Ati med surg 2 final exam (test
bank) With Correct Answers!!
what is Kaposi Sarcoma - <<<ANSWER>>>malignancy of endothelial
cells that line small blood vessels: darkish reddish purple lesions of
the skin, oral cavity, GI tract, or lungs
what are the clinical manifestations of lung cancer? - <<<ANSWER>>>-
asymptomatically until late
-depends on location and size of tumor
-cough (65%) or change in chronic cough (from dry to productive (25%)
*-dyspnea (early symptom)
*-hemoptysis (blood in sputum)
*-recurring fever, weakness, anorexia, weight loss
-CP, hoarseness, dysphagia, pleural effusion
-signs on metastasis: lymphnode, bone, brain, liver
incubation period of Hep A vs Hep B - <<<ANSWER>>>Hep a: 15-50
days
Hep b: 150 days (1-6 months)
manifestations of Hep A - <<<ANSWER>>>mild flu like symptoms, low
grade fever, anorexia, later jaundice, dark urine, indigestion,
epigastric distress, enlargement of liver and spleen
management of hep A - <<<ANSWER>>>Prevention
-vaccine
-good hand washing, safe water, and proper sewage disposal
Bed rest during acute stage
Nutritional support
,IV immunoglobulin, interferon, and antivirals
management of Hep B - <<<ANSWER>>>-prevention-screening of blood
-prevention of needle sticks for health care workers-measure to
reduce spread of infection as with hep B
-alcohol encourages the progression of the disease, so alcohol and
medications that effect the liver should be avoided
-antiviral agents: interferon (Pegylated interferon) and ribavirin
(Rebetol)
-new standard of care triple therapy Peg+Riba+PI
nursing interventions fo thrombocytopenia - <<<ANSWER>>>-monitor
for signs of bleeding
-looks for petechiae
-gentle teeth brushing, electric raxor. avoid anticoagulants
-monitor CBC and platelet count
-give blood transfusion as needed
when do we give lactulose and why - <<<ANSWER>>>we give lactulose
for management of hepatic encephalopathy-will cause them to have
loose watery stools to get rid of ammonia
how is Hep A vs Hep B spread - <<<ANSWER>>>A (spread via fecal,
oral route)B (spread via body fluids, IV drug abuse)
risk factors of Hep B - <<<ANSWER>>>exposure to blood and body
fluids, health care workers, HD, MSM, IVDU, close contact, travel,
multiple sex partners, hx of STD, blood tx
what are the manifestations of Hep B - <<<ANSWER>>>-abdominal pain
-jaundice
-joint pain
-similar to Hep A
-N/V
-dark urine
, what are the symptoms of thrombocytopenia - <<<ANSWER>>>-Easy or
excessive bruising
(purpura).
-Superficial bleeding into the skin that appears as a rash of pinpoint sized reddish-purple spots
(petechiae), usually on the lower legs.
-Prolonged bleeding from cuts.
-Bleeding from your gums or nose.
-Blood in urine or stools.
-Unusually heavy menstrual flows.
-Fatigue.
-Enlarged spleen.
-Jaundice.
what are the symptoms of polycythemia - <<<ANSWER>>>ruddy
complexion
splenomegaly
high blood pressure
generalized pruritis
eryhtromelelgia
*increased risk for blood clots
You patient has ecchymosis, what labs are we looking at? -
<<<ANSWER>>>look at
Platelet count
Hemoblobin and hematocrit
RBC
PT, PTT and INR
what is tumor lysis syndrome and what labs do we look at? -
<<<ANSWER>>>definition: occurs when a large number of cancer cells
are rapidly destroyed, typically in response to cancer treatment (this is
life threatening)
bank) With Correct Answers!!
what is Kaposi Sarcoma - <<<ANSWER>>>malignancy of endothelial
cells that line small blood vessels: darkish reddish purple lesions of
the skin, oral cavity, GI tract, or lungs
what are the clinical manifestations of lung cancer? - <<<ANSWER>>>-
asymptomatically until late
-depends on location and size of tumor
-cough (65%) or change in chronic cough (from dry to productive (25%)
*-dyspnea (early symptom)
*-hemoptysis (blood in sputum)
*-recurring fever, weakness, anorexia, weight loss
-CP, hoarseness, dysphagia, pleural effusion
-signs on metastasis: lymphnode, bone, brain, liver
incubation period of Hep A vs Hep B - <<<ANSWER>>>Hep a: 15-50
days
Hep b: 150 days (1-6 months)
manifestations of Hep A - <<<ANSWER>>>mild flu like symptoms, low
grade fever, anorexia, later jaundice, dark urine, indigestion,
epigastric distress, enlargement of liver and spleen
management of hep A - <<<ANSWER>>>Prevention
-vaccine
-good hand washing, safe water, and proper sewage disposal
Bed rest during acute stage
Nutritional support
,IV immunoglobulin, interferon, and antivirals
management of Hep B - <<<ANSWER>>>-prevention-screening of blood
-prevention of needle sticks for health care workers-measure to
reduce spread of infection as with hep B
-alcohol encourages the progression of the disease, so alcohol and
medications that effect the liver should be avoided
-antiviral agents: interferon (Pegylated interferon) and ribavirin
(Rebetol)
-new standard of care triple therapy Peg+Riba+PI
nursing interventions fo thrombocytopenia - <<<ANSWER>>>-monitor
for signs of bleeding
-looks for petechiae
-gentle teeth brushing, electric raxor. avoid anticoagulants
-monitor CBC and platelet count
-give blood transfusion as needed
when do we give lactulose and why - <<<ANSWER>>>we give lactulose
for management of hepatic encephalopathy-will cause them to have
loose watery stools to get rid of ammonia
how is Hep A vs Hep B spread - <<<ANSWER>>>A (spread via fecal,
oral route)B (spread via body fluids, IV drug abuse)
risk factors of Hep B - <<<ANSWER>>>exposure to blood and body
fluids, health care workers, HD, MSM, IVDU, close contact, travel,
multiple sex partners, hx of STD, blood tx
what are the manifestations of Hep B - <<<ANSWER>>>-abdominal pain
-jaundice
-joint pain
-similar to Hep A
-N/V
-dark urine
, what are the symptoms of thrombocytopenia - <<<ANSWER>>>-Easy or
excessive bruising
(purpura).
-Superficial bleeding into the skin that appears as a rash of pinpoint sized reddish-purple spots
(petechiae), usually on the lower legs.
-Prolonged bleeding from cuts.
-Bleeding from your gums or nose.
-Blood in urine or stools.
-Unusually heavy menstrual flows.
-Fatigue.
-Enlarged spleen.
-Jaundice.
what are the symptoms of polycythemia - <<<ANSWER>>>ruddy
complexion
splenomegaly
high blood pressure
generalized pruritis
eryhtromelelgia
*increased risk for blood clots
You patient has ecchymosis, what labs are we looking at? -
<<<ANSWER>>>look at
Platelet count
Hemoblobin and hematocrit
RBC
PT, PTT and INR
what is tumor lysis syndrome and what labs do we look at? -
<<<ANSWER>>>definition: occurs when a large number of cancer cells
are rapidly destroyed, typically in response to cancer treatment (this is
life threatening)
