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Tb signs and symptoms ✔Correct Answer-Chest x ray could show calcification (latent) but could be
asymptomatic/ not contagious
Sputum is bloody/rust color
Wt loss
Night sweats
Fatigue
Fever
Tell provider if you develop ✔Correct Answer-Orthopnea/ Dyspnea for new onset symptoms
Tb precautions ✔Correct Answer-Airborne precautions but transmitted through droplet
Tb risk factors ✔Correct Answer-Homelessness
Incarcerated
Immunocompromised (HIV/AIDS)
Low SES at risk
Does a pt with tb need a N95 ✔Correct Answer-Not if they are going outside, only surgical mask
but caregivers wear an N95
Cause of TB ✔Correct Answer-Mycobacterium
Pt education for tb pt going home ✔Correct Answer-Keep up with meds, drug compliance, wear a
mask, wash hands, transmission precautions to not spread
Tb multi drug regimen ✔Correct Answer-They could become drug resistant
Want CD4 count above.... ✔Correct Answer-500
500-1000/1500
Viral load test ✔Correct Answer-Determines the effectiveness of tx
Viral load goes up and CD4 goes down with the infection of HIV
Pregnancy and HIV ✔Correct Answer-Practice safe sex
Could pass onto child
Most likely will have c-section
Take meds
Risk factors for HIV ✔Correct Answer-Unprotected sex
IV drug use
Bodily fluids shared (don't share needles)
Diagnostic test for HIV ✔Correct Answer-CD4 and viral load
Western blot test and indirect immunofluorescence (assay)
, Precautions for HIV ✔Correct Answer-Universal standard precautions
Pt ed for HIV ✔Correct Answer-Reducing stigma
Not being around sick people
No cat litter
No garden
Wash fruits
Safe sex
Meds daily
Food handling
Infections at risk for when having HIV ✔Correct Answer-PCP
PJP (different types of pneumonia)
Herpes
TB
Oral candidiasis (thrush)
RA vs OA ✔Correct Answer-RA- synovium is affected. Morning stiffness
OA- cartilage is affected. Pain with movement
RA ✔Correct Answer-Autoimmune
Can go into remission or exacerbated
No cure just managing symptoms
RA risk factors ✔Correct Answer-Females more at risk; 30-50 and higher after 60
RA meds for pain and inflammation ✔Correct Answer-NSAIDs
Methotrexate- DMARDS, take with folic acid
Glucocorticoids
NSAIDS for RA ✔Correct Answer-Take PPI's because they can get ulcers, GI bleeds and an upset
stomach
Show blood, tarry stools
Nonpharmacologic Therapy for RA ✔Correct Answer-Heat/cold therapy
Nutrition
Diagnostic test for RA ✔Correct Answer-ESR
CRP
Liver/renal function
Albumin
Platelet count
Antibodies
Rheumatoid factor
Pt education for RA ✔Correct Answer-Med side effects
Body feel
Smoking cessation
Look for fever/infection
Make sure to let the body rest