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NURS 341 FINAL EXAM – Questions With Appropriate Answers

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NURS 341 FINAL EXAM – Questions With Appropriate Answers

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NURS 341 FINAL EXAM – Questions With Appropriate
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Terms in this set (123)



what are signs and symptoms of respiratory ex. being unable to be awakens, shallow respirations,
acidosis? diminished breath sounds, decreased LOC, hypoventilation,
respiratory failure


what are signs and symptoms of respiratory ex. hysterical, severe emotional distress, high BP/HR/RR, low
alkalosis? O2, clear lung sounds, hyperventilation, hypoxemia


what are signs and symptoms of metabolic can be caused by ketoacidosis, lactic acid accumulation
acidosis? (shock), severe diarrhea, kidney disease


ANION GAP


ex. feeling bad, fatigue, constant thirst, frequent urination,
rapid deep respirations, fruity breath odor, high blood
glucose


what are signs and symptoms of metabolic seen in someone with COPD
alkalosis?
ex. history of n/v, loss of gastric acid


what are the 4 types of hypersensitivity occur when the immune response is over active, reacting to
responses? examples? own tissue causing damage


type 1 IgE mediated
type 2 cytotoxic/cytolytic reactions
type 3 immune/complex reactions
type 4 delayed hypersensitivity responses

, what is type 1 IgE mediated hypersensitivity allergic response
response?
IgE antibodies bind with antigen and cause mast cell
degranulation


- localized: rash, vomiting
- systemic: throat closing
- anaphylaxis: systemic EMERGENCY


atopic reactions include asthma, allergic rhinitis, atopic
dermatitis, urticaria, angioedema


nursing care: prevent response (avoid), maintain airway,
administer administrations (epinephrine, antihistamines),
allergy shot to make IgG antibodies


what is type 2 cytotoxic and cytolytic involve IgG and IgM antibodies forming antigen-antibody
hypersensitivity reactions? complexes


activate complement system resulting in cytolysis or increased
phagocytosis


cause organ dysfunction
- transfusion reactions
- graves disease


what are type 3 immune complex antigen-antibody complexes settle into tissue causing
hypersensitivity reactions? activation of complement system and inflammatory response


autoimmune disorder including systemic lupus erythematosus,
rheymatoid arthritis, glomerulonephritis


what is type 4 delayed hypersensitivity cell mediated immune response sensitized T lymphocytes
responses? attack antigens or release cytokines


delayed: happens days later
- contact dermatitis
- transplant rejection
- TB skin test


what is a hypotonic solution example? the cell becomes bigger, draws water into the cell


solutions used to rehydrate cells:


ex. half normal saline, 0.33% sodium chloride


what is a hypertonic solution example? the cell becomes smaller, draws water out of the cell


solutions used to shift fluid into blood vessels and reduce
edema


ex. 3% saline, albumin, dextrose 5% in half normal
saline/normal saline/lactated ringers


what is an isotonic solution example? nothing happens to the cell


solutions used for hypotension related to hypovolemia


ex. lactated ringers solution, ringers, 0.9% normal saline,
dextrose 5% in water
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