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Med surg 2 exam 1 Flashcards | StudBud
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Med surg 2 exam 1
Med surg 2 exam 1
71 terms
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1
Post exposure prophylaxis HIV treatment
Two-three drugs taken for 10 days
Two-three drugs taken for 28 days
Take ART- as soon as possible no later than 72 hours (3 days)
2
Herpes zoster is also known as shingles, and they are painful vesicles that’s follow dermatomes. They spread by
Airborne
Contact
Droplet
3
What medication is needed with routine lab work to monitor effectiveness of medication of HIV
Retrovir (Zidovudine)
Efavirenz
4
What is the dose given for epi?
0.1 mg
0.5 mg
1.5 mg
0.6 mg
5
Type I hypersensitivity reaction
Anaphylaxis
Asthma
Allergic rhinitis
SLE
6
What medication is taken for acute gout?
Indomethican
Colchicine
7
Fibromyalgia is also known as
May have other rheumatic diseases like or RA or SLE
Chronic pain syndrome
Acute pain syndrome
8
Severe Diarrhea related to HIV infection or enter pathogens is treated with
Octerotide actetate (Sandostatin)
Pentamidine
9
Conserving energy is crucial, and should be included in the patient’s plan of care for HIV and aids
True
False
10
Systemic treatment for psoriasis
Phototherapy
Tazorac
Biological agents- etanercept or infliximab
Methotrexate
11
What complications can occur with SLE?
Raynauds phenomenon
Lupus nephritis
Proteinuria
Hematuria
12
Wasting syndrome is 10% weight loss and chronic diarrhea or chronic weakness and fever and is also known as
Dolphin
Avian
Cachexia
Mycelex
13
Delayed Type IV hypersensitivity reactions
RA
TB
Thrombocytopenia
Dermatitis
14
AIDS stage
CD4 >200
CD4 <200
15
Secondary immunodeficiency occurs due to underlying disease and is an acquired
False
True
16
An _________ is a protein substance developed by the body in response to interacting with a specific antigen
Neutrophil
Protein
Antibody
Histamine
17
Opportunistic infections
Kaposi sarcoma
PCP
TB
COPD
Flu
Wasting syndrome
18
Scleroderma there is no cure and they will have lose of skin elasticity and movement (Stiff). What foods do they need
High protein, snacks, and drinks
Low protein, snacks, and drinks
19
Natural immunity is present at birth
True
False
20
PREP is used for high risk behaviors engaging in transmission of HIV
True
False
21
Epinephrine causes bronchodilation to help with breathing and vasoconstriction
You can give vasopressors
Elevate the head and the legs to increase blood flow
Needs to be on cardiac monitor
Give Fluids for hypotension
22
Delayed type IV reaction occurs 1-3 days after exposure
True
False
23
Cytotoxic Type II hypersensitivity reactions can occur with
Lupus
Pernicious anemia
Transfusion reactions
Thrombocytopenia
24
Systemic lupus erythematosus (SLE) triggers are
Stress
Sickness
Sunlight
Medications
25
Normal CD4 count
500-1000
500-1500
200-500
350-700
26
Systemic lupus erythematosus (SLE) is an autoimmune disorder that is inflammatory and is chronic with flare ups. S/S are
Fatigue
Butterfly rash
Swollen painful joints
Plaques/scaling on face
27
Latex allergy are prone to cross reactions to
Bananas, avocados
Kiwi , pineapple
Mangos
Pollen
28
Chronic state HIV
No OP infections
CD4 >200 to 500
OP infections present
S/s may disappear
29
Melanomas cancer us and is a Nevus (Mole) or new growth on the skin. The color is
Dark, red, black irregular
Bleeding form site
Asymmetric boarders
Itching, rapid growth, and ulceration
30
Systemic lupus erythematosus (SLE) medication therapy
H2 blockers
CorticoSteriods
SSRI
NSAIDS
31
Pneumocystis, carinii pneumonia is the most common life-threatening infection of those living with aids. S/S are
Chills and dyspnea
Nonproductive cough
Fever
Can be nonspecific initially
32
Acquired immunity develops after birth
True
False
33
Psoriasis treatment topical is
Tazorac (Retnoid compound)
Corticosteriods
Phototherapy
Vitamin D preparation
34
Immune complex Type III hypersensitivity reactions have increased vascular permeability
RA
Postreptococcal glomular nephritis
TB
SLE
35
IGA immunoglobulins are found
Allergic reactions
In the saliva or mucous membranes
Blood
Genetic
36
First line treatment for herpes zoster (shingles)
TCAs
Must be started within 72 hours
Acyclovir (Zivirax)
37
Kaposi sarcoma the lesions look
Flat, raised
Gray/ blue color
Purple brown/ red color
Papular and painful
38
Treatment of PCP is what medication
Retrovir (Zidovudine)
Hydroxy-chloroquine
Octreotide acetate (Sandostatin)
Bactrim (TMP-SMX)
39
Major goals of RA diseases are to
Maintain optimal, functional mobility
Relief of fatigue
Effective coping behaviors
Relief of pain and discomfort
40
Viral setpoint is the balance between the amount of HIV and the immune response
True
False
41
Retrovir (Zidovudine) can cause what sided effects
Decreases WBC
Decreases platelets
Increases liver function test
Bone marrow suppression
42
Squamous cell carcinoma arises from epidermidis and sun damage skin. Rough scaly tumor may be asymptomatic or bleed
False
True
43
Look at the viral load to assess how well the treatment is working
False
True
44
A nurse is caring for a client who has multiple types of skin lesions. What is indicative of malignant melanoma?
Area of a symmetric borders
Uniformly colored Palpule
Irregular colored mold
Diffuse vesicles
45
IgM is the first immunoglobulin produced in response to bacterial and viral infections
False
True
46
Patience with allergic disorders which lab would you look at in the CBC?
Neutrophils
Eosinophils
Basophils
47
Gout is the buildup of uric acid in joints and mainly affects the great toe. What do you need to do
Decreaes, purine foods
Maintain weight
Gain weight
Alcohol consumption
48
A nurse is providing information about new prescription of corticosteroid cream to a client with psoriasis. Instructions
Applying occlusive dressing after application
Wear gloves after application to lesions on the hands
Avoid applying in skinfolds
Apply 3 to 4 times a day
49
CD4 cells are known as helper T cells
True
False
50
Megestrol (megace) increases
Thirst
Appetite
Lungs expansion
Weight
51
Acute stage HIV
Flu like symptoms
CD4 <200
Asymptomatic
Opportunistic infections
52
You can’t spread shingles, but you can give somebody chickenpox
True
False
53
The function of the immune system is to remove foreign antigens such as viruses and bacteria to maintain homeostasis
True
False
54
IgE immunoglobulins are found in allergic reactions and release histamine
False
True
55
What medication is taken for? Chronic gout.
Allopurinol
Colchline
56
Systemic lupus erythematosus (SLE) what do you need to monitor
BUN and Creatinine
ALT and AST
57
Rheumatic disease and treatment
DMARDS-Methotrexate
Tylenol
NSAIDS- Ibprophen
58
Primary immunodeficiency disorder are
Genetic
Acquired
Occurs from underlying disease
Seen in infants and children
59
Innate immunity is the first line of defense and is non specific
True
False
60
B lymphocytes are humoral immunity and is not in your blood stream
False
True
61
Managing a pt reviving IV immunoglobulin
Monitor vitals for duration of infusion
Pre medicate with steroids, acetaminophen and Benadryl
Health history prior
None of these
62
Kaposi sarcoma is caused by herpes & lesions cause discomfort, disfigurement, ulceration, and potential infection.
False
True
63
An example of an immunosuppressant drug is
Ibprophen
Methotrexate
Celecoxib
Tylenol
64
Stop any corticosteroids are antihistamines 48 to 96 hours before testing for allergies
False
True
65
T lymphocytes are cellular immunity and attack invaders rather than produce antibodies
False
True
66
Rheumatoid arthritis is worse in the morning and is
Joint pain lasting longer than 1 hour and stiffness
Symmetric
Asymmetric
Joint pain lasting shorter than 30 min and stiffness
67
Psoriasis is a chronic autoimmune noninfectious disorder. The patient will have.
Hives and redness
Silver, plaques, or patches
68
NSAIDs have an increased risk for gastric ulcers
False
True
69
Possible reactions to infusion
Flank pain
Headache
Chills
Chest pain and tightness
70
Basal cell carcinoma, appears on son, exposed hands, face, neck, and scalp. It is slow growing and S/S are
Scaly tumor
Small waxy nodule
Can appear Shiny, flat , gray , yellow
Rough and thickened
71
Which test is used to determine the HIV in the blood or the saliva?
Nucleic acid test
ELISA test
Viral load test