NUR 138 Final Exam
Study online at https://quizlet.com/_g9s03i
1. Physical assess- General appearance
ment for immu- Vital signs
nity Inspect mucous membranes
Assess skin color, temp, & moisture
inspect lymph nodes
Assess MS system
check joint ROM
2. artificially ac- Immunity developed after exposure to a pathogen (i.e. live animal)
quired active im-
munity Examples: rabies and tetanus shot
3. Active immunity Exposure to disease or through vaccination. Usually lasts for a long period.
Body creates antibodies by the immune system to that antigen (natural immuni-
ty)
Vaccination is introduced in a weakened or killed form of the disease into the body
(vaccine-induced immunity)
4. Passive immuni- receives antibodies from someone else rather than producing them through their
ty own immune system. Protection is immediate but lasts for a short period (weeks
to months)
Example: passing antibodies from mother to the fetus via placenta or breast milk;
administering blood product; immunoglobulins
5. Difference be- Antibodies = good, fight invaders
tween antibodies Antigens = bad, attack cells
and antigens
6. Diagnostic labs WBC w/ differential
for infection Procalcitonin
wound cultures
Urinalysis
, NUR 138 Final Exam
Study online at https://quizlet.com/_g9s03i
Serological test
Direct antigen detection
antibiotic peak
Trough levels
Radiological examinations (X-ray)
Lumbar puncture
Ultrasound examination
7. Complications of GI issues such as stomach ulcers and bleeding
NSAIDS for older Renal (excreted) toxicity
adults Hepatic (metabolized) toxicity
Labs to obtain: LFT and renal function
8. Indicators for Oral temperature greater than 38C or less than 36C
systematic reac- Increased HR and RR
tion to inflamma- Increased WBC (>12,000)
tion Generalized edema
Enlarged and tender lymph nodes
Altered perfusion (slow cap refill >3 seconds)
Altered mental status
Decreased urine output
Wound culture
9. Signs & Symp- LLQ abdominal pain
toms of acute ul- Anorexia and weight loss
cerative colitis Fever
Hypotensive
Diarrhea (5-30 stools/day)
Stools contain mucus/blood/pus
Abdominal distention/tenderness/firmness
High-pitched bowel sounds
Rectal bleeding
, NUR 138 Final Exam
Study online at https://quizlet.com/_g9s03i
Malnutrition
Hypovolemia
Anemia
10. Nursing actions Nutrition
to decrease can- Hydration
cer cells and sup- Exercise
port normal cell Optimal homeostasis*
function Promote sleep
Manage tx side effects
Myelosuppression
Bruising/oral care
Administering platelet transfusion
Prevent infection and exposure to germs
Discourage smoking
Drink alcohol in moderation
11. Collaborative tx Bone marrow transplant
plan for client Stem cell transplant
with leukemia *Splenectomy
Chemotherapy
Biological therapy (cytokines)
Radiation therapy
Acupuncture and massage
*Nutritionist, dietician, pharmacist, family, OT/PT, social worker, recreational ther-
apist, child life specialist
12. Strategies for - Make healthy lifestyle choices; avoid smoking, limit alcohol consumption, exer-
cancer preven- cise, wear sunscreen, avoid prolonged sun exposure, follow occupational safety
tion and early de- protocols
tection - Early detection leads to more successful and less extensive tx (routine
x-ray/CT/MRI/Ultrasound/nuclear imaging/angiography/PET scan)
Study online at https://quizlet.com/_g9s03i
1. Physical assess- General appearance
ment for immu- Vital signs
nity Inspect mucous membranes
Assess skin color, temp, & moisture
inspect lymph nodes
Assess MS system
check joint ROM
2. artificially ac- Immunity developed after exposure to a pathogen (i.e. live animal)
quired active im-
munity Examples: rabies and tetanus shot
3. Active immunity Exposure to disease or through vaccination. Usually lasts for a long period.
Body creates antibodies by the immune system to that antigen (natural immuni-
ty)
Vaccination is introduced in a weakened or killed form of the disease into the body
(vaccine-induced immunity)
4. Passive immuni- receives antibodies from someone else rather than producing them through their
ty own immune system. Protection is immediate but lasts for a short period (weeks
to months)
Example: passing antibodies from mother to the fetus via placenta or breast milk;
administering blood product; immunoglobulins
5. Difference be- Antibodies = good, fight invaders
tween antibodies Antigens = bad, attack cells
and antigens
6. Diagnostic labs WBC w/ differential
for infection Procalcitonin
wound cultures
Urinalysis
, NUR 138 Final Exam
Study online at https://quizlet.com/_g9s03i
Serological test
Direct antigen detection
antibiotic peak
Trough levels
Radiological examinations (X-ray)
Lumbar puncture
Ultrasound examination
7. Complications of GI issues such as stomach ulcers and bleeding
NSAIDS for older Renal (excreted) toxicity
adults Hepatic (metabolized) toxicity
Labs to obtain: LFT and renal function
8. Indicators for Oral temperature greater than 38C or less than 36C
systematic reac- Increased HR and RR
tion to inflamma- Increased WBC (>12,000)
tion Generalized edema
Enlarged and tender lymph nodes
Altered perfusion (slow cap refill >3 seconds)
Altered mental status
Decreased urine output
Wound culture
9. Signs & Symp- LLQ abdominal pain
toms of acute ul- Anorexia and weight loss
cerative colitis Fever
Hypotensive
Diarrhea (5-30 stools/day)
Stools contain mucus/blood/pus
Abdominal distention/tenderness/firmness
High-pitched bowel sounds
Rectal bleeding
, NUR 138 Final Exam
Study online at https://quizlet.com/_g9s03i
Malnutrition
Hypovolemia
Anemia
10. Nursing actions Nutrition
to decrease can- Hydration
cer cells and sup- Exercise
port normal cell Optimal homeostasis*
function Promote sleep
Manage tx side effects
Myelosuppression
Bruising/oral care
Administering platelet transfusion
Prevent infection and exposure to germs
Discourage smoking
Drink alcohol in moderation
11. Collaborative tx Bone marrow transplant
plan for client Stem cell transplant
with leukemia *Splenectomy
Chemotherapy
Biological therapy (cytokines)
Radiation therapy
Acupuncture and massage
*Nutritionist, dietician, pharmacist, family, OT/PT, social worker, recreational ther-
apist, child life specialist
12. Strategies for - Make healthy lifestyle choices; avoid smoking, limit alcohol consumption, exer-
cancer preven- cise, wear sunscreen, avoid prolonged sun exposure, follow occupational safety
tion and early de- protocols
tection - Early detection leads to more successful and less extensive tx (routine
x-ray/CT/MRI/Ultrasound/nuclear imaging/angiography/PET scan)
