Exam 4: NUR265/ NUR 265 (Latest 2023/ 2024 Update) Advanced Concepts of Medical-Surgical Nursing Exam Review| Complete Guide with Questions and Verified Answers| 100% Correct- Galen

Exam 4: NUR265/ NUR 265 (Latest 2023/ 2024 Update) Advanced Concepts of Medical-Surgical Nursing Exam Review| Complete Guide with Questions and Verified Answers| 100% Correct- Galen Q: Lyme Disease: Hallmark sign Answer: stage 1: "bulls eye rash" and flu-like symptoms Stage 2: facial paralysis, carditis, meningitis Q: Lyme Disease: Assess Answer: Skin history of tick bites Q: Lyme Disease: Interventions Answer: prevention! Insect repellant with DEET early stage--doxycycline antibiotics ORAL late stage--Iv antibiotics (ceftriaxone) avoid tall grass wear light colored clothing have pets wear tick collars Q: Allergic Reaction Priority Answer: STOP THE INFUSION/ELIMINATE the trigger, then STOP the immune response Give Epi maintain airway Q: Latex allergy: risks Answer: -frequent use of latex condoms -healthcare workers -allergy to avocados, bananas, and some nuts Q: Anaphylactic shock Answer: AIRWAY--give epi IV or IM STAT and intubate if needed BREATHING--apply O2; mechanically ventilate CIRCULATION--monitor for distributive shock; give fluids Q: Epinephrine Auto-injector teaching Answer: always carry 2 devices inject by "stabbing" into top of thigh with pants on (AVOID pockets) call 911 immediately--patient still needs to be monitored keep epi in cool dark place. Q: Immunocompromised Patient Answer: -Do not drink anything that has been sitting out -take temp at least once per day -clean toothbrush once weekly in diswasher or bleach solution -do not eat raw foods; salad, cottage cheese -do not scoop litter boxes -no plants or soil exposure -antibacterial soap -AVOID reptiles Q: HIV: Assess Answer: CD4 count ELISA test once per year for at risk patients Q: HIV: Interventions Answer: PREVENTION: -condoms -PreP (truvada) must take 4 consecutive days in a row before protected; cant miss more than one dose in a row -needle safety -post exposure prophylaxis-start cART within 24-36 hours of exposure Q: HIV: Nutrition Answer: high calorie high protein low fat small frequent meals thrush--treat with anitfungal Q: HIV tx: HAART/cART Answer: DOES NOT CURE Does not prevent secondary/opportunistic infections MUST TAKE 90% of the time --otherwise resistance will occur