobacco,
tobacco product
•Contains 7000 chemicals; 250 harmful
•69 carcinogens that interfere with cell development
•Causes a change in bronchial epithelium
•Smoking cessation reduces risk – reaches that of non-smokers within 10-15 years
•Secondhand smoke is also a health risk.
•Other causes of lung cancer include exposure to:
•Pollution
•Radiation /radon
•Asbestos
•Industrial agents (radon, coal dust, asbestos, chromium, silica, arsenic, diesel
exhaust) increase risk, especially in smokers
•Incidence, risk factors, survival vary between genders
•Incidence and survivability vary between racial and ethnic populations.
What are the gender considerations for lung cancer?
Men
Have a 1 in 15 chance of developing lung cancer (smokers/non smokers)