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Exam (elaborations)

NUR 138 EXAM 1 QUESTIONS WITH 100% CORRECT ANSWERS

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NUR 138 EXAM 1 QUESTIONS WITH 100% CORRECT ANSWERS

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External Beam Radiation Therapy (EBRT)


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Patient is not radioactive or hazardous to others
Monitor CBC
The skin over targeted area is marked w/ "tattoo"
Provide a well-balanced diet that doesn't include red meat
Balance activity and rest periods
Monitor for radiation injury to skin and mucous membranes and implement
a skin care regimen
o Abdomen = gastroenteritis

, o Neck = difficulty swallowing
o Mouth = mucositis, xerostomia (dry mouth)
o Skin = blanching, erythema, desquamation, sloughing, hemorrhage




Genvoya® adverse effects


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Antiviral




takeaways from HIV lab


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-sputum culture should be obtained before abx if poss
-best to obtain in morning, but do not hold abx if sputum culture delayed
-rifampin decreases the antiviral effects of one of the meds in Genvoya.
providers will normally opt for a different med to treat TB, but may order
Rifampin and closely monitor CD4 and viral load. Note compatibility
concern to Dr.
-over 30 states have laws that criminalize HIV exposure to people who are
aware and don't disclose




Maslow's Hierarchy of Needs


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physiological, safety, love/belonging, esteem, self-actualization

,Corticosteroids


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Also known as glucocorticosteroids
Potent anti-inflammatory and immunosuppressant properties for severe
inflammation
Mimic natural hormones secreted by the adrenal cortex
Affect almost all body systems
Short- and long-term use
Also used as antiemetics, Examples : Betamethasone Dexamethasone
Hydrocortisone Prednisone Methylprednisolone
Nursing Considerations and Patient Teachings: Pregnancy category C
Contraindicated in patients with o A systemic infection - reduces immune
response o Systemic fungal infections o When administered with live virus
vaccines o PUD, glaucoma, or cataracts, diabetes, or psychiatric disorders
Monitor vitals and weight throughout therapy Do not stop abruptly Give
deep IM and avoid deltoid muscle Monitor blood glucose levels, mood
changes and signs of edema or Cushing's syndrome Monitor for adverse
effects o Peptic ulcer formation and possible GI hemorrhage o
Hyperglycemia, hypokalemia, HTN, signs of HF o Increased susceptibility
to infection and masking of early signs of infection
NO MMR/VARICELLA (live vaccines)




NSAIDs contraindications and cautions


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Asthma
Cardiovascular disease
Renal disease
Coagulopathies
Peptic ulcer
Ulcerative colitis
Hypovolemic
+ ACE inhibitors, angiotensin receptor blockers

, Cardiovascular thrombotic events
Myocardial infarction
Stroke
GI events




What does -penia mean?


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deficiency, decrease, low




qualified answers


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usually, frequently, often are usually correct




HIV implementation 2.0


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directed toward identified patient problems
prevention of secondary infections
maintain skin integrity




External Beam Radiation Therapy (EBRT) Patient Education

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