1|Page
NUR 265 EXAM 4 STUDY GUIDE VERIFIED
QUESTIONS & 100% ACCURATE ANSWERS |
COMPLETELY UPDATED 2025–2026 EDITION A+
PERFORMANCE GUARANTEED
Allergic Reaction Priority-- ANSWER: -STOP THE INFUSION/ELIMINATE the
trigger, then STOP the immune response
Give Epi maintain airway
Latex allergy: risks- ANSWER: frequent use of latex condoms
-healthcare workers
-allergy to avocados, bananas, and some nuts
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
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.
,2|Page
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
HIV: Assess-- ANSWER: -CD4 count
ELISA test once per year for at risk patients
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
,3|Page
HIV: Nutrition-- ANSWER: -high calorie high protein
low fat
small frequent meals thrush--treat with anitfungal
HIV tx: HAART/cART-- ANSWER: -DOES NOT CURE Does not prevent
secondary/opportunistic infections
MUST TAKE 90% of the time --otherwise resistance will occur
HIV: complications --- AIDS-- ANSWER: -CD4 count less than 200mmhg most
likely to experience opportunistic infections
--I.e Pneumocystic jiroveci pneumonia (ASSESS AIRWAY!!) consult pallative
care/hospice
candida albicans- ANSWER: Hallmark sign-- white patches in the mouth
-"food doesnt taste right"
-If patient wants a coke they can have it! They just have to rinse mouth out with
water (fungus loves sugar)
tuberculosis-- ANSWER: -hallmark sign-- night sweats, high fever, cough
, 4|Page
-airborne isolation
-do not trust TB skin test in client with HIV
Fungal pneumonia-- ANSWER: -ABC's monitor ABG--if hypoxemia present
antifungal drugs IV
External Radiation- ANSWER: teach client to leave markings in place
-use sunscreen
-wash skin with mild soap and use lotion frequently
Breast Cancer: Risks- ANSWER: BRCA 1&2 genes (preventative mastectomy)
-women age 65-80
-elevated estrogen levels
-alcohol consumption
-history of child after 30 years of age
-early menstruation or late menopause
NUR 265 EXAM 4 STUDY GUIDE VERIFIED
QUESTIONS & 100% ACCURATE ANSWERS |
COMPLETELY UPDATED 2025–2026 EDITION A+
PERFORMANCE GUARANTEED
Allergic Reaction Priority-- ANSWER: -STOP THE INFUSION/ELIMINATE the
trigger, then STOP the immune response
Give Epi maintain airway
Latex allergy: risks- ANSWER: frequent use of latex condoms
-healthcare workers
-allergy to avocados, bananas, and some nuts
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
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.
,2|Page
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
HIV: Assess-- ANSWER: -CD4 count
ELISA test once per year for at risk patients
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
,3|Page
HIV: Nutrition-- ANSWER: -high calorie high protein
low fat
small frequent meals thrush--treat with anitfungal
HIV tx: HAART/cART-- ANSWER: -DOES NOT CURE Does not prevent
secondary/opportunistic infections
MUST TAKE 90% of the time --otherwise resistance will occur
HIV: complications --- AIDS-- ANSWER: -CD4 count less than 200mmhg most
likely to experience opportunistic infections
--I.e Pneumocystic jiroveci pneumonia (ASSESS AIRWAY!!) consult pallative
care/hospice
candida albicans- ANSWER: Hallmark sign-- white patches in the mouth
-"food doesnt taste right"
-If patient wants a coke they can have it! They just have to rinse mouth out with
water (fungus loves sugar)
tuberculosis-- ANSWER: -hallmark sign-- night sweats, high fever, cough
, 4|Page
-airborne isolation
-do not trust TB skin test in client with HIV
Fungal pneumonia-- ANSWER: -ABC's monitor ABG--if hypoxemia present
antifungal drugs IV
External Radiation- ANSWER: teach client to leave markings in place
-use sunscreen
-wash skin with mild soap and use lotion frequently
Breast Cancer: Risks- ANSWER: BRCA 1&2 genes (preventative mastectomy)
-women age 65-80
-elevated estrogen levels
-alcohol consumption
-history of child after 30 years of age
-early menstruation or late menopause
