QUESTIONS & DETAILED COMPLETE
SOLUTIONS 100%
bacterial meningitis (transmission precaution) - correct answer ✔✔glove, gown, mask.
transmission occurs in high population and crowded living areas (college dorms, prisons)
pediculosis - correct answer ✔✔lice infestation, nits and lice on involved area.
-excoriation
-white flakes moving in hair
-pinpoint raised macules
-severe pruritis
treat lice - correct answer ✔✔-lindane (kwell)
-pyrethrins(RID)
-cool compress
-wash hair often w/ warm water blow dry on high heat to get rid of nits.
scabies - correct answer ✔✔caused by *itch mite*
-lay egg under skin
-wavy brown threadlike line on body, *brown crusty lines*
-pruritus
-excoriation
-transmitted by prolonged contact w/ infected area
,treat scabies - correct answer ✔✔-lindane (kwell)
-pyrethrins(RID)
-crotamiton (eurax)
-4-8% solution of sulfur in petroleum
-tx family
-wash clothes/linen in HOT water
-wear proper PPE when entering the room
-*contact: gloves/gown*
HIV - correct answer ✔✔-cant survive long outside body
-human to human *(blood, semen, cervicovaginal secretions, breast milk)*
HIV - correct answer ✔✔-decreases resistance to life threatening infections
CD4+ 600-1200 - correct answer ✔✔normal
CD4+ 200-499 - correct answer ✔✔minor immune problems
CD4+ below 200 - correct answer ✔✔sever immune problems
HIV antibody testing - correct answer ✔✔-ELISA: detects presence of HIV antibodies,
*(if positive ELISA done a 2nd time)*
-WESTERN BLOT: done when 2nd ELISA test is positive. *this test is more sensitive than the
ELISA*
Therapeutic Management of HIV - correct answer ✔✔*mon. disease progression/ immune
function
, *prevent opportunistic diseases/TX it,
*manage S/S
*initiate/mon. antiretroviral therapy,
*multiviral therapy to prevent virus from becoming resistant, ↑ fluids, use straw
*when it becomes hard to swallow from white patches in mouth, ↑calorie, ↑potassium,
↑calcium diet
how long does it take newborn to develop S/S of HIV - correct answer ✔✔18 months
Kaposi sarcoma (KS) (in pt. w/ HIV) - correct answer ✔✔blue,red,purple lesions
-Develop from CELLS that line LYMPH/BLOOD Vessels. *pt. infected w/ KSHV develop ks too
report kaposi sarcoma to - correct answer ✔✔RN *IMMEDIATELY*
-KS & pneumocystis jirovec pnewmonia develops in pt who is infected w/ HIV. TO dx →*test CD4
& viral load*
Glucophage (metformin) - correct answer ✔✔P.O dm med that helps control BG levels
S/E of metformin - correct answer ✔✔-diarrhea -N/V *dr. would need to change med*
after a TURP (transurethral resection of the prostate) procedure - correct answer ✔✔do a
continuous bladder irrigation to prevent blood clots.
*@risk for bleed*
CHF pt. has a IV running & develops SOB what should i do? - correct answer ✔✔*assess
respiratory status* & *VS* BEFORE giving *o2*